Materiały źródłowe

• #1 Psoriasis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/psoriasis-nursing-management/

  Is a chronic, recurrent disease, marked by epidermal proliferation. […] Its lesions, which appear as a erythematous papules and plaques covered with silver scales. […] This disorder commonly affects young adults, it may strike at any age, including during infancy. […] It is characterized by recurring partial remissions and exacerbations. Flare ups are commonly related to specific systemic and environmental factors but may be unpredictable; they can usually controlled by therapy. […] Goal of management are to slow the rapid turnover of epidermis and to promote resolution of the psoriatic lesions. There is no known cure. The therapeutic approach should be understandable, cosmetically acceptable and not too disruptive of lifestyle. […] Administer prescribed medications, which may include coal tar therapy, and topical corticosteroids.

• #2 Nursing Care Plan (NCP) for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-psoriasis

  Upon completion of this nursing care plan for psoriasis, nursing students will be able to: […] To comprehensively understand psoriasis, including its pathophysiology, etiology, and effective management strategies from a nursing perspective. The plan will cover various aspects such as patient assessment, diagnosis, nursing interventions, rationales, and evaluation methods, aiming to enhance the knowledge and skills of nursing professionals in managing psoriasis. […] The patient demonstrates an understanding of psoriasis management. […] Reduction in the severity and extent of skin lesions. […] Effective control of symptoms, including itching and discomfort. […] No complications related to psoriasis or its treatment. […] Assess skin lesions for severity, distribution, and impact on patients life.

• #3 British Journal of Nursing – Psoriasis: overview, treatments and implications for nursing care

  https://www.britishjournalofnursing.com/content/focus/psoriasis-overview-treatments-and-implications-for-nursing-care/

  Psoriasis is a chronic, immune-mediated dermatological condition (Boehncke and Schn, 2015), affecting approximately 2% of the UK’s population (NHS website, 2022a). […] This article offers an analysis of psoriasis in the nursing context, encompassing risk factors, aetiology, pathophysiology, clinical classification, causative factors, triggers, diagnosis, treatment, and nursing considerations for patients living with the condition.

• #4 Psoriasis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOor7Ymb-sMGVuzM9pkT_Blbc3LyXmc7ratKwb3WCg7eOJnc0XcRO

  Psoriasis Nursing Considerations […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for psoriasis are listed below. […] Assess signs and symptoms, such as: Skin inflammation, redness, plaques, or lesions […] Nursing Interventions for Psoriasis […] Monitor skin condition and changes […] Educate on keeping skin clean and dry […] Encourage individual to express feelings […] Monitor pain level […] Administer medications as ordered […] Educate on factors that trigger flare ups […] Monitor for signs of infection […] Expected Outcomes […] Maintains optimal skin integrity […] Demonstrates effective coping skills […] Achieves improved comfort reducing pain and pruritus related to condition

• #5 Nursing Care Plan (NCP) for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-psoriasis

  Upon completion of this nursing care plan for psoriasis, nursing students will be able to: […] To comprehensively understand psoriasis, including its pathophysiology, etiology, and effective management strategies from a nursing perspective. The plan will cover various aspects such as patient assessment, diagnosis, nursing interventions, rationales, and evaluation methods, aiming to enhance the knowledge and skills of nursing professionals in managing psoriasis. […] The patient demonstrates an understanding of psoriasis management. […] Reduction in the severity and extent of skin lesions. […] Effective control of symptoms, including itching and discomfort. […] No complications related to psoriasis or its treatment. […] Assess skin lesions for severity, distribution, and impact on patients life.

• #6 Nursing Process-Psoriasis

  https://www.thenurseslab.com/2019/12/nursing-process-spsoriasis.html

  The nursing assessment focuses on how the patient is coping with the psoriatic skin condition, the appearance of the normal skin, and the appearance of the skin lesions, as described previously. […] Based on the nursing assessment data, Decient knowledge about the disease process and treatment, Impaired skin integrity related to lesions and inammatory response, Disturbed body image related to embarrassment over appearance and self-perception of uncleanliness. […] Major goals for the patient may include increased understanding of psoriasis and the treatment regimen, achievement of smoother skin with control of lesions, development of self-acceptance, and absence of complications. […] The nurse explains with a sensitivity that, although there is no cure for psoriasis and lifetime management is necessary, the condition can usually be controlled.

• #7 Nursing Care Plan (NCP) for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-psoriasis

  Evaluate patients understanding of the disease and its management. […] Monitor for signs of infection in affected areas. […] Assess for psychological impact, including signs of depression or anxiety. […] Impaired Skin Integrity related to excessive skin cell production as evidenced by: Scaling […] Chronic Pain related to inflammation and skin lesions as evidenced by: Patient reports of daily pain. […] Risk for Infection related to open lesions and compromised skin barrier. […] Disturbed Body Image related to visible skin lesions as evidenced by: Not looking at skin lesions. […] Skin Care: Guide in gentle skin care routines using mild soaps and moisturizers. […] Rationale: To maintain skin integrity and prevent dryness and cracking. […] Education on Trigger Avoidance: Instruct on identifying and avoiding personal triggers.

• #8 Ask a nurse: How can I manage my psoriasis when I have psoriatic arthritis?

  https://versusarthritis.org/news/2023/august/ask-a-nurse-how-can-i-manage-my-psoriasis-when-i-have-psoriatic-arthritis/

  Psoriasis may not just affect the skin; it can also affect your nails too and this is particularly common if you have psoriatic arthritis. […] If you have problems with your nails and pain, swelling or stiffness in your joints, then it is worth talking to a healthcare professional about whether you could have, or be at risk of, psoriatic arthritis. […] Living with the pain and fatigue of psoriatic arthritis can be tough at the best of times but if you have psoriasis as well, it can bring its own unique set of challenges. […] Psoriasis can have a huge impact on people’s life, she says. A parliamentary report in 2020 found that 98% of people with a skin condition say that it affects their mental health.

• #9 Practice Nursing – Diagnosing and managing psoriasis in primary care

  https://www.practicenursing.com/content/clinical/diagnosing-and-managing-psoriasis-in-primary-care/

  Psoriasis is a long-term chronic condition, which often follows a relapsing and remitting course, requiring treatment throughout the affected person’s life. […] This article aims to give nurses and non-medical prescribers an overview of this condition, its symptoms and management with the hope that they may feel more confident in recognising and treating this distressing disease. […] This article therefore will give a brief overview of the condition, its signs and symptoms, treatment, and prognosis, and hopes to give nurses and non-medical prescribers more confidence in recognising and treating this disease. […] Chronic plaque psoriasis is the commonest type accounting for more than 80% of cases and can occur as large plaque, small plaque or guttate psoriasis. […] Pustular psoriasis (sometimes called palmoplantar pustulosis), can be localised or more generalised is the second most common type and usually affects the palms of the hands and the soles of the feet. […] Psoriasis affecting the fingernails can also be problematic and can occur alone or alongside psoriasis at other sites. […] In rare cases of severe disease psoriasis causes a widespread erythematous rash (commonly affecting the scalp) which is life threatening due to potential complications.

• #10 Nursing Care Plan (NCP) for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-psoriasis

  Evaluate patients understanding of the disease and its management. […] Monitor for signs of infection in affected areas. […] Assess for psychological impact, including signs of depression or anxiety. […] Impaired Skin Integrity related to excessive skin cell production as evidenced by: Scaling […] Chronic Pain related to inflammation and skin lesions as evidenced by: Patient reports of daily pain. […] Risk for Infection related to open lesions and compromised skin barrier. […] Disturbed Body Image related to visible skin lesions as evidenced by: Not looking at skin lesions. […] Skin Care: Guide in gentle skin care routines using mild soaps and moisturizers. […] Rationale: To maintain skin integrity and prevent dryness and cracking. […] Education on Trigger Avoidance: Instruct on identifying and avoiding personal triggers.

• #11 Nursing Process-Psoriasis

  https://www.thenurseslab.com/2019/12/nursing-process-spsoriasis.html

  The nursing assessment focuses on how the patient is coping with the psoriatic skin condition, the appearance of the normal skin, and the appearance of the skin lesions, as described previously. […] Based on the nursing assessment data, Decient knowledge about the disease process and treatment, Impaired skin integrity related to lesions and inammatory response, Disturbed body image related to embarrassment over appearance and self-perception of uncleanliness. […] Major goals for the patient may include increased understanding of psoriasis and the treatment regimen, achievement of smoother skin with control of lesions, development of self-acceptance, and absence of complications. […] The nurse explains with a sensitivity that, although there is no cure for psoriasis and lifetime management is necessary, the condition can usually be controlled.

• #12 Nursing care plan for psoriasis

  https://nursipedia.com/nursing-care-plan-psoriasis/

  Nursing care plan for psoriasisNursing care plan for psoriasis […] Psoriasis is a long-term skin condition that causes red, flaky patches of skin covered in silvery scales. It commonly occurs on the elbows, knees, and scalp, but it can appear anywhere on the body. The exact cause of psoriasis is unknown, but it is believed to be related to the immune system. Psoriasis can be treated with topical medications, light therapy, and oral medications. […] A full assessment should be done to determine the severity of the psoriasis and the areas affected by it. Any other conditions affecting the patient should also be considered. […] A medical history of the patient should be taken. Past treatments, any other medical conditions and family history should also be ascertained. […] This diagnosis implies that the patient is having difficulty adapting or coping with their condition and its effects. This can manifest in physical and psychological ways.

• #13 Nursing care plan for psoriasis

  https://nursipedia.com/nursing-care-plan-psoriasis/

  This diagnosis indicates that the patient is at risk for potential injury due to the nature of their condition. For example, itchy or tender skin can be caused by psoriasis and can lead to injury if not treated properly. […] The patient should understand their condition, its effects, and how to manage them. […] The patient should demonstrate knowledge on how to care for skin affected by psoriasis and practice safety measures. […] Teach the patient about the basics of managing psoriasis, such as avoiding irritants like soaps and using moisturizers. […] Stress can worsen psoriasis, so relaxation techniques can be helpful for the patient in managing their condition. […] Following through with their doctor’s treatment plan helps improve the effectiveness of the treatment. […] The patient should demonstrate an understanding of their condition and the importance of caring for their skin and following their doctor’s treatment. They should report feeling less stressed and more in control of their condition. […] By educating the patient on proper care for the condition, encouraging relaxation techniques, and having the patient adhere to their treatment plan, a successful and positive outcome can be achieved.

• #14 01.07 Nursing Care and Pathophysiology for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/01-07-nursing-care-and-pathophysiology-for-psoriasis

  Pathophysiology: An autoimmune disorder where there is hyperproliferation of the epidermis and inflammation which leads to scaly patches of skin on skin. […] Psoriasis is a common skin condition that typically shows as scaly patches on the skin. Psoriasis is actually an autoimmune disorder. […] Whenever you have a new patient, you should assess their skin. Check all areas of the body, including the scalp. Remember, psoriasis usually shows as red patches with dry skin, or cracked itchy skin. The patient with psoriasis may complain of painful joints, and may be at risk for psoriatic arthritis. […] Whenever you have a patient with psoriasis, its important to check out the skin lesions and make sure that they arent infected. […] Psoriasis results in dry, crusty skin, so its important to keep it moisturized to avoid cracking and help it heal. Emollients are great to keep the skin moist.

• #15 Psoriasis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOor7Ymb-sMGVuzM9pkT_Blbc3LyXmc7ratKwb3WCg7eOJnc0XcRO

  Psoriasis Nursing Considerations […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for psoriasis are listed below. […] Assess signs and symptoms, such as: Skin inflammation, redness, plaques, or lesions […] Nursing Interventions for Psoriasis […] Monitor skin condition and changes […] Educate on keeping skin clean and dry […] Encourage individual to express feelings […] Monitor pain level […] Administer medications as ordered […] Educate on factors that trigger flare ups […] Monitor for signs of infection […] Expected Outcomes […] Maintains optimal skin integrity […] Demonstrates effective coping skills […] Achieves improved comfort reducing pain and pruritus related to condition

• #16 Soothing the sorrow of psoriasis

  https://www.myamericannurse.com/soothing-the-sorrow-of-psoriasis/

  Psoriasis causes pain, itching, tightness, and psychosocial distress; its not contagious. […] According to a survey by the National Psoriasis Foundation, about 30% of persons with psoriasis go untreated. For many sufferers, nurses are the first healthcare providers they see. Any discussion between the nurse and patient that encourages the patient to act is positive. As a nurse, you should seek to have such discussions with psoriasis sufferers to educate and support them and help improve treatment outcomes. […] Psoriasis can affect the patient significantly in various ways, based on clinical severity and patient perceptions. Part of your role is to help patients find holistic ways to manage and cope with the disease. When performing the assessment, use a holistic approach and be sure to evaluate the patients quality of life.

• #17

  https://www.nhs.uk/conditions/psoriasis/treatment/

  Topical treatments are usually the first treatments used for mild to moderate psoriasis. These are creams and ointments you apply to affected areas. […] Some people find that topical treatments are all they need to control their condition, although it may take up to 6 weeks before there’s a noticeable effect. […] If you have scalp psoriasis, a combination of shampoo and ointment may be recommended. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. If you have mild psoriasis, an emollient is probably the first treatment your GP will suggest. […] The main benefit of emollients is to moisturise the skin and reduce itching and scaling. Some other topical treatments are thought to work better on moisturised skin.

• #18 Psoriasis At-Home Treatments and Self-Care

  https://www.webmd.com/skin-problems-and-treatments/psoriasis/caring-for-psoriasis

  Tip 1: Keep Your Skin Moist. Dry skin makes the irritation and itchiness worse. Right after your bath or shower, pat yourself dry don’t rub with a towel. Then put a thick cream or lotion on to seal in water. But don’t use too much during hot, sticky summer months. Sweat mixed with thick creams can make your psoriasis worse. […] Tip 2: Use Petroleum Jelly for Psoriasis Flares. Though it can feel sticky, petroleum jelly can help manage your psoriasis flare. Petroleum jelly is a type of ointment called an emollient, which helps to moisturize, ease itchy skin, and reduce scaly patches and cracked skin. […] Tip 4: Stay With the Plan. It may not be a lot of fun to slather thick goo on psoriasis patches day after day. But stick with it. If your doctor prescribes creams or ointments, make them part of your daily routine.

• #19 Psoriasis – Nurses Revision

  https://nursesrevisionuganda.com/psoriasis/

  Psoriasis is a chronic non contagious auto immune disease of the skin in which the epidermal cells are produced at an abnormal rate. […] Nursing management; Body hygiene; Bathing daily helps to take off scales and soothes the inflamed skin. […] Apply moisturizers. Moisturizing the skin smooths the roughness and reduces itching and swelling. […] Avoid psoriasis triggers; Find out what triggers your psoriasis, and take precautions to avoid them. […] Care for pressure areas to avoid pressure sores. […] Avoid alcohol consumption; Drinking alcohol may make some psoriasis treatments ineffective. So avoid drinking alcohol during psoriasis treatment. […] Give psychological care to allay anxiety. […] Follow a healthy lifestyle by eating nutritious food and avoiding smoking. Stay away from pollution and dirt because pollution leads to flaring up of psoriasis symptoms. Consult your dermatologists to choose the right type of shampoo or soap, that does not cause any harm to your skin.

• #20 Psoriasis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.psoriasis-care-instructions.uf8107

  Psoriasis (say „suh-RY-uh-sus”) is a long-term skin problem that causes thick, white, silvery, or red patches on the skin. […] You can treat psoriasis with good care at home and with medicine from your doctor. […] Follow-up care is a key part of your treatment and safety. […] If your doctor prescribes medicine, use it exactly as prescribed. […] Protect your skin: Keep your skin moist. After bathing, put an ointment, cream, or lotion on your skin while it is still damp. […] If you have psoriasis on your scalp, use a shampoo with salicylic acid, such as Neutrogena T/Sal. […] Try to prevent sunburn. […] Take care to avoid accidents such as cutting or scraping your skin. […] Seek support from family and friends. […] Call your doctor now or seek immediate medical care if you have signs of infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor if you have swelling, stiffness, or pain in your joints.

• #21 Psoriasis Treatment & Management: Approach Considerations, Treatment of Skin Lesions, Treatment of Ocular Complications

  https://emedicine.medscape.com/article/1943419-treatment

  Psoriasis is a chronic problem, and consultation for follow-up with a dermatologist or a rheumatologist is appropriate. Close follow-up is necessary to design an optimal treatment plan in accordance with the severity of disease. […] Patients with psoriasis should avoid injury to skin, including sunburn and other physical trauma, as these areas may develop psoriasis. The appearance of psoriatic lesions in previously uninvolved areas after irritation or trauma is known as the Kbner phenomenon. […] In severe cases, systemic medications such as retinoids (acitretin), methotrexate, cyclosporine, 6-thioguanine, azathioprine, a biologic, or hydroxyurea may be necessary for adequate control. […] The use of biologic agents (proteins with pharmacologic activity) is discussed in Section 1 and reviewed, with updated safety information, in Section 6 of the AAD guidelines.

• #22 7 Psoriasis Self-Care Strategies (Dermatologist Approved!) – Riverchase Dermatology

  https://www.riverchasedermatology.com/blog/7-psoriasis-self-care-tips-to-soften-and-soothe-psoriasis-plaques/

  7 Psoriasis Self-Care Tips to Soften and Soothe Psoriasis Plaques […] If you have plaque psoriasis, the best treatment is the plan your dermatologist recommends, which may include topical medicines, oral medicines and even light or laser therapy. The dermatologist can finetune the plan based on what’s working and address concerns such as worsening plaques or signs of psoriatic arthritis. But there’s plenty of psoriasis self-care strategies you can follow to help minimize scaly skin patches, calm the irksome psoriasis itch and fend off psoriasis flare-ups. […] Below are seven dermatologist-approved tips to help you manage psoriasis at home. […] 1. Reboot your showers and baths […] Long, hot showers and baths can be your skin’s worst enemy. They rob it of moisture and leave it more vulnerable to flare-ups. Try this routine instead:

• #23 Psoriasis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/psoriasis-nursing-management/

  Is a chronic, recurrent disease, marked by epidermal proliferation. […] Its lesions, which appear as a erythematous papules and plaques covered with silver scales. […] This disorder commonly affects young adults, it may strike at any age, including during infancy. […] It is characterized by recurring partial remissions and exacerbations. Flare ups are commonly related to specific systemic and environmental factors but may be unpredictable; they can usually controlled by therapy. […] Goal of management are to slow the rapid turnover of epidermis and to promote resolution of the psoriatic lesions. There is no known cure. The therapeutic approach should be understandable, cosmetically acceptable and not too disruptive of lifestyle. […] Administer prescribed medications, which may include coal tar therapy, and topical corticosteroids.

• #24 Psoriasis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/psoriasis-nursing-management/

  Discuss and assist with the administration of additional medical treatments, which may include coal tar shampoos, intralesional therapy (i.e. injection of medication directly into lesion), systemic cytotoxic medication, photochemotherapoy, occlusive dressing. […] Enhance skin integrity. […] Prevent infection. […] Provide client and family teaching. […] Advise the client receiving systemic cytotoxic (e.g. methotrexate) therapy, which inhibits deoxyribonucleic acid synthesis in epidermal cells to speed the replacement of psoriatic cells, to continue taking the medication even if nausea and vomiting occur, to increase fluid intake to prevent nephrotoxicity, and to avoid alcoholic beverages. […] Instruct the client to avoid sun exposure during photochemotherapy. This regimen of phototherapy with ultraviolet A (PUVA) light decreases cellular proliferation. PUVA therapy results in photosensitivity and the client should avoid exposure to sunlight during this time. […] Be knowledgeable about treatment, and give the client written instructions.

• #25

  https://www.nhs.uk/conditions/psoriasis/treatment/

  Steroid creams or ointments (topical corticosteroids) are commonly used to treat mild to moderate psoriasis in most areas of the body. The treatment works by reducing inflammation. This slows the production of skin cells and reduces itching. […] Vitamin D analogue creams are commonly used along with or instead of steroid creams for mild to moderate psoriasis affecting areas such as the limbs, trunk or scalp. They work by slowing the production of skin cells. They also have an anti-inflammatory effect. […] Calcineurin inhibitors, such as tacrolimus and pimecrolimus, are ointments or creams that reduce the activity of the immune system and help to reduce inflammation. […] Coal tar is a thick, heavy oil and is probably the oldest treatment for psoriasis. […] Phototherapy uses natural and artificial light to treat psoriasis.

• #26 Psoriasis – Nurses Revision

  https://nursesrevisionuganda.com/psoriasis/

  Advise against exposure to sun light. […] Physiotherapy. […] Pharmacological management; First line treatment; Medicated creams and ointments applied directly to psoriatic lesions can help decrease inflammation, remove built-up scale, reduce skin turnover, and clear affected skin of plaques. […] Apply topical drugs like corticosteroids like betamethasone cream, Vitamin D analogues like calcipotriol. […] Second line; Expose the patient to photo therapy. It has long been recognized that daily, short, non-burning exposure to sunlight can help clear or improve psoriasis. […] Steroids; Triamcinolone topical steroid can relieve psoriasis symptoms such as itching, crusting, scaling, redness, inflammation, dryness, and discomfort. […] Retinoids; Oral retinoids known as Acitretin are pills to slow down the production of skin cells.

• #27 Psoriasis clinical guideline

  https://www.aad.org/member/clinical-quality/guidelines/psoriasis

  Psoriasis is a chronic, inflammatory multisystem disease, which affects up to 3.2% of the U.S. population. […] The guideline addresses the management of psoriasis with topical therapies, alterative and complementary medicine and the tools to assess psoriasis severity. […] Topical corticosteroids are recommended for the treatment of plaque psoriasis not involving intertriginous areas. The use of topical corticosteroids for 12 weeks can be considered if done under careful supervision of a physician. […] Steroid sparing agents such as vitamin D analogs, tazarotene and calcineurin inhibitors alone or in combination with steroids can be used to treat psoriasis with lower risk of steroid induced adverse effects. […] Other topical agents like emollients, salicylic acid, anthralin and coal tar can be also used alone or in combination with topical steroids for the treatment of psoriasis.

• #28 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  Regardless of the patient group, it is essential for NPs and PAs to ensure that all patients and their families have realistic expectations about the disease and its management. […] For example, most patients with psoriasis will not achieve satisfactory clear skin with traditional treatments, whereas newer biologic agents may provide substantially higher rates of clearance for patients with moderate-to-severe psoriasis with a less intensive administration schedule compared with older therapeutic options. […] Overall, it is important to review all treatment options throughout the course of care and ensure that patients understand the rationale behind making changes to treatment and allow them opportunities to ask questions and express concerns. […] With any treatment, it is important for NPs and PAs to emphasize the need for long-term follow-up and adherence. […] Once any psoriasis therapy is initiated, adherence can be a major challenge, with recent literature estimating nonadherence rates of up to 40%50%. […] Overall, developing and maintaining a mutually trusting patient-provider relationship has been shown to contribute to improved adherence, clinical outcomes, and quality of life for patients with psoriasis.

• #29 Psoriasis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOor7Ymb-sMGVuzM9pkT_Blbc3LyXmc7ratKwb3WCg7eOJnc0XcRO

  Psoriasis Nursing Considerations […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for psoriasis are listed below. […] Assess signs and symptoms, such as: Skin inflammation, redness, plaques, or lesions […] Nursing Interventions for Psoriasis […] Monitor skin condition and changes […] Educate on keeping skin clean and dry […] Encourage individual to express feelings […] Monitor pain level […] Administer medications as ordered […] Educate on factors that trigger flare ups […] Monitor for signs of infection […] Expected Outcomes […] Maintains optimal skin integrity […] Demonstrates effective coping skills […] Achieves improved comfort reducing pain and pruritus related to condition

• #30 Nursing Care Plan (NCP) for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-psoriasis

  Evaluate patients understanding of the disease and its management. […] Monitor for signs of infection in affected areas. […] Assess for psychological impact, including signs of depression or anxiety. […] Impaired Skin Integrity related to excessive skin cell production as evidenced by: Scaling […] Chronic Pain related to inflammation and skin lesions as evidenced by: Patient reports of daily pain. […] Risk for Infection related to open lesions and compromised skin barrier. […] Disturbed Body Image related to visible skin lesions as evidenced by: Not looking at skin lesions. […] Skin Care: Guide in gentle skin care routines using mild soaps and moisturizers. […] Rationale: To maintain skin integrity and prevent dryness and cracking. […] Education on Trigger Avoidance: Instruct on identifying and avoiding personal triggers.

• #31 Psoriasis At-Home Treatments and Self-Care

  https://www.webmd.com/skin-problems-and-treatments/psoriasis/caring-for-psoriasis

  Tip 5: Avoid Triggers. Be aware of what may trigger your psoriasis. Once you know your triggers, you can find ways to prevent it. […] Tip 6: Avoid Scratching. The urge to scratch may be overwhelming. Take steps to ease the itch. You can use OTC anti-itch creams or ointments that contain hydrocortisone or salicylic acid. […] Tip 8: Quit Smoking. You can add psoriasis to the long list of health problems this habit makes worse. […] Tip 9: Drink Moderately or Not at All. Psoriasis is more common in people who drink heavily. […] Tip 10: Think About Diet Changes. There’s no solid evidence that any one food makes psoriasis better or worse. […] Tip 11: Tend to Your Mental Health. Don’t let your condition affect your self-esteem. Ask for help if you find it’s taking a toll on you.

• #32 7 Psoriasis Self-Care Strategies (Dermatologist Approved!) – Riverchase Dermatology

  https://www.riverchasedermatology.com/blog/7-psoriasis-self-care-tips-to-soften-and-soothe-psoriasis-plaques/

  Dermarest Psoriasis Medicated Treatment Gel […] Gold Bond Psoriasis Relief Multi-Symptom Cream […] MG217 Medicated Moisturizing Psoriasis Cream […] Keep in mind that creams and ointments (including petroleum jelly) tend to be thicker than lotions and better at locking in moisture. That said, they may also be greasier. You may want to use a cream or ointment at night and after your shower and a lotion when you don’t have time to let a cream sink in. […] 3. Stop yourself from picking or scratching […] As tempting as it may be to pick at scaly skin patches, peeling off flakes before they fall off naturally can make psoriasis worse. Damaging the healthy skin next to psoriasis plaques, even slightly, can inflame it and cause new scales to form. Even absentmindedly scratching can damage the skin, so keep your fingernails short.

• #33 Psoriasis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOor7Ymb-sMGVuzM9pkT_Blbc3LyXmc7ratKwb3WCg7eOJnc0XcRO

  Psoriasis Nursing Considerations […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for psoriasis are listed below. […] Assess signs and symptoms, such as: Skin inflammation, redness, plaques, or lesions […] Nursing Interventions for Psoriasis […] Monitor skin condition and changes […] Educate on keeping skin clean and dry […] Encourage individual to express feelings […] Monitor pain level […] Administer medications as ordered […] Educate on factors that trigger flare ups […] Monitor for signs of infection […] Expected Outcomes […] Maintains optimal skin integrity […] Demonstrates effective coping skills […] Achieves improved comfort reducing pain and pruritus related to condition

• #34 Nursing Care Plan (NCP) for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-psoriasis

  Upon completion of this nursing care plan for psoriasis, nursing students will be able to: […] To comprehensively understand psoriasis, including its pathophysiology, etiology, and effective management strategies from a nursing perspective. The plan will cover various aspects such as patient assessment, diagnosis, nursing interventions, rationales, and evaluation methods, aiming to enhance the knowledge and skills of nursing professionals in managing psoriasis. […] The patient demonstrates an understanding of psoriasis management. […] Reduction in the severity and extent of skin lesions. […] Effective control of symptoms, including itching and discomfort. […] No complications related to psoriasis or its treatment. […] Assess skin lesions for severity, distribution, and impact on patients life.

• #35

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8107

  Psoriasis (say „suh-RY-uh-sus”) is a long-term skin problem that causes thick, white, silvery, or red patches on the skin. […] You can treat psoriasis with good care at home and with medicine from your doctor. […] Follow-up care is a key part of your treatment and safety. […] If your doctor prescribes medicine, use it exactly as prescribed. […] Protect your skin: Keep your skin moist. After bathing, put an ointment, cream, or lotion on your skin while it is still damp. This seals in moisture. […] Try to prevent sunburn. […] Take care to avoid injuries such as cutting or scraping your skin. […] Try making one or more changes to your daily habits to help with managing your psoriasis. […] Seek support from family and friends. […] Call your doctor or nurse advice line now or seek immediate medical care if you have signs of infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have swelling, stiffness, or pain in your joints.

• #36 Psoriasis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.psoriasis-care-instructions.uf8107

  Psoriasis (say „suh-RY-uh-sus”) is a long-term skin problem that causes thick, white, silvery, or red patches on the skin. […] You can treat psoriasis with good care at home and with medicine from your doctor. […] Follow-up care is a key part of your treatment and safety. […] If your doctor prescribes medicine, use it exactly as prescribed. […] Protect your skin: Keep your skin moist. After bathing, put an ointment, cream, or lotion on your skin while it is still damp. […] If you have psoriasis on your scalp, use a shampoo with salicylic acid, such as Neutrogena T/Sal. […] Try to prevent sunburn. […] Take care to avoid accidents such as cutting or scraping your skin. […] Seek support from family and friends. […] Call your doctor now or seek immediate medical care if you have signs of infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor if you have swelling, stiffness, or pain in your joints.

• #37 Psoriasis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/psoriasis/diagnosis-treatment/drc-20355845

  Some studies claim that alternative therapies (integrative medicine) products and practices not part of conventional medical care or that developed outside of traditional Western practice ease the symptoms of psoriasis. […] If you’re considering alternative medicine to ease the signs and symptoms of psoriasis, talk with your health care provider about the pros and cons of these approaches. […] Coping with psoriasis can be a challenge, especially if the affected skin covers a large area of your body or is visible to other people. It can cause discomfort and embarrassment. The ongoing, persistent nature of the disease and the treatment challenges only add to the burden. […] Here are some ways to help you live with psoriasis and feel more in control: […] Follow your health care provider’s recommendations. Try to adhere to medical advice about treatment and lifestyle changes. Ask questions if anything is unclear.

• #38 Psoriasis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/psoriasis/diagnosis-treatment/drc-20355845

  Consider joining a support group of people who have the disease. Some people find comfort in sharing their experiences and meeting people who face similar challenges. […] The relationship between stress and psoriasis is unclear and needs further study. But it’s possible that easing stress in your life might help reduce psoriasis flares and itchiness.

• #39 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  To effectively manage psoriasis, patients and healthcare providers must work together to identify treatment goals that take into account psoriasis severity (both in terms of skin involvement and effects on quality of life), comorbidities, potential side effects of medications, treatment costs, and patient preferences. […] Given that demands on physicians are numerous and time is limited, nurse practitioners (NPs) and physician assistants (PAs) are valuable assets to healthcare teams because they may be able to spend more time with patients. […] Thus, NPs and PAs have the opportunity to provide patients with both increased access to dermatologic care as well as care related to comorbidities associated with psoriasis. […] The objective of this review is to discuss the wide-ranging roles that NPs and PAs can play in caring for patients with moderate-to-severe psoriasis including considerations for selecting the best treatment options. […] Evidence from studies evaluating nurse-led care in dermatology has shown that patients generally have very positive experiences when visiting a nurse, including reporting that the visits increased their knowledge about their condition and improved their ability to cope with their disease. […] These relationships should start with discussions of the patients short-term goals for disease improvement, skin clearance, the importance of maintaining good health and wellness habits, and awareness of other lives, issues that can affect individuals with chronic diseases.

• #40 Soothing the sorrow of psoriasis

  https://www.myamericannurse.com/soothing-the-sorrow-of-psoriasis/

  Clinicians periodically should evaluate whether changes are needed in the patients current treatment, dietary modifications, and psychosocial adaptation to help reduce flare-ups and increase self-esteem. […] Empowering the patient to modify risk factors by adopting a healthier lifestyle can improve psoriasis symptoms and quality of life. […] Follow these guidelines when caring for psoriasis patients. […] Multidisciplinary treatments are recommended for psoriasis patients. Typically, the first component of treatment is a combination of therapies based on initial assessment findingsfor instance, a combination of phototherapy and a systemic drug. […] Reducing the burden of psoriasis can bring immense gratification to patients and loved ones. Patients who receive education and effective treatment can experience significant symptom reduction and a better quality of life. Treatment success requires a team approach involving physicians, nurses, counselors, and nutritionists.

• #41 What doctors wish patients knew about managing psoriasis | American Medical Association

  https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-managing-psoriasis

  In general, we want patients to eat a healthy diet. […] The other important thing about diets like the Mediterranean diet is they’re low in fat, high in protein, high in nutrients. […] Lifestyle change is a very big area of not only research, but of clinical practice right now, Dr. Fernandez said. […] So, if you can really figure out ways that work for you to manage that stress—to minimize the stressors in your life—it can really help to calm down an overactive immune system, Dr. Fernandez added. […] Getting adequate, restful sleep is really important in terms of creating a nice, calm immune system, Dr. Fernandez said. […] Sleep can make a big difference for psoriasis, he added. […] Psoriasis exhibits koebnerization, meaning in areas of trauma where you don’t have psoriasis, if skin is traumatized—including rubbing too hard—you can develop psoriasis in those areas, said Dr. Fernandez.

• #42 Clinical Severity May Not Correlate With Psychological Burden of Psoriasis, Study Finds

  https://www.ajmc.com/view/clinical-severity-may-not-correlate-with-psychological-burden-of-psoriasis-study-finds

  Psoriasis significantly impacts psychological and social well-being, with high rates of depression, anxiety, and suicidal ideation among patients. […] Effective management requires a holistic, patient-centered approach addressing both physical and psychosocial aspects of psoriasis. […] Acknowledging and addressing the factors that contribute to depression and suicidal ideation in patients with psoriasis is crucial for enhancing the quality of care and developing treatment plans that encompass psychosocial interventions. […] Psoriasis significantly impacts patients psychological and social well-being, often more than its physical symptoms, according to the researchers. […] These mental health challenges can occur regardless of disease severity and often lead to poor treatment adherence and worsened symptoms.

• #43 Psoriasis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOor7Ymb-sMGVuzM9pkT_Blbc3LyXmc7ratKwb3WCg7eOJnc0XcRO

  Verbalizes or demonstrates a decrease in pain […] Individual/Caregiver Education […] Condition, treatment, and expected outcomes […] Side effects of medications […] Medication administration […] Environmental and lifestyle factors related to psoriasis triggers […] Signs and symptoms of infection […] Notify healthcare provider or seek immediate medical care for: Fever […] Increasing pain […] Tachycardia […] Recommended follow-up with healthcare provider.

• #44 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  To effectively manage psoriasis, patients and healthcare providers must work together to identify treatment goals that take into account psoriasis severity (both in terms of skin involvement and effects on quality of life), comorbidities, potential side effects of medications, treatment costs, and patient preferences. […] Given that demands on physicians are numerous and time is limited, nurse practitioners (NPs) and physician assistants (PAs) are valuable assets to healthcare teams because they may be able to spend more time with patients. […] Thus, NPs and PAs have the opportunity to provide patients with both increased access to dermatologic care as well as care related to comorbidities associated with psoriasis. […] The objective of this review is to discuss the wide-ranging roles that NPs and PAs can play in caring for patients with moderate-to-severe psoriasis including considerations for selecting the best treatment options. […] Evidence from studies evaluating nurse-led care in dermatology has shown that patients generally have very positive experiences when visiting a nurse, including reporting that the visits increased their knowledge about their condition and improved their ability to cope with their disease. […] These relationships should start with discussions of the patients short-term goals for disease improvement, skin clearance, the importance of maintaining good health and wellness habits, and awareness of other lives, issues that can affect individuals with chronic diseases.

• #45 Nursing Process-Psoriasis

  https://www.thenurseslab.com/2019/12/nursing-process-spsoriasis.html

  Most patients need a comprehensive plan of care that ranges from using topical medications and shampoos to more complex and lengthy treatment with systemic medications and photochemotherapy, such as PUVA therapy. […] To avoid injuring the skin, the patient is advised not to pick at or scratch the affected areas. […] A therapeutic relationship between health care professionals and the patient with psoriasis is one that includes education and support. […] After the treatment regimen is established, the patient should begin to feel more condent and empowered in carrying it out and in using coping strategies that help deal with the altered self-concept and body image brought about by the disease. […] Teaching Patients Self-Care Printed patient education materials may be provided to reinforce face-to-face discussions about treatment guidelines and other considerations. […] Expected patient outcomes may include the following: Demonstrates knowledge and understanding of the disease process and its treatment.

• #46 Psoriasis

  https://www.pcds.org.uk/patient-info-leaflets/psoriasis

  Psoriasis can also affect the joints (psoriatic arthritis), mental health, and in moderate to severe psoriasis, increases the risk of heart disease and stroke. […] Given that psoriasis can affect the body in many ways, self-care should be an essential part of your daily life. It involves taking responsibility for your own health and wellbeing, with support from those involved in your care. Self-care includes staying fit, maintaining good physical and mental health, limiting alcohol intake, stopping smoking, preventing illness or accidents, and caring more effectively for minor illnesses and long-term conditions. People with long-term conditions can benefit enormously from self-care – they can live longer; have less pain, anxiety, depression, and fatigue; have a better quality of life; and be more active and independent.

• #47 Journal of Family and Child Health – Psoriasis: Management and self-care

  https://www.familyandchildhealth.com/content/clinical/psoriasis-management-and-self-care/

  Psoriasis is a common skin condition that affects an estimated 3% of the population. Understanding this illness means that health-care professionals such as school nurses can help by providing schools with appropriate information about the condition, improving its management and providing education to help reduce stigma. […] Decisions regarding treatment should be patient-centred, taking into consideration the preferences of the child (dependent on age/understanding) and/or their parents/carers. It is, therefore, important to take into consideration the age of the child or young person when considering treatment choices. […] All children and their parents/caregivers should be offered support and appropriately tailored information to ensure they understand the diagnosis and treatment options, lifestyle risk factors, how to treat their psoriasis including how and when to use prescribed treatments and follow-up arrangements.

• #48 Beyond skin-deep: tackling gaps in psoriasis care – Economist Impact

  https://impact.economist.com/perspectives/health/beyond-skin-deep-tackling-gaps-psoriasis-care

  Psoriasis is a misunderstood, under-resourced and often undertreated condition that imposes significant costs on patients and society at large. […] Psoriasis is a serious, chronic, non-communicable autoimmune disease. It is a painful and stigmatising disease that affects not only the skin, but is also associated with many systemic comorbidities. The disease has a significant detrimental impact on quality of life and overall health. It is painful and can have major physical, mental and quality-of-life impacts on those affected by it. Yet, it is also an eminently treatable condition. […] Despite this, psoriasis is beset by low levels of awareness and knowledge, both among the public and healthcare providers. This contributes to delayed diagnosis or misdiagnosis, undertreatment or complete lack thereof. Access to care is further impacted by regulatory, administrative, socioeconomic and geographic factors. Along with the many challenges that patients face in seeking treatment, available treatments are underutilised. Moreover, reliable data on the burden of psoriasis, and the effectiveness of treatments, are sparse.

• #49 Psoriasis At-Home Treatments and Self-Care

  https://www.webmd.com/skin-problems-and-treatments/psoriasis/caring-for-psoriasis

  Tip 5: Avoid Triggers. Be aware of what may trigger your psoriasis. Once you know your triggers, you can find ways to prevent it. […] Tip 6: Avoid Scratching. The urge to scratch may be overwhelming. Take steps to ease the itch. You can use OTC anti-itch creams or ointments that contain hydrocortisone or salicylic acid. […] Tip 8: Quit Smoking. You can add psoriasis to the long list of health problems this habit makes worse. […] Tip 9: Drink Moderately or Not at All. Psoriasis is more common in people who drink heavily. […] Tip 10: Think About Diet Changes. There’s no solid evidence that any one food makes psoriasis better or worse. […] Tip 11: Tend to Your Mental Health. Don’t let your condition affect your self-esteem. Ask for help if you find it’s taking a toll on you.

• #50

  https://www.nhs.uk/conditions/psoriasis/living-with/

  Because psoriasis is usually a long-term condition, you may be in regular contact with your healthcare team. Discuss your symptoms or concerns with them, as the more the team knows, the more they can help you. […] If you have psoriasis your doctor may suggest some changes to your lifestyle to help reduce symptoms including: stopping smoking, cutting down on alcohol and staying within the recommended limits, losing weight, if you are overweight or obese. […] Regular exercise and a healthy diet are recommended for everyone, not just people with psoriasis, because they can help to prevent many health problems. Eating a healthy, balanced diet and exercising regularly can also relieve stress, which may improve your psoriasis. […] The effect that psoriasis can have on physical appearance means low self-esteem and anxiety are common among people with the condition. This can lead to depression, especially if the psoriasis gets worse.

• #51 What doctors wish patients knew about managing psoriasis | American Medical Association

  https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-managing-psoriasis

  In general, we want patients to eat a healthy diet. […] The other important thing about diets like the Mediterranean diet is they’re low in fat, high in protein, high in nutrients. […] Lifestyle change is a very big area of not only research, but of clinical practice right now, Dr. Fernandez said. […] So, if you can really figure out ways that work for you to manage that stress—to minimize the stressors in your life—it can really help to calm down an overactive immune system, Dr. Fernandez added. […] Getting adequate, restful sleep is really important in terms of creating a nice, calm immune system, Dr. Fernandez said. […] Sleep can make a big difference for psoriasis, he added. […] Psoriasis exhibits koebnerization, meaning in areas of trauma where you don’t have psoriasis, if skin is traumatized—including rubbing too hard—you can develop psoriasis in those areas, said Dr. Fernandez.

• #52 Psoriasis care – Skin Care

  https://stellishealth.com/skincare/body-psoriasis/

  Your skin care provider can assess your psoriasis and help you with the right topical treatment for you. […] Leading a healthy lifestyle can also help with psoriasis symptoms. Diet and nutrition can help prevent obesity, which is a common comorbidity to psoriasis. […] Recognizing what triggers your psoriasis is an important aspect in treatment. […] All areas of your skin will be treated for psoriasis. […] Treatment depends on the severity of the disease, size of the areas involved, and the type of psoriasis. […] There are a variety of topical medicines that can be applied directly to the skin along with oral medicine and phototherapy that our physicians will consider to treat your psoriasis.

• #53

  https://www.nsc.com.sg/patients-and-visitors/Health-Library/Conditions-And-Treatments/Pages/Psoriasis.aspx

  Do have healthy lifestyle habits, eat in moderation, exercise regularly and manage your stress levels. […] Do monitor for any joint pain or swelling as a proportion of patients also have psoriasis involving the joints (psoriatic arthritis). […] Dont scratch the plaques as this may damage the skin and actually worsen psoriasis. […] Dont give up treatments too soon as it may take a few weeks for some of them to work. […] Psoriasis is a hereditary disorder but only about 10% of people with psoriasis have a family member affected by psoriasis. […] No, psoriasis is not an uncommon skin disease. It is estimated that 1-2% of the population have psoriasis. […] No, but it is wise to consume a nutritious, well balanced diet containing more green vegetables and less meats. Excessive alcohol consumption is best avoided because of its association with malnutrition and liver disease.

• #54 Azthena logo with the word Azthena

  https://www.news-medical.net/news/20250504/Ultra-processed-foods-linked-to-higher-psoriasis-risk.aspx

  New research links ultra-processed food intake to higher psoriasis risk, even after accounting for genetics, BMI, and lifestyle, highlighting the potential of dietary changes in preventing chronic skin conditions. […] Psoriasis is a chronic skin condition characterized by inflamed, scaly, and itchy patches. […] Although there is no cure, several therapeutic approaches, including phototherapy, prescription drugs, and biologic agents, are currently used to manage psoriasis symptoms. […] Certain dietary components may induce systemic inflammation, thereby increasing the risk of psoriasis. […] This underscores the crucial role of controlling UPF intake in the primary prevention of psoriasis. […] Increased UPF consumption is associated with a higher risk of psoriasis.

• #55 Can a woman treat psoriasis while pregnant or breastfeeding?

  https://www.aad.org/public/diseases/psoriasis/treatment/stage/pregnant

  Pregnant woman Psoriasis can change during pregnancy: Many women find they have less psoriasis during pregnancy. Psoriasis may also stay the same or worsen. Yes, its possible to treat psoriasis while pregnant or breastfeeding. A woman must avoid some treatments because they can harm her baby. Others can be prescribed. […] If you need to treat your psoriasis while pregnant, your dermatologist will think carefully about how best to control your psoriasis without affecting your baby. Treatment options considered the safest for pregnant women include the following. […] There are no known risks to using moisturizers and emollients while pregnant. […] When a woman needs to treat psoriasis while pregnant, a low- to mid-strength corticosteroid is often the first medication prescribed. These do not appear to increase the risk of birth defects or to cause a baby to be born early. This medication may increase the risk of a woman developing stretch marks.

• #56 Can a woman treat psoriasis while pregnant or breastfeeding?

  https://www.aad.org/public/diseases/psoriasis/treatment/stage/pregnant

  If a strong corticosteroid is needed, it should be used for the shortest time possible. […] If a woman needs stronger psoriasis treatment, a type of light treatment called narrowband UVB phototherapy is often prescribed. Two types of phototherapy are considered safe for pregnant women to use: Narrowband UVB, Broadband UVB. […] If you need stronger treatment, your dermatologist will weigh the risks and benefits of possible treatments. […] We know that a few psoriasis medications can cause severe birth defects or make a woman lose the baby. Psoriasis medications known to do this are: Acitretin (a-se-TRET-in), Methotrexate (meth-oh-trex-ate), Tazarotene (taz-AR-oh-teen). […] To prevent possible problems with a pregnancy, a woman should also stop taking these medications before becoming pregnant.

• #57 Can a woman treat psoriasis while pregnant or breastfeeding?

  https://www.aad.org/public/diseases/psoriasis/treatment/stage/pregnant

  Due to the risks, women who want to have children may want to avoid these psoriasis treatments until they finish having children. […] Shortly after giving birth, many women find that their psoriasis flares. Women often ask their dermatologist what treatment they can safety use while breastfeeding. […] For breastfeeding mothers, the following are considered the safest options. […] Babies exposure to this medication is minimal. If you are using a strong corticosteroid, avoid applying it on (or near) your nipple. […] This is a manmade form of vitamin D that you apply to the psoriasis. If it is part of your treatment plan, ask your dermatologist what dose is considered safe. […] Two types of phototherapy, narrowband UVB and broadband UVB, can be used while breastfeeding. There have been no reports of UVB phototherapy harming a baby while the mother is breastfeeding. […] The decision to treat psoriasis while pregnant or breastfeeding is a personal one. If your psoriasis improves while you are pregnant, stopping treatment is certainly an option. Should you need treatment, your dermatologist can recommend treatment options that are best for you.

• #58 40.3 Psoriatic Drugs – Pharmacology for Nurses | OpenStax

  https://openstax.org/books/pharmacology/pages/40-3-psoriatic-drugs

  The client taking a biologic psoriatic medication should: Take medications exactly as instructed. […] Acitretin can cause embryo-fetal loss and malformations when administered to a pregnant client. […] Methoxsalen can cause severe photosensitivity, ocular damage, skin aging, and skin cancers. […] Infliximab, adalimumab, and ustekinumab can increase the risk of serious infections and the development of secondary malignancies.

• #59 Psoriasis clinical guideline

  https://www.aad.org/member/clinical-quality/guidelines/psoriasis

  Acitretin is recommended as a monotherapy or as a combination therapy with PUVA or UVB. […] Topical corticosteroids with Vitamin D are commonly used as an off label treatment for pediatric psoriasis. […] Phototherapy is effective for moderate to severe plaque as well as guttate psoriasis and is often used in conjunction with anthralin or coal tar as adjuvants. […] Among non-biologic systemic drugs, methotrexate is most commonly used for moderate to severe psoriasis with good efficacy and should be supplemented with folic acid. […] Etanercept and Ustekinumab are FDA approved for four years and older and twelve years and older respectively. […] This guideline addresses multiple phototherapy treatment options ranging from widely used ultraviolet modalities to the combined use of photosensitizing agents to newer and less prevalent choices, which have demonstrated promise.

• #60 Journal of Family and Child Health – Psoriasis: Management and self-care

  https://www.familyandchildhealth.com/content/clinical/psoriasis-management-and-self-care/

  Any treatment and management plan should be patient-tailored and include physical and psychosocial care. […] National Institute for Health and Care Excellence (NICE, 2017) recommends that patients are given strategies to help them cope with the impact of their disease on their physical, psychological and social wellbeing. […] School nurses have a key role in providing education about the condition to the individual and their family. Self-management including recognition of potential flare-ups can support empowerment. […] Good communication between the child, parents and the school, including the school nurse, may also enable better management of potential problems. […] The school nurse can educate children, young people and their families about their general skincare, joint care and the use of topical treatments to manage the condition.

• #61 Journal of Family and Child Health – Psoriasis: Management and self-care

  https://www.familyandchildhealth.com/content/clinical/psoriasis-management-and-self-care/

  Social stigma of psoriasis and its associated impact on self-esteem in children and adolescents has the potential to lead to a greater increase in mental health conditions such as anxiety and depression; school nurses are ideally placed within this age range to offer holistic care and support to children and adolescents suffering from psoriasis and help them effectively manage their condition.

• #62 Ask a nurse: How can I manage my psoriasis when I have psoriatic arthritis?

  https://versusarthritis.org/news/2023/august/ask-a-nurse-how-can-i-manage-my-psoriasis-when-i-have-psoriatic-arthritis/

  Psoriasis may not just affect the skin; it can also affect your nails too and this is particularly common if you have psoriatic arthritis. […] If you have problems with your nails and pain, swelling or stiffness in your joints, then it is worth talking to a healthcare professional about whether you could have, or be at risk of, psoriatic arthritis. […] Living with the pain and fatigue of psoriatic arthritis can be tough at the best of times but if you have psoriasis as well, it can bring its own unique set of challenges. […] Psoriasis can have a huge impact on people’s life, she says. A parliamentary report in 2020 found that 98% of people with a skin condition say that it affects their mental health.

• #63 Ask a nurse: How can I manage my psoriasis when I have psoriatic arthritis?

  https://versusarthritis.org/news/2023/august/ask-a-nurse-how-can-i-manage-my-psoriasis-when-i-have-psoriatic-arthritis/

  Psoriasis is a skin condition that causes raised patches of skin with scales. Itchiness can be one of the most persistent and frustrating symptoms of psoriasis. But we know that it can have a real impact on peoples mental and emotional wellbeing too. […] Although there is no one-off cure for psoriasis, the good news is there are treatments available to keep it under control. […] For instance, you might try prescription creams and ointments that you apply to the skin. […] There are also tablets and injections, such as methotrexate, adalimumab or secukinumab, which can be used to treat both psoriatic arthritis and psoriasis. […] If your psoriasis is bothering you and isn’t under control, its worth asking for a referral to a skin doctor (dermatologist). […] Plus, they may be able to prescribe treatments such as steroid creams, vitamin D derivatives such as calcipotriol, coal tar preparations, and light therapy.

• #64 Ask a nurse: How can I manage my psoriasis when I have psoriatic arthritis?

  https://versusarthritis.org/news/2023/august/ask-a-nurse-how-can-i-manage-my-psoriasis-when-i-have-psoriatic-arthritis/

  If you have psoriatic arthritis, your rheumatologist may also prescribe treatments, which may help your psoriasis. […] Here Lucy provides her advice on looking after your skin if you have psoriasis: […] Before applying any creams, its important to make sure that your skin is clean. […] An emollient is basically a simple moisturiser. […] Emollients work by softening scales, decreasing the dryness and cracking of plaques, and by applying them you can also decrease symptoms of soreness and itching as well. […] Steroid creams and ointments reduce the inflammation caused when your immune system attacks the skin. […] Topical steroids come in four different strengths: there’s mild, moderate, strong and very strong. […] It can be a good idea to use an emollient first before applying a steroid cream.

• #65 Psoriasis: an overview and chronic plaque psoriasis

  https://www.pcds.org.uk/clinical-guidance/psoriasis-an-overview

  Psoriasis is a common, genetically determined, inflammatory and proliferative disorder of the skin, the most characteristic lesions consisting of chronic, sharply demarcated, dull-red, scaly plaques, particularly on the extensor prominences and in the scalp. […] An assessment of any patient with psoriasis should include disease severity, the impact of disease on physical, psychological and social well-being, whether they have psoriatic arthritis, and targeting modifiable risk factors for cardiovascular disease. […] Recent studies suggest that the prevalence of psoriatic arthritis in patients with psoriasis may be up to 30%. […] All patients should be assessed for psoriatic arthropathy (for example by using the PEST score) at the time of diagnosis of psoriasis, and then annually – early intervention can reduce joint damage.

• #66 Psoriasis: an overview and chronic plaque psoriasis

  https://www.pcds.org.uk/clinical-guidance/psoriasis-an-overview

  There is a good evidence pointing to an association between psoriasis and CVD. The risk appears greater in cases of severe psoriasis, and also in patients with psoriatic arthritis. […] It is important that healthcare professionals working with psoriasis patients including in cardiology, dermatology and general practice, need to target modifiable risk factors and have a lower threshold for investigating patients with cardiovascular symptoms. […] As with other chronic skin conditions time is needed by the GP or practice nurse to discuss the condition. […] Patients with psoriatic arthritis should receive prompt treatment so as to help reduce the long-term complications of joint destruction. […] Many GP and GPwER use calcipotriol and betamethasone combination products first-line to encourage a rapid improvement and hence adherence in chronic plaque psoriasis.

• #67

  https://www.nhs.uk/conditions/psoriasis/living-with/

  Your GP or dermatologist will understand the psychological and emotional impact of psoriasis, so talk to them about your concerns or anxieties. […] Some people with psoriasis develop psoriatic arthritis. This causes tenderness, pain and swelling in the joints and connective tissue, as well as stiffness. […] If you have psoriasis, you’ll usually have an annual assessment to look for signs of psoriatic arthritis. […] If your doctor thinks you have psoriatic arthritis, you’ll usually be referred to a specialist called a rheumatologist so you can be treated with anti-inflammatory or anti-rheumatic medicines. […] Psoriasis does not affect fertility, and women with psoriasis can have a normal pregnancy and a healthy baby. […] Talk to your healthcare team if you’re thinking of having a baby. Some treatments for psoriasis can be harmful to a developing baby, so use contraception while taking them. […] Many people with psoriasis have found that getting involved in support groups helps. Support groups can increase your self-confidence, reduce feelings of isolation and give you practical advice about living with the condition.

• #68 Ask a nurse: How can I manage my psoriasis when I have psoriatic arthritis?

  https://versusarthritis.org/news/2023/august/ask-a-nurse-how-can-i-manage-my-psoriasis-when-i-have-psoriatic-arthritis/

  Psoriasis may not just affect the skin; it can also affect your nails too and this is particularly common if you have psoriatic arthritis. […] If you have problems with your nails and pain, swelling or stiffness in your joints, then it is worth talking to a healthcare professional about whether you could have, or be at risk of, psoriatic arthritis. […] Living with the pain and fatigue of psoriatic arthritis can be tough at the best of times but if you have psoriasis as well, it can bring its own unique set of challenges. […] Psoriasis can have a huge impact on people’s life, she says. A parliamentary report in 2020 found that 98% of people with a skin condition say that it affects their mental health.

• #69

  https://journals.lww.com/jdnaonline/fulltext/2018/07000/manifestations_and_management_of.2.aspx

  NPs and PAs can facilitate frank conversations about psoriasis burdens and treatment goals. […] Because patients may be uneasy about undergoing full-body skin examinations, NPs and PAs should discuss the importance of these examinations for the evaluation of psoriasis severity. […] Several validated instruments, such as the Dermatology Life Quality Index and the KooMenter Psoriasis Instrument, can be used in clinical trials to evaluate the impact of psoriasis on patients quality of life. […] Topical treatments are generally used as first-line therapy for most types of psoriasis. […] Treatment of nail psoriasis with topical therapies is especially challenging. […] More than two-thirds of patients with palmoplantar psoriasis have a disease that is recalcitrant to topical therapies.

• #70 Psoriasis

  https://www.pcds.org.uk/patient-info-leaflets/psoriasis

  Although there is no cure for psoriasis, there is much that can be done to improve and manage most cases of psoriasis, so if you need help make an appointment at your GP surgery. […] Treatment options provided by your health professional are primarily topical treatments (applied directly to the skin and scalp). […] Because psoriasis is usually a long-term condition, you may be in regular contact with your healthcare team, and if you have moderate-severe psoriasis you will need a cardiovascular check-up at least once a year to help reduce your risk of associated heart disease and stroke. […] Psoriasis can have a significant psychological impact and may affect many areas of daily life including work and personal relationships. If the psoriasis is affecting your mental health, you should discuss this with a health professional. […] Unfortunately, nail psoriasis is more difficult to treat, however, should the nails be severely affected, then you can be referred to a specialist as there may be suitable stronger treatment options.

• #71 Psoriasis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.psoriasis-care-instructions.uf8107

  Psoriasis (say „suh-RY-uh-sus”) is a long-term skin problem that causes thick, white, silvery, or red patches on the skin. […] You can treat psoriasis with good care at home and with medicine from your doctor. […] Follow-up care is a key part of your treatment and safety. […] If your doctor prescribes medicine, use it exactly as prescribed. […] Protect your skin: Keep your skin moist. After bathing, put an ointment, cream, or lotion on your skin while it is still damp. […] If you have psoriasis on your scalp, use a shampoo with salicylic acid, such as Neutrogena T/Sal. […] Try to prevent sunburn. […] Take care to avoid accidents such as cutting or scraping your skin. […] Seek support from family and friends. […] Call your doctor now or seek immediate medical care if you have signs of infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor if you have swelling, stiffness, or pain in your joints.

• #72 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  Psoriasis is a chronic, immune-mediated disease characterized by itchy, scaly, and often painful plaques in the skin. Psoriasis can have significant psychosocial burdens and increased risks for numerous comorbidities, including diabetes, hypertension, and cardiovascular disease, particularly in patients with moderate-to-severe disease. […] Dermatology nurse practitioners and physician assistants are an important part of the healthcare team, contributing to all aspects of psoriasis management. This review reinforces the unique aspects of care that nurse practitioners and physician assistants provide to patients with psoriasis, such as facilitating conversations about managing disease, setting appropriate expectations, and considering treatment options, including when treatment response or tolerability is suboptimal. The importance of relationship building is stressed. Patient management topics discussed include helpful tips about assessing treatment options, initiating biologic therapy, optimizing patient adherence, and managing comorbidities. […] Overall, by forming meaningful relationships and engaging patients in their psoriasis care, nurse practitioners and physician assistants can help to optimize clinical efficacy outcomes and consistently manage moderate-to-severe psoriasis and its comorbidities over the patients life course.

• #73 Your Psoriasis Care Team

  https://www.webmd.com/skin-problems-and-treatments/psoriasis/directories/care-team-expectations-psoriasis

  Psoriasis can be a tricky illness to treat without help from doctors and other medical professionals. Its a lifelong skin and immune system disease that also carries a chance of forming other health conditions like psoriatic arthritis, diabetes, heart disease, obesity, and depression. […] Managing psoriasis means learning your triggers, finding the right treatment plan and skin care routine, and making lifestyle changes. Your health care team is a critical part of keeping psoriasis under control. […] Your primary care provider will guide you toward a treatment plan to help manage psoriasis. They may prescribe creams or ointments that you apply to your skin, light therapy, or medicines you take by mouth or inject. […] Your PCP may also talk with you about lifestyle changes to keep your psoriasis under control. These can be things like learning and managing your triggers, staying active, watching what you eat, and cutting back on alcohol.

• #74 Your Psoriasis Care Team

  https://www.webmd.com/skin-problems-and-treatments/psoriasis/directories/care-team-expectations-psoriasis

  APPs examine patients, order tests to help diagnose psoriasis, create treatment plans, and prescribe medicine. […] Pharmacists make sure that you take the correct dosage of your prescription and that you can take it safely with other medications. […] A physical therapist helps improve and preserve your range of motion with movement and exercise. […] An occupational therapist can offer guidance if day-to-day activities cause pain or stiffness. […] If the dermatologist determines you have psoriasis, theyll create a treatment plan just for you. […] Youll continue to visit a dermatologist so they can keep an eye on how your treatment plan is working and tweak it if needed. […] They dont treat your skin, but rather a common condition that psoriasis can trigger called psoriatic arthritis (PsA). […] Experts estimate that people with psoriatic disease have a greater chance of having depression and anxiety than those who are psoriasis-free. These are both conditions that psychologists can help treat.

• #75 Psoriasis management: What specialists make up the care team?

  https://www.medicalnewstoday.com/articles/psoriasis-care-team

  Psoriasis is a complex condition. Therefore, it may be necessary for a person to work with several specialists and healthcare professionals to help them manage symptoms and treatment plans. […] Healthcare professionals can also assist a person with avoiding comorbidities and may help them manage some of the daily challenges a person living with psoriasis may experience. […] A primary care provider (PCP) plays an important role in the care of a person with psoriasis. […] People with psoriasis are at increased risk for comorbidities. These are health conditions related to psoriasis. A PCP may be able to help diagnose and manage comorbidities such as: mental health issues, cardiovascular disease, metabolic syndrome. […] Psoriasis can significantly affect a person not just physically but mentally.

• #76 Psoriasis management: What specialists make up the care team?

  https://www.medicalnewstoday.com/articles/psoriasis-care-team

  Working with mental health professionals may be beneficial for those living with psoriasis. […] These professionals will be able to help those living with psoriasis cope with the challenges of their daily life. […] Psoriasis is a complex condition. A person living with psoriasis may need to work with a variety of healthcare professionals and specialists to manage their disease. These professionals can help with symptom management and treatment plans and assist in avoiding comorbidities. They can also help address the daily challenges a person living with psoriasis may experience.

• #77 Soothing the sorrow of psoriasis

  https://www.myamericannurse.com/soothing-the-sorrow-of-psoriasis/

  Clinicians periodically should evaluate whether changes are needed in the patients current treatment, dietary modifications, and psychosocial adaptation to help reduce flare-ups and increase self-esteem. […] Empowering the patient to modify risk factors by adopting a healthier lifestyle can improve psoriasis symptoms and quality of life. […] Follow these guidelines when caring for psoriasis patients. […] Multidisciplinary treatments are recommended for psoriasis patients. Typically, the first component of treatment is a combination of therapies based on initial assessment findingsfor instance, a combination of phototherapy and a systemic drug. […] Reducing the burden of psoriasis can bring immense gratification to patients and loved ones. Patients who receive education and effective treatment can experience significant symptom reduction and a better quality of life. Treatment success requires a team approach involving physicians, nurses, counselors, and nutritionists.

• #78 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  Regardless of the patient group, it is essential for NPs and PAs to ensure that all patients and their families have realistic expectations about the disease and its management. […] For example, most patients with psoriasis will not achieve satisfactory clear skin with traditional treatments, whereas newer biologic agents may provide substantially higher rates of clearance for patients with moderate-to-severe psoriasis with a less intensive administration schedule compared with older therapeutic options. […] Overall, it is important to review all treatment options throughout the course of care and ensure that patients understand the rationale behind making changes to treatment and allow them opportunities to ask questions and express concerns. […] With any treatment, it is important for NPs and PAs to emphasize the need for long-term follow-up and adherence. […] Once any psoriasis therapy is initiated, adherence can be a major challenge, with recent literature estimating nonadherence rates of up to 40%50%. […] Overall, developing and maintaining a mutually trusting patient-provider relationship has been shown to contribute to improved adherence, clinical outcomes, and quality of life for patients with psoriasis.

• #79

• #80 Psoriasis | Nursing Times

  https://www.nursingtimes.net/dermatology/psoriasis-01-11-2002/

  Patients require ongoing education. A community survey (ONeill and Kelly, 1996) found that 54.9% of people with psoriasis wanted more information about the disease, and 69% specifically about treatments. […] Psoriasis is mainly a community-managed disease and primary care nurses can play a valuable role. However, some nurses have said that they require further training to manage and educate patients (Cox and Bowman, 2000).

• #81 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  When assessing the severity of psoriasis and determining the best treatment options for a patient, it is important to consider not only the physical manifestations of psoriasis but also the psychosocial impact of the disease and the effects of both physical and psychosocial symptoms on the patients overall life course. […] Patients with moderate-to-severe psoriasis can achieve the greatest efficacy and life impact when they are treated with biologics under the care of an experienced dermatology provider who can monitor treatment response, overall well-being, and safety parameters associated with these therapies. […] The clinical acceptance of biologic therapies has provided clinicians with safe and reliable options for the treatment of moderate-to-severe psoriasis. […] When initiation of or transition to a biologic agent is being considered for the treatment of moderate-to-severe psoriasis, NPs and PAs should have detailed discussions with patients and their caregivers regarding the rationale for why a biologic agent may be appropriate. […] It is important for NPs and PAs to continually research advances in psoriasis treatment to keep abreast of new therapies with a different mechanism of action that may improve the available options for disease management and to keep patients informed about these promising new therapies.

• #82 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  It is important for NPs and PAs to educate patients on the availability of these programs that may offer financial assistance and make biologics attainable. […] For many patients, the long-term improvements in productivity, physical functioning, and quality of life resulting from treatment with biologics may be worth higher costs, especially for individuals with widespread disease in sensitive body locations or a high psychosocial disease burden.

• #83 Psoriasis clinical guideline

  https://www.aad.org/member/clinical-quality/guidelines/psoriasis

  This guideline also highlights the need to educate patients regarding the etiology, comorbidities, and treatment options associated with psoriasis, as well as the dermatologists role in monitoring patients and educating them regarding the risks and benefits associated with biologic agents. […] The guideline emphasizes the need for dermatologists to be up-to-date regarding biologic safety information, as well as the importance of multidisciplinary care to improve outcomes for patients. […] Identification of comorbidities may require the attention of the patients primary care provider and may impact management decisions for cutaneous disease. […] The guideline also highlights the dermatologists role in identifying comorbidities by screening for them and/or alerting psoriasis patients primary care physicians about these associations.

• #84 Psoriasis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOor7Ymb-sMGVuzM9pkT_Blbc3LyXmc7ratKwb3WCg7eOJnc0XcRO

  Psoriasis Nursing Considerations […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for psoriasis are listed below. […] Assess signs and symptoms, such as: Skin inflammation, redness, plaques, or lesions […] Nursing Interventions for Psoriasis […] Monitor skin condition and changes […] Educate on keeping skin clean and dry […] Encourage individual to express feelings […] Monitor pain level […] Administer medications as ordered […] Educate on factors that trigger flare ups […] Monitor for signs of infection […] Expected Outcomes […] Maintains optimal skin integrity […] Demonstrates effective coping skills […] Achieves improved comfort reducing pain and pruritus related to condition

• #85 Nursing Care Plan (NCP) for Psoriasis | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-psoriasis

  Rationale: Reducing exposure to triggers can decrease flare-ups. […] Medication Management: Assist with administration and education about prescribed medications like topical treatments or systemic therapies. […] Rationale: To control symptoms and slow down cell turnover. […] Psychosocial Support: Provide emotional support and referral to counseling if needed. […] Rationale: Psoriasis can have a significant emotional and psychological impact. […] Lifestyle Modifications: Encourage healthy lifestyle choices such as quitting smoking, reducing alcohol consumption, and managing stress. […] Rationale: These factors can exacerbate psoriasis. […] Monitor the effectiveness of skin care routines and medication regimen. […] Evaluate the patients understanding and adherence to management strategies. […] Assess improvement in skin integrity and reduction in symptoms. […] Re-evaluate the patients emotional and psychological well-being.

• #86 Nursing Process-Psoriasis

  https://www.thenurseslab.com/2019/12/nursing-process-spsoriasis.html

  Most patients need a comprehensive plan of care that ranges from using topical medications and shampoos to more complex and lengthy treatment with systemic medications and photochemotherapy, such as PUVA therapy. […] To avoid injuring the skin, the patient is advised not to pick at or scratch the affected areas. […] A therapeutic relationship between health care professionals and the patient with psoriasis is one that includes education and support. […] After the treatment regimen is established, the patient should begin to feel more condent and empowered in carrying it out and in using coping strategies that help deal with the altered self-concept and body image brought about by the disease. […] Teaching Patients Self-Care Printed patient education materials may be provided to reinforce face-to-face discussions about treatment guidelines and other considerations. […] Expected patient outcomes may include the following: Demonstrates knowledge and understanding of the disease process and its treatment.

• #87 Nursing Process: Care of the Patient With Psoriasis

  https://www.brainkart.com/article/Nursing-Process–Care-of-the-Patient-With-Psoriasis_32412/

  If indicated, referral may be made to a mental health professional who can help to ease emotional strain and give support. […] Expected patient outcomes may include the following: Demonstrates knowledge and understanding of disease process and its treatment. […] Achieves smoother skin and control of lesions. […] Develops self-acceptance. […] Absence of complications.

• #88 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4770271/

  Regardless of the patient group, it is essential for NPs and PAs to ensure that all patients and their families have realistic expectations about the disease and its management. […] For example, most patients with psoriasis will not achieve satisfactory clear skin with traditional treatments, whereas newer biologic agents may provide substantially higher rates of clearance for patients with moderate-to-severe psoriasis with a less intensive administration schedule compared with older therapeutic options. […] Overall, it is important to review all treatment options throughout the course of care and ensure that patients understand the rationale behind making changes to treatment and allow them opportunities to ask questions and express concerns. […] With any treatment, it is important for NPs and PAs to emphasize the need for long-term follow-up and adherence. […] Once any psoriasis therapy is initiated, adherence can be a major challenge, with recent literature estimating nonadherence rates of up to 40%50%. […] Overall, developing and maintaining a mutually trusting patient-provider relationship has been shown to contribute to improved adherence, clinical outcomes, and quality of life for patients with psoriasis.

• #89

• #90 Clinical Severity May Not Correlate With Psychological Burden of Psoriasis, Study Finds

  https://www.ajmc.com/view/clinical-severity-may-not-correlate-with-psychological-burden-of-psoriasis-study-finds

  Therefore, effective psoriasis management requires a comprehensive, patient-centered approach that addresses the diseases complex pathophysiology and its significant psychological and social impact. […] The psychological burden of psoriasis, evidenced by high rates of depression, anxiety, and social isolation, emphasizes the critical need for integrated care approaches. […] Quality of life assessment tools play a vital role in evaluating treatment outcomes and guiding therapeutic decisions, moving beyond mere skin clearance to address the overall well-being of patients.

• #91 Beyond skin-deep: tackling gaps in psoriasis care – Economist Impact

  https://impact.economist.com/perspectives/health/beyond-skin-deep-tackling-gaps-psoriasis-care

  Beyond skin-deep: tackling gaps in psoriasis care is an Economist Impact white paper, commissioned and supported by Bristol Myers Squibb. The report examines the challenges and opportunities across the psoriasis care pathway in eight countries spanning Europe, North America and Asia (the United Kingdom, France, Italy, Spain, Germany, the United States, China and Japan), with a view to uncovering how health systems can better meet patients needs. In doing so, Economist Impact identifies four areas for immediate action: […] Address stigma, misdiagnosis and undertreatment by improving awareness and health literacy. […] Support the adoption of technology to improve equity of access to care and hand-in-hand with screening facilitate early diagnosis of comorbidities. […] Improve data collection, quality and use, especially in terms of disease burden and registries. […] Make care and research more patient-centric; support the use of multidisciplinary teams and shared decision-making.

• #92 Psoriasis and Its Impact on Quality of Life: A Comprehensive Review of | PTT

  https://www.dovepress.com/challenges-psoriasis-and-its-impact-on-quality-of-life-challenges-in-t-peer-reviewed-fulltext-article-PTT

  Acknowledging and addressing the factors that contribute to depression and suicidal ideation in patients with psoriasis is crucial for enhancing the quality of care and developing treatment plans that encompass psychosocial interventions. […] Overall, a holistic approach to psoriasis management, which integrates physical treatment with psychological support and addresses social stigmatization, is crucial for improving the HRQoL of affected individuals. […] The psychological burden of psoriasis, evidenced by high rates of depression, anxiety, and social isolation, emphasizes the critical need for integrated care approaches. […] Quality of life assessment tools play a vital role in evaluating treatment outcomes and guiding therapeutic decisions, moving beyond mere skin clearance to address the overall well-being of patients.

• #93 Comprehensive Care for Psoriasis: What You Need to Know – Salt Lake Dermatology and Aesthetics – Salt Lake Dermatology and Aesthetics

  https://www.saltlakedermatology.com/blog/comprehensive-care-for-psoriasis-what-you-need-to-know/

  Psoriasis is a chronic autoimmune condition that affects the skin, resulting in red, scaly patches that can be itchy, painful, and embarrassing. […] Salt Lake Dermatology Aesthetics understands the impact that psoriasis can have on individuals and is dedicated to providing comprehensive care to address this condition effectively. […] Living with psoriasis can have a significant impact on a persons quality of life. […] At Salt Lake Dermatology Aesthetics, we understand the challenges that individuals with psoriasis face. Our team of experienced dermatologists takes a comprehensive approach, considering both the physical and emotional aspects of your condition. […] Psoriasis is a complex condition, and what works for one individual may not necessarily be effective for another. […] At Salt Lake Dermatology Aesthetics, we believe in tailoring our approach to your specific psoriasis symptoms, severity, and overall health.

• #94 Comprehensive Care for Psoriasis: What You Need to Know – Salt Lake Dermatology and Aesthetics – Salt Lake Dermatology and Aesthetics

  https://www.saltlakedermatology.com/blog/comprehensive-care-for-psoriasis-what-you-need-to-know/

  Topical medications are often the first line of treatment for mild to moderate psoriasis. […] Our dermatologists will guide you in selecting the most appropriate medication based on the location and severity of your psoriasis plaques, as well as your skin type and any potential sensitivities. […] Phototherapy, also known as light therapy, or narrow-band ultraviolet light therapy, is a treatment option that utilizes specific wavelengths of light to manage psoriasis symptoms. […] This treatment involves exposing the affected skin to carefully controlled doses of ultraviolet light, which helps slow down the excessive skin cell growth and reduce inflammation. […] For individuals with more severe or widespread psoriasis, topical treatments and phototherapy may not provide sufficient relief. […] Our dermatologists have extensive experience in prescribing and monitoring these medications, ensuring their safe and effective use.

• #95 Comprehensive Care for Psoriasis: What You Need to Know – Salt Lake Dermatology and Aesthetics – Salt Lake Dermatology and Aesthetics

  https://www.saltlakedermatology.com/blog/comprehensive-care-for-psoriasis-what-you-need-to-know/

  Psoriasis is a chronic condition, and there is no cure currently available. […] At Salt Lake Dermatology Aesthetics, we are committed to providing comprehensive care that extends beyond the initial treatment phase. […] Psoriasis can be a challenging condition to manage, but you dont have to face it alone. […] Our expert dermatologists will develop a personalized treatment plan tailored to your specific symptoms, severity, and overall health, ensuring the best possible outcome. […] Take the first step towards comprehensive care for your psoriasis by scheduling a consultation with Salt Lake Dermatology Aesthetics. […] Our compassionate team is ready to provide the expert care you deserve, helping you enhance your natural beauty and feel confident in your skin.

• #96 7 Psoriasis Self-Care Strategies (Dermatologist Approved!) – Riverchase Dermatology

  https://www.riverchasedermatology.com/blog/7-psoriasis-self-care-tips-to-soften-and-soothe-psoriasis-plaques/

  Colloidal oatmeal […] Oats ground to a fine powder also make for a soothing soak. You can buy a colloidal oatmeal bath soak or make your own by grinding regular oats in a food processor, coffee grinder or spice grinder. Follow the directions on the package or ask your dermatologist how much homemade colloidal oats to use. […] 7. Address stress […] Stress and anxiety can make psoriasis worse. In fact, a review of multiple studies found that 31% to 88% of people with psoriasis said stress triggered flares. […] If your psoriasis flares when you’re under pressure or feeling down, prioritize daily physical and mental breaks. […] Start a yoga, meditation, deep breathing or journaling practice. […] Get outside to walk, bike ride or enjoy a dose of fresh air and sunshine. Talk to your dermatologist about how much unprotected sun exposure, if any, is right for you. Small doses of sunlight may help some people with psoriasis, but if you’re taking a medication that makes your skin more sensitive to the sun, it’s a bad idea.

• #97 7 Psoriasis Self-Care Strategies (Dermatologist Approved!) – Riverchase Dermatology

  https://www.riverchasedermatology.com/blog/7-psoriasis-self-care-tips-to-soften-and-soothe-psoriasis-plaques/

  Take up a relaxing hobby, whether it’s gardening, knitting, drawing or playing an instrument. […] If you need help managing stress and anxiety, consider therapy or counseling. As with many chronic conditions, it sometimes takes a village of experts to tame psoriasis, and adding a mental health practitioner to your psoriasis care team could be a game changer.

• #98 Soothing the sorrow of psoriasis

  https://www.myamericannurse.com/soothing-the-sorrow-of-psoriasis/

  Clinicians periodically should evaluate whether changes are needed in the patients current treatment, dietary modifications, and psychosocial adaptation to help reduce flare-ups and increase self-esteem. […] Empowering the patient to modify risk factors by adopting a healthier lifestyle can improve psoriasis symptoms and quality of life. […] Follow these guidelines when caring for psoriasis patients. […] Multidisciplinary treatments are recommended for psoriasis patients. Typically, the first component of treatment is a combination of therapies based on initial assessment findingsfor instance, a combination of phototherapy and a systemic drug. […] Reducing the burden of psoriasis can bring immense gratification to patients and loved ones. Patients who receive education and effective treatment can experience significant symptom reduction and a better quality of life. Treatment success requires a team approach involving physicians, nurses, counselors, and nutritionists.

• #99

• #100 Psoriasis | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/psoriasis

  Psoriasis is an inflammatory condition of the skin, the nails and the joints. […] While there is no known cure for psoriasis, it can be controlled with treatment. […] There is no cure for psoriasis, but it can be completely controlled with treatment. […] Doctors may prescribe a range of treatments for the relief of psoriasis symptoms including: coal tar preparations, cortisone and other prescription creams. […] Biologic therapies have revolutionised the treatment of psoriasis and greatly improved our understanding of how psoriasis works. […] Clinical trials are used to determine the safety and effectiveness of new treatments for psoriasis. […] If you are interested in participating in a clinical trial, talk to your doctor.

• #101 Center of Excellence for Psoriasis and Psoriatic Arthritis (CEPPA) | Dermatology | OHSU

  https://www.ohsu.edu/dermatology/center-excellence-psoriasis-and-psoriatic-arthritis-ceppa

  There is no cure for psoriasis, but proper treatment can help minimize symptoms and reduce the impact it has on your normal lifestyle. That is the goal for every patient that is seen in the CEPPA. […] As part of advancing knowledge and treatment of psoriasis and psoriatic arthritis, our department is active in clinical research. Clinical trials are an organized activity to learn more about a problem, a treatment option or a disease. They can provide patients with alternate care options, while helping researchers study new and improved ways to combat disease. […] To learn more about psoriasis and psoriatic arthritis, visit the National Psoriasis Foundation.

• #102 40.3 Psoriatic Drugs – Pharmacology for Nurses | OpenStax

  https://openstax.org/books/pharmacology/pages/40-3-psoriatic-drugs

  40.3.1 Identify the characteristics of drugs used to treat psoriasis. […] 40.3.2 Explain the indications, actions, adverse reactions, and interactions of drugs used to treat psoriasis. […] 40.3.3 Describe nursing implications of drugs used to treat psoriasis. […] 40.3.4 Explain the client education related to drugs used to treat psoriasis. […] Psoriasis is a T-lymphocyte-mediated autoimmune disease that mainly affects the skin. In many cases, however, it also affects the eyes, joints, and nails. […] Treatment of psoriasis involves combination systemic and topical therapies used to decrease inflammation, exfoliate skin plaques, and decrease the mitotic rate and maturation of skin cells. […] Systemic drugs used in the treatment of psoriasis include methoxsalen and acitretin. […] Acitretin, a retinoid, may be used alone or in combination with UV therapy or other medications to treat severe, refractory psoriasis.

• #103 Quality of Life Considerations in Psoriasis Treatment – Page 7

  https://www.medscape.com/viewarticle/453682_7

  Nurses continuously assist patients with the psychosocial aspects of disease. Because the skin is a visible organ, variations can cause intense psychological reactions on the part of the patient. Psoriasis affects skin appearance. This in turn, affects the individual’s sense of self or self-concept. […] The components of self-concept commonly assessed by nurses include body image and self-esteem. The psychosocial responses to these components often lead to social isolation, resulting in loneliness. […] Nurses should be aware of the identifying characteristics of these diagnoses so that appropriate nursing interventions may be developed leading to positive patient outcomes. […] Nurses are in a unique position to address the multidimensional impact of psoriasis on HRQL with patients by allowing them to verbalize fears and concerns, meeting with significant others, teaching patients about the disease process, and assisting patients to participate in their usual activities.

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