AmericAn Skin ASSociAtion The Skin You’re In

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American Skin AssociationThe Skin You’re InTeaching Guide for Preteens and Young TeensIncludes:Activitiesto promotehealthy skinLessonsthat alignwithNationalHealthEducationStandardsEasy to usestudentworksheetsThe Skin You’re In was made possibleby an educational grant fromGalderma Laboratories, L.P.

Dear Teacher,National HealthEducationStandardsThe National Health Education Standards are writtenexpectations for what students should know and beable to do to promote personal, family, and communityhealth. The standards provide a framework forcurriculum development and selection, instruction,and student assessment in health education.Standard 1: Students will comprehendconcepts related to health promotion anddisease prevention to enhance health.Standard 2: Students will analyze theinfluence of family, peers, culture, media,technology, and other factors on health.Standard 3: Students will demonstratethe ability to access health information,products, and services to enhance health.Standard 4: Students will demonstrate theability to use interpersonal skills to enhancehealth and avoid or reduce health risks.Standard 5: Students will demonstratethe ability to use decision-making skills toenhance health.Standard 6: Students will demonstrate theability to use goal-setting skills to enhancehealth.Standard 7: Students will demonstratethe ability to practice health-enhancingbehaviors and avoid or reduce health risks.Welcome to The Skin You’re In, a free program filledwith lesson plans and worksheets that align with theNational Health Education Standards. These lessonswill help preteens and young teens build essential skills in reading comprehension and health awareness. They will also help yourstudents better understand the skin’s vital importance to the body’soverall health and inspire them to take care of their skin—leading toincreased confidence and well-being.Did you know that the skin is our largest organ? This amazingorgan protects our entire body—it prevents germs from entering thebody, regulates body temperature and blood flow, and manufacturesvitamin D to strengthen bones. The importance of skin to the restof the body’s systems reinforces how essential it is for young peopleto take proper care of their skin.Created by American Skin Association with Scholastic and sponsored by Galderma Laboratories, L.P., this program focuses on thefollowing major skin issues relevant to preteens and teens:Acne: Eight in 10 teenagers have acne. A short story will challenge students to identify what is true and false about acne and itsprevention and treatment.Sun safety: You will teach students why all forms of tanning aredangerous, while emphasizing the importance of using sunscreenwith an SPF of at least 30—even on overcast days. Students will readand discuss a true story about a young woman whobattled melanoma as a teen and now speaks out against tanning.Atopic dermatitis: This itchy, scaly skin condition is moreprevalent than many people realize. Our WebQuest will help kidsunderstand what it is and how it can be treated.Along the way, you and your students will discover facts about theskin that are interesting—and relevant—to this age group. Also, besure to send home the family quiz.Standard 8: Students will demonstrate theability to advocate for personal, family, andcommunity health.Source: The Joint Committee on National HealthEducation Standards, National Health EducationStandards: Achieving Excellence (2nd Edition),Atlanta: American Cancer Society, 2007.George W. Hambrick, Jr., MDFounder & President, American Skin AssociationSCHOLASTIC and associated logos are trademarks and/or registered trademarks of Scholastic Inc.All rights reserved. 0-545-27421-4

Lesson Overviews for TeachersPoster: Use the poster to get students thinking and talking aboutproper ways to take care of theirskin. Questions you can ask yourclass: Do you use sunscreen? If youdo, what type do you use? Do youknow what the SPF numbers mean?Why do you think skin cancer issomething that should concernyoung people? Why do teens getacne? What do you do when you geta pimple?Triple ThreatLesson 1: AcneObjective: Students will understand the facts about acne: how acneforms, what the different types are,why young people are so susceptibleto it, what does not cause it, and theproper ways to care for the skin.Key Concepts: Acne is a condition of the skin that appears asbumps or pimples in the form ofwhiteheads, blackheads, or cysts.Almost 8 in 10 teenagers have acne.Acne is a normal part of puberty, theprocess of physical changes duringwhich a child’s body becomes anadult body. Acne outbreaks can bestressful, but learning its causes andproper treatment will help.Discussion: Have you ever had aconversation with your doctor aboutthe condition of your skin? What didhe or she say? What was your reaction the first time you saw a pimpleon your face? What are some mythsabout acne? What helps treat acne?Critical Thinking: Why is itimportant for teenagers to treat theiracne properly? What are the consequences if they don’t?Lesson 2: Sun SafetyObjective: Students will understand that exposing their bodies toUV rays from the sun and indoortanning can harm their skin andeven lead to skin cancer. They willalso learn ways they can protecttheir skin from UV rays.Key Concepts: There is no suchthing as a healthy tan. Tanned skinhas been permanently damaged byUV rays. UV rays that penetrate theskin come in two forms: UltravioletA (UVA) rays damage the DNAof cells in the dermis, the secondlayer of skin. Ultraviolet B (UVB)rays penetrate the epidermis (thetop layer of skin), attack the body’simmune system, and interferewith the skin’s ability to repairitself. The sun emits UV rays asdoes indoor tanning.A dire consequence of too muchexposure to UV rays during the teenand preteen years is the developmentof melanoma, the deadliest form ofskin cancer. Melanoma is particularly dangerous, because it can spreadeasily throughout the body andattack vital organs such as the lungsand brain. One sign of melanomais a mole on the body that is oddlyshaped, contains different colors,and has a diameter of at least 6 millimeters. Protect the body from UVrays by applying sunscreen, coveringexposed parts of the body, reducingthe body’s exposure to the sun, andavoiding indoor tanning.Discussion: Why is it importantto apply sunscreen to exposed partsof your body before going outdoors? Why does the SPF factor ofa sunscreen matter? What are theABCDEs of melanoma?Critical Thinking: What doesKelli Pedroia’s story tell you aboutthe approach many teens take whenit comes to exposing their bodiesto the sun? How much responsibility should teens take in preventingsunburns? How much responsibilityshould indoor tanning businessestake for skin cancers?Lesson 3: Atopic DermatitisObjective: Students will be ableto define atopic dermatitis, discussits symptoms and environmentalfactors that cause it, and talk abouttreatment.Key Concepts: Atopic dermatitisis a long-term skin disease thatis most common in infants andchildren but is not limited to youngpeople. With atopic dermatitis,the skin is dry and itchy and canbe cracked and swollen. Doctorsdon’t always agree on what exactlycauses atopic dermatitis, but theyknow that allergies and exposure toharsh soaps, skin-care products, andcleansers can cause the condition toflare. As a result, it’s important forindividuals to understand theirsensitivities and to work with theirdoctor to find treatments.Discussion: Why is it importantfor someone with atopic dermatitisto understand what types of thingsin their environment cause theirdisease to flare? If you had a familymember with atopic dermatitis,what would you say to him or her?Critical Thinking: There aremany things that can cause atopicdermatitis to flare. How do youthink a doctor, specifically a dermatologist, can help someone withatopic dermatitis? How important isit for patients to talk to their doctorsabout the health of their skin?Meet Dr. HambrickGeorge W. Hambrick, Jr., MD—who willanswer a common skin question in eachof the three lessons—is the founder andpresident of American Skin Association.ASA is a leading organization in thefight against melanoma and other formsof skin cancer and disease. Under Dr.Hambrick’s leadership, ASA’s mission isto advance research, raise public awareness about skin disease, and promotegood skin health—particularly amongyoung people.Dr. Hambrick is one of the country’s leading experts on skin disease.He served as president of both theDermatology Foundation and theSociety for Investigative Dermatology.For 11 years, he was a delegate to theAmerican Medical Association.

Student Worksheet 1AcneNameActivity: There are at least four myths about acne andpimples in the story you’ve just read. Can you find them?Write them down.For further information about acne, visit theKidsHealth website at www.kidshealth.org/kid/grow/body stuff/acne.html.Myth 1Myth 2Read this story about Sam, a 13-year-old teen. It containsat least four myths about acne. Can you find them?am stumbles into his bathroom after his alarmclock rudely awakens him. It’s Wednesday, midwaythrough the school week. Eyes half-closed, Sampeers into the bathroom mirror. His eyes go wide whenhe sees a whitehead has appeared on his forehead—seemingly overnight! “Ugh,” he grumbles. “A zit. I’d better pop it right away and squeeze all the junk out. That’sthe only way to make sure this zit vanishes forever.”To finish up the job, Sam grabs a washcloth and a barof soap and gives his face a rough scrub with hot water.“That should do the trick,” he thinks. “I’ll just wash myface harder to get rid of the dirt that must be causingthese zits.”The spot on Sam’s forehead where the pimple used tobe is now sore and red, but he’s happy. The whitehead isgone. Skipping breakfast, he grabs his backpack and saysgoodbye to his parents. As he heads out the door, hismom reminds him that he has a doctor’s appointmentafter school. “It’s just a routine visit,” she says.Walking to school, Sam thinks about going to see thedoctor. “Should I ask the doctor about the zits I’ve beengetting?” he wonders. “Nah, he’s a doctor and he’ll wantto know about more important things. Besides, I knowhow to get rid of my pimples on my own.”Sam’s thoughts are interrupted by the sight of agroup of fellow students on their way to school. Theirfaces look clear and pimple-free. “Amy never gets zits,”Sam says. “That’s so unfair. How come I’m practicallythe only one who gets pimples?”SMyth 3Myth 4Ask Dr. HambrickQuestion: Are blackheads and whiteheadsreally both acne? They look pretty different fromreal acne.Dr. Hambrick: Yes. Both are non-inflammatoryacne lesions called comedones. Blackheads areopen comedones. Whiteheads are closed comedones that are covered by a normal layer of skin.If you pop a whitehead, it often becomes red andtender when touched. A pimple may also form andfill with pus, making the lesion larger and moretender. Nodules are even larger lesions and oftenrepresent cysts which are deep and hard.

Student Worksheet 2Sun SafetyNameThere is no such thing as a healthy tan—in fact, a tanmeans that your skin is damaged and may forever containcells whose genetic structure have been permanently damaged by the sun.The sun gives off invisible rays of ultraviolet light.Ultraviolet B (UVB) rays are short, high-energy wavelengths that are absorbed by the epidermis, the outermostlayer of the skin. UVB rays affect the genetic material ofthe epidermis, which causes damage that may lead to skincancer, including melanoma. UVB rays can also affect thebody’s immune system and interfere with the skin’s abilityto repair itself.Ultraviolet A (UVA) rays can also harm the skin.Penetrating the skin more deeply than UVB rays, UVArays damage the DNA of cells in the dermis, the secondlayer of skin. Exposure to UVA rays in your preteen andteen years can cause wrinkles and play a role in the development of skin cancer.Always put on sunscreen with a sun protection factor(SPF) of at least 30 before going outdoors. Even on overcastdays, UVA and UVB rays can damage your exposed skin.Kelli Pedroia knows all about the dangers of tanning.Read her cautionary tale below.SThe Dangers of Tanningpending time in the sun and getting a tan was anormal part of Kelli Pedroia’s childhood. “As achild, my parents would put sunscreen on me, butas I became older and more independent, I opposedusing it,” Kelli says. “I also used tanning beds, startingat age 14 or 15.”When she was 18, Kelli was diagnosed with melanoma, the deadliest form of skin cancer. “I was in shock,”she says. Melanoma is dangerous, because it can spreadeasily to the lymph nodes and other parts of the body.When it spreads, melanoma commonly attacks the liver,lungs, bones, and brain.One sign of melanoma is a mole that is oddly shaped,contains different colors, and has a diameter of 6 millimeters or more. Here are the ABCDEs of melanoma:Asymmetry: Half of the mole does not match theother half.Border Irregularity: The mole’s border is irregularor jagged.Colors: The mole has a variety of colors. It has shadesof brown, tan, black, red, or blue.Diameter: The mole is 6 millimeters wide (about thewidth of a pencil eraser) or larger.Evolution: The mole has either changed color orgrown in width or height. Or it is bleeding, crusting,or itchy.If you have a mole that shows any of the ABCDEs,ask your parents to make a doctor’s appointment.Kelli’s melanoma appeared in the form of a red,asymmetrical mole on her right thigh. Doctors operatedto remove it. Two years later, doctors removed a secondmelanoma—this time on her breast. Unfortunately, Kellihad continued to tan her body after the first melanomawas removed. “I thought I was invincible,” she admits.Now 26, Kelli has no evidence of cancer. She cautions teens to learn from her story. “A tan is temporary,but you don’t realize the massive amount of permanentdamage that is being done underneath the skin,” Kellisays. The wife of Boston Red Sox second basemanDustin Pedroia, Kelli is now working on behalf of theMelanoma Foundation of New England.She wants teens to know that protecting their bodies from the sun doesn’t mean they have to be trappedindoors. “Seek shade,” Kelli says. “Cover up, and keepapplying sunscreen throughout the day. Being sun smartdoesn’t mean you can’t have fun outdoors.”For further information about sun safety, visitthe website for the Centers of Disease Control andPrevention at sk Dr. HambrickQuestion: Why is indoor tanning dangerous?Do only older people get melanoma?Dr. Hambrick: If a person uses tanning bedsbefore turning 35 years old, his or her risk of getting melanoma increases by 75 percent! Indoortanning beds and sunlamps emit ultraviolet rays,just as the sun does. Melanoma is linked to ahistory of severe sunburns, especially sunburnsthat happen at a young age.

Student Worksheet 3NameAtopic Dermatitisfume you’re using. You should also be sure to putmoisturizer on your body after taking a bath or shower, avoid sweating and then going into a chilled environment, and, if possible, stay away from dry climatesfor extended periods of time. Medication for atopicdermatitis can be prescribed by a doctor.Atopic Dermatitis WebQuestDirections: Read the following questions and statementsabout atopic dermatitis. Then use the websites listed to findthe answers to each question or statement.1. Is there a cure for atopic dermatitis?2. Can atopic dermatitis be treated?Do you ever get itchy, dry rashes on your skin?It could be atopic dermatitis, a long-term skindisease with a tendency to be hereditary. Themost common symptoms of atopic dermatitis are dryand itchy skin, as well as rashes on the face, insidethe elbows, behind the knees, and on the hands andfeet. Scratching skin affected by atopic dermatitis cancause the skin to get red and crack, clear fluid to leakout, and the skin to get crusty and even more itchy.The cause of atopic dermatitis is not certain, butthe condition can be passed down genetically fromparents to children. Things in a person’s environmentcan worsen atopic dermatitis: long, hot baths in soapywater and hot showers; wool or manmade fibers;harsh soaps and cleaners; and perfumes and makeup.Stress can also exacerbate atopic dermatitis.Atopic dermatitis can be treated effectively witha combination of preventative measures and medications. Try to avoid the things that your doctor hasdetermined cause your atopic dermatitis to flare.Maybe the cause is a type of soap, makeup, or per-Ask Dr. HambrickQuestion: What should I do if I think I haveatopic dermatitis?Dr. Hambrick: If your skin is dry, red, flaky, anditchy, see a doctor. A physician that specializes indiagnosing and treating skin diseases like atopic dermatitis is called a dermatologist. He or she will talkto you about ways to keep your skin healthy and, ifnecessary, prescribe medications or treatments.3. H as the number of cases of atopic dermatitis in theUnited States been increasing or decreasing?4. W hat parts of the body are most likely to beaffected by atopic dermatitis?5. Name four symptoms of atopic dermatitis.6. What type of doctor is most qualified to treatatopic dermatitis?7. I s atopic dermatitis contagious?8. C an atopic dermatitis be passed on geneticallyfrom a parent to a child?Visit the following websites to search for the answers: American Skin d.php American Academy of Dermatology: www.aad.org/public/publications/pamphlets/skin eczema.html National Eczema Association: www.nationaleczema.org/living/all about atopic dermatits.htm National Institute of Arthritis and Musculoskeletaland Skin Diseases: www.niams.nih.gov/HealthInfo/Atopic Dermatitis/default.asp

Answers to StudentWorksheets4 Myths About Acne:1. Sam mistakenly believes thatpopping and squeezing a whiteheadwill get rid of it. In fact, squeezingand popping will make his acneeven worse.3. The number of cases of atopicdermatitis in the U.S. has increasedover the past 40 years.2. Sam scrubs his skin roughlywith hot water. In fact, he should bewashing his skin gently with warmwater and mild soap.4. Atopic dermatitis most commonlyaffects the skin on the flexural surfaces of the joints (for example, theinner sides of the elbows and behindthe knees), but any body surface canbe impacted.3. Sam believes that his pediatriciandoesn’t care about the condition ofhis skin. Doctors need to know whatis going on with their patients sothey can help them cope with acneand any other skin problems.5. Answers will vary. Symptomsinclude skin that is dry, red, flaky,extremely itchy, inflamed, cracked,and swollen. Another symptomis skin that leaks a fluid whenscratched.4. Sam thinks that he is the onlyone who gets pimples. Most teensget acne.6. A dermatologist, a doctor whospecializes in treating skin diseasesand conditions, is best qualified totreat atopic dermatitis.Atopic DermatitisWebQuest:1. There is no cure for atopicdermatitis.2. Atopic dermatitis can be treatedwith a combination of preventative measures and drug therapy.Moisturizers as well as topical andsystemic (oral) anti-inflammatorypreparations will provide temporaryrelief. Also, avoiding contact withitems that cause atopic dermatitisto flare—such as perfumes, harshcleaners, hot baths, and cigarettesmoke—is beneficial. Studies alsoshow that stress can exacerbateatopic dermatitis.7. Atopic dermatitis is not contagious.8. Atopic dermatitis can be passedon genetically from a parent to achild. A child with one parent whohas an atopic condition has a one infour chance of having some form ofatopic disease. If both parents areatopic, the child has a greater thanone in two chance of being atopic.Photos: Istockphoto The Wonders of SkinThe Wonders of Skin: LookingGood, Being Healthy is a FREEcomprehensive skin health education program for Grades K–12.Developed by American SkinAssociation and The New YorkAcademy of Medicine, the programincludes teaching guides at fourlevels—primary, upper elementary,middle and high school, on-siteprofessional development for teachers and school nurses, take-homematerials for families,and technical assistance to aid inimplementation.For further information, visitAmerican Skin Association’swebsite (www.americanskin.org),e-mail [email protected],or call (212) 889-4858.

sored by Galderma Laboratories, L.P., this program focuses on the following major skin issues relevant to preteens and teens: Acne: Eight in 10 teenagers have acne. A short story will chal-lenge students to identify what is true and false about acne and its prevention and treatment. Sun saf