Mock prescription Scenarios

1) A patient comes into your pharmacy asking for your advice about his hands. He recently started a new job working in a kitchen and has been doing a lot of washing up. He is worried that it has damaged the skin on his hands. The photo below displays his complaint

The patient says that his hands are itchy and really dry. He has been applying E45 in the morning and at night for the past few days but it hasn’t really helped. What would you recommend?