Materiały źródłowe

• #1

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  Psoriatic arthritis (PsA) is associated with psoriasis, a chronic inflammatory skin disease. About 30% of patients with psoriasis develop PsA, and some of these patients are children and young adults. Because onset can be gradual, PsA signs and symptoms are easily attributed to other causes, especially in younger patients. This article discusses the assessment, pathophysiology, and diagnosis of PsA and informs nurses how best to support patients with PsA. […] This article discusses the assessment, pathophysiology, and diagnosis of PsA and informs nurses about educating and supporting patients with PsA. […] Using a case study as an example, this article discusses assessment, diagnosis, treatment, and nursing considerations for patients with PsA. […] PsA has been classified into five subtypes. Although PsA cannot be cured, early diagnosis and treatment can slow progression and reduce the risk of disability and other complications later in life.

• #2 Psoriatic arthritis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/symptoms-causes/syc-20354076

  Psoriatic arthritis is a form of arthritis that affects some people who have psoriasis a disease that causes red patches of skin topped with silvery scales. […] There’s no cure for psoriatic arthritis. Treatment is aimed at controlling symptoms and preventing joint damage. Without treatment, psoriatic arthritis can be disabling. […] If you have psoriasis, tell your doctor if you develop joint pain. Psoriatic arthritis can severely damage your joints if left untreated. […] Psoriatic arthritis occurs when your body’s immune system attacks healthy cells and tissue. The immune response causes inflammation in your joints as well as overproduction of skin cells. […] Several factors can increase your risk of psoriatic arthritis, including: […] Having psoriasis is the single greatest risk factor for developing psoriatic arthritis.

• #3 Get Psoriatic Arthritis Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/psoriatic-arthritis-treatment

  But having psoriatic arthritis doesnt have to be a fight. Cleveland Clinic healthcare providers can help reduce the severe inflammation, fatigue and flare-ups that go along with this condition. And well control your pain and smooth out your skin, so you can confidently enjoy life again. […] Your team will create a treatment plan that matches your needs and keeps you and your lifestyle in mind. Well help you manage your psoriatic arthritis, start or talk about treatment options to care for your joints, let you know about health risks you may be more prone to have and help lessen any fears about your future. […] Psoriatic arthritis is a lifelong condition. But your Cleveland Clinic team will work with you to manage it, relieve your symptoms, protect your joints and skin from more damage and help you move better without pain.

• #4

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  Psoriatic arthritis (PsA) is associated with psoriasis, a chronic inflammatory skin disease. About 30% of patients with psoriasis develop PsA, and some of these patients are children and young adults. Because onset can be gradual, PsA signs and symptoms are easily attributed to other causes, especially in younger patients. This article discusses the assessment, pathophysiology, and diagnosis of PsA and informs nurses how best to support patients with PsA. […] This article discusses the assessment, pathophysiology, and diagnosis of PsA and informs nurses about educating and supporting patients with PsA. […] Using a case study as an example, this article discusses assessment, diagnosis, treatment, and nursing considerations for patients with PsA. […] PsA has been classified into five subtypes. Although PsA cannot be cured, early diagnosis and treatment can slow progression and reduce the risk of disability and other complications later in life.

• #5

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  PsA diagnosis is primarily based on a comprehensive health history and musculoskeletal exam. When obtaining a patient’s health history, the nurse should inquire about any personal or family history of psoriasis or other skin disease, as well as any personal or family history of arthritis or other joint disease. […] On physical assessment, inspect the patient for edema in the hands, wrist, elbows, shoulders, knees, and ankles. Palpation is likely to reveal tenderness and edema over tendons. […] Guidelines for managing PsA are published by the American College of Rheumatology/National Psoriasis Foundation (ACR/NPF), European League Against Rheumatism (EULAR), American Academy of Dermatology (AAD), British Society of Rheumatology (BSR), and Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA). Recommended treatments for PsA include both nonpharmacologic therapies and topical and systemic medications.

• #6

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  PsA diagnosis is primarily based on a comprehensive health history and musculoskeletal exam. When obtaining a patient’s health history, the nurse should inquire about any personal or family history of psoriasis or other skin disease, as well as any personal or family history of arthritis or other joint disease. […] On physical assessment, inspect the patient for edema in the hands, wrist, elbows, shoulders, knees, and ankles. Palpation is likely to reveal tenderness and edema over tendons. […] Guidelines for managing PsA are published by the American College of Rheumatology/National Psoriasis Foundation (ACR/NPF), European League Against Rheumatism (EULAR), American Academy of Dermatology (AAD), British Society of Rheumatology (BSR), and Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA). Recommended treatments for PsA include both nonpharmacologic therapies and topical and systemic medications.

• #7

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  Abstract: Psoriatic arthritis (PsA) is associated with psoriasis, a chronic inflammatory skin disease. […] This article discusses the assessment, pathophysiology, and diagnosis of PsA and informs nurses how best to support patients with PsA. […] Using a case study as an example, this article discusses assessment, diagnosis, treatment, and nursing considerations for patients with PsA. […] PsA has been classified into five subtypes. Although PsA cannot be cured, early diagnosis and treatment can slow progression and reduce the risk of disability and other complications later in life. […] PsA diagnosis is primarily based on a comprehensive health history and musculoskeletal exam. […] When obtaining a patient’s health history, the nurse should inquire about any personal or family history of psoriasis or other skin disease, as well as any personal or family history of arthritis or other joint disease.

• #8

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  PsA diagnosis is primarily based on a comprehensive health history and musculoskeletal exam. When obtaining a patient’s health history, the nurse should inquire about any personal or family history of psoriasis or other skin disease, as well as any personal or family history of arthritis or other joint disease. […] On physical assessment, inspect the patient for edema in the hands, wrist, elbows, shoulders, knees, and ankles. Palpation is likely to reveal tenderness and edema over tendons. […] Guidelines for managing PsA are published by the American College of Rheumatology/National Psoriasis Foundation (ACR/NPF), European League Against Rheumatism (EULAR), American Academy of Dermatology (AAD), British Society of Rheumatology (BSR), and Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA). Recommended treatments for PsA include both nonpharmacologic therapies and topical and systemic medications.

• #9

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  The nurse should also perform medication reconciliation and ask about the patient’s use and response to both prescription and OTC medications and supplements. […] On physical assessment, inspect the patient for edema in the hands, wrist, elbows, shoulders, knees, and ankles. […] Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. […] Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen.

• #10

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  The nurse should also perform medication reconciliation and ask about the patient’s use and response to both prescription and OTC medications and supplements. […] On physical assessment, inspect the patient for edema in the hands, wrist, elbows, shoulders, knees, and ankles. […] Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. […] Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen.

• #11

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engage patients in dialogue about their long-term treatment goals for PsA to maximize quality of life, prevent joint destruction, and preserve mobility. Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen. […] While every person with PsA is different, treatment plans typically include an individualized medication regimen, regular checkups, and lifestyle changes.

• #12

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  The nurse should also perform medication reconciliation and ask about the patient’s use and response to both prescription and OTC medications and supplements. […] On physical assessment, inspect the patient for edema in the hands, wrist, elbows, shoulders, knees, and ankles. […] Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. […] Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen.

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

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOoqOVLHmAG0F9KgII0k9VaGHGqlKOlJ5lW4_UIlH487dyK-H8AKa

  Psoriatic arthritis is a type of inflammatory arthritis that affects people who have psoriasis. Symptoms typically develop years after an individual’s first psoriasis flare up. It affects about 30% of people diagnosed with psoriasis. […] 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. […] Nursing Interventions for Psoriasis include: 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 include: Maintains optimal skin integrity, Demonstrates effective coping skills, Achieves improved comfort reducing pain and pruritus related to condition, Verbalizes or demonstrates a decrease in pain.

• #14 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: […] 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. […] Assess skin lesions for severity, distribution, and impact on patients life. […] 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. […] Nursing Diagnosis for Psoriasis: 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.

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

  https://www.nurse.com/clinical-guides/psoriasis/?srsltid=AfmBOoqOVLHmAG0F9KgII0k9VaGHGqlKOlJ5lW4_UIlH487dyK-H8AKa

  Psoriatic arthritis is a type of inflammatory arthritis that affects people who have psoriasis. Symptoms typically develop years after an individual’s first psoriasis flare up. It affects about 30% of people diagnosed with psoriasis. […] 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. […] Nursing Interventions for Psoriasis include: 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 include: Maintains optimal skin integrity, Demonstrates effective coping skills, Achieves improved comfort reducing pain and pruritus related to condition, Verbalizes or demonstrates a decrease in pain.

• #16 How to Care for Your Skin When You Have Psoriatic Arthritis

  https://creakyjoints.org/about-arthritis/psoriatic-arthritis/psa-treatment/psoriatic-arthritis-skin-care/

  In addition to medication, a proper skin care routine can go a long way toward managing the psoriasis plaques in psoriatic arthritis. […] Your doctor will recommend treatments to help alleviate the symptoms of both components of PsA, which can include disease-modifying drugs as well as topical steroids and vitamin D-derived preparations to slow down the rapid multiplication of cells that cause the telltale psoriasis skin patches. […] Adopting good skin-care habits can also go a long way toward relieving the uncomfortable and potentially embarrassing itching, burning, and flare-ups that often accompany the persistent disease. […] Trauma to the skin, whether physical or chemical, can cause psoriasis to worsen in a process called Koebnerization. […] While its natural to want to pick off the scaly plaques that are a hallmark of psoriasis, thats one of the worst things you can do to your skin, as this can make your psoriatic arthritis worse.

• #17 Psoriatic Arthritis Joint and Skin Tips

  https://www.webmd.com/arthritis/psoriatic-arthritis/psa-care-for-skin-joints

  Moisturize skin daily. Apply rich, thick, fragrance-free lotions to your skin often to ease dryness, itch, and flaking. […] Skip long, hot showers. Take 5-minute showers and 15-minute baths to prevent dry skin and psoriasis skin flares. […] Prevent skin traumas. Psoriasis can flare if you irritate, scratch, or scrape your skin. […] Use sunscreen outdoors. While sunlight may relieve psoriasis plaques, protect your skin from sunburn. […] Don’t smoke. Tobacco smoking makes skin symptoms more severe. And limit how much alcohol you drink to lower your risk of a skin symptom flare.

• #18 Psoriatic Arthritis Self-Care Tip | Arthritis Foundation

  https://www.arthritis.org/diseases/more-about/psoriatic-arthritis-self-care-tips

  Out-of-control stress can worsen flares and make it harder to manage daily activities. […] Use creams, ointments or lotions containing aloe vera, jojoba or capsaicin to ease pain and itching. […] Wash clothes with fragrance-free detergent and fabric softeners to reduce risk of skin reactions. […] Heat and cold therapy can be a regular part of your treatment regimen. […] Keep your nails trimmed short to avoid risk of injury. […] Try to stay active, even if you dont feel up to it. Getting out can distract you from your pain and fatigue.

• #19 Treatments for Psoriatic Arthritis | Arthritis Foundation

  https://www.arthritis.org/health-wellness/treatment/treatment-plan/disease-management/treatment-options-for-psoriatic-arthritis

  A combination of medication, exercise, and complementary therapies can improve skin symptoms and joint pain. […] Treating psoriatic arthritis (PsA) is tricky because this disease affects both the skin and joints. PsA treatment includes a combination of medication and non-drug therapies like exercise, massage, heat and cold. Its personalized to your symptoms and the severity of your disease. […] You may need to see a team of specialists, including a rheumatologist to manage joint pain and a dermatologist for skin symptoms. Work with your medical team to find the treatment approach that works for you. […] Medicines are an important part of treating PsA and managing flares. […] Exercise is an important part of treating PsA. Staying active relieves pain and stiffness, boosts energy and mood, and improves overall health and function. The ideal workout program for PsA includes a mix of aerobic exercises, strength training and stretching. […] In addition to medication, exercise and physical therapy, you can do a few things on your own to relieve symptoms and minimize the impact of PsA on your life.

• #20 Psoriatic Arthritis Self-Care | Improve Psoriatic Arthritis Symptoms

  https://resources.healthgrades.com/right-care/psoriatic-arthritis/5-self-care-tips-for-psoriatic-arthritis

  Psoriatic arthritis is a form of inflammatory arthritis that can cause joint pain, stiffness, and swelling. […] Chronic joint pain and stiffness can prevent people from accomplishing everyday tasks, going to work or school, and caring for their families. […] In addition to getting the right treatment, taking the time to care for yourself in little (and big) ways can make a significant difference. […] Make sure you talk to your doctor before starting any exercise routine, and don’t push it if you’re experiencing extreme pain or discomfort. […] Eating junk foods can increase your exhaustion, while consuming fresh, healthy meals can improve energy levels. […] To better manage your mental health as well as your psoriatic arthritis, make a point to add some stress-reducing strategies to your toolbox.

• #21 Psoriatic Arthritis Self-Care Tip | Arthritis Foundation

  https://www.arthritis.org/diseases/more-about/psoriatic-arthritis-self-care-tips

  Psoriatic arthritis can affect many aspects of your health sometimes all at once. While effective medical treatments are available, much of the management of PsA is focused on self-care to prevent and treat flares. […] Getting regular exercise 30 minutes, five times a week has several benefits. Itll help you maintain a healthy weight, keep extra pressure off painful joints, keep your joints flexible and relieve stress. […] A healthy, balanced diet one rich in fresh foods like fruits and vegetables and low in sugar, fat and salt can help you boost your overall health and control your weight. […] Drinking too much alcohol can interfere with medications and increase the side effects of some drugs. […] In a 2014 study published in Annals of the Rheumatic Diseases, researchers found that compared with non-smoking psoriatic arthritis patients, smoking PsA patients had worse self-reported disease.

• #22 Patient education: Psoriatic arthritis (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics

  Psoriatic arthritis treatment can help to relieve joint pain and stiffness, as well as the other symptoms of psoriasis. Lifestyle changes can help; many different medications are available as well. Some of the most common approaches are discussed below; your doctor will work with you to figure out the right medication(s) and plan for you based on your symptoms, severity of disease, and preferences. […] Lifestyle changes — In many cases, weight loss can help. Up to 40 percent of psoriatic arthritis patients are obese. Several studies have demonstrated that weight loss can improve response to medical treatments for both psoriasis and psoriatic arthritis. […] Treatments such as heat, exercise, and physical therapy may also help to relieve the pain and stiffness associated with psoriatic arthritis. A separate article discusses exercise and arthritis. In particular, interval training was shown to substantially decrease fatigue in patients with psoriatic arthritis.

• #23 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/

  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. If youre struggling, Lucy says not to bottle up how youre feeling. […] 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. So, understand that you’re not alone and talk to somebody because there is lots of support out there.

• #24 Psoriatic arthritis – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/diagnosis-treatment/drc-20354081

  No cure exists for psoriatic arthritis. Treatment focuses on controlling inflammation in your affected joints to prevent joint pain and disability and controlling skin involvement. One of the most common treatments are prescription medications called disease-modifying antirheumatic drugs (DMARDs). […] Drugs used to treat psoriatic arthritis include: […] Physical and occupational therapies might ease pain and make it easier to do everyday tasks. Ask your doctor for referrals. Massage therapy might also offer relief. […] Changing how you do everyday tasks can make a difference in how you feel. For example, use gadgets such as jar openers to twist the lids from jars, lift heavy objects with both hands and push doors open with your whole body instead of just your hands. […] Exercise can help keep your joints flexible and your muscles strong. Types of exercises that are less stressful on joints include biking, swimming, walking, yoga and tai chi. […] The support of friends and family can make a tremendous difference when you’re facing the challenges of psoriatic arthritis. For some people, support groups can offer the same benefits. A counselor or therapist can help you devise coping strategies to reduce your stress levels.

• #25

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engage patients in dialogue about their long-term treatment goals for PsA to maximize quality of life, prevent joint destruction, and preserve mobility. Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen. […] While every person with PsA is different, treatment plans typically include an individualized medication regimen, regular checkups, and lifestyle changes.

• #26

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  The nurse should also perform medication reconciliation and ask about the patient’s use and response to both prescription and OTC medications and supplements. […] On physical assessment, inspect the patient for edema in the hands, wrist, elbows, shoulders, knees, and ankles. […] Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. […] Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen.

• #27 Psoriatic Arthritis Self-Care Tip | Arthritis Foundation

  https://www.arthritis.org/diseases/more-about/psoriatic-arthritis-self-care-tips

  Psoriatic arthritis can affect many aspects of your health sometimes all at once. While effective medical treatments are available, much of the management of PsA is focused on self-care to prevent and treat flares. […] Getting regular exercise 30 minutes, five times a week has several benefits. Itll help you maintain a healthy weight, keep extra pressure off painful joints, keep your joints flexible and relieve stress. […] A healthy, balanced diet one rich in fresh foods like fruits and vegetables and low in sugar, fat and salt can help you boost your overall health and control your weight. […] Drinking too much alcohol can interfere with medications and increase the side effects of some drugs. […] In a 2014 study published in Annals of the Rheumatic Diseases, researchers found that compared with non-smoking psoriatic arthritis patients, smoking PsA patients had worse self-reported disease.

• #28 Patient education: Psoriatic arthritis (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics

  Psoriatic arthritis treatment can help to relieve joint pain and stiffness, as well as the other symptoms of psoriasis. Lifestyle changes can help; many different medications are available as well. Some of the most common approaches are discussed below; your doctor will work with you to figure out the right medication(s) and plan for you based on your symptoms, severity of disease, and preferences. […] Lifestyle changes — In many cases, weight loss can help. Up to 40 percent of psoriatic arthritis patients are obese. Several studies have demonstrated that weight loss can improve response to medical treatments for both psoriasis and psoriatic arthritis. […] Treatments such as heat, exercise, and physical therapy may also help to relieve the pain and stiffness associated with psoriatic arthritis. A separate article discusses exercise and arthritis. In particular, interval training was shown to substantially decrease fatigue in patients with psoriatic arthritis.

• #29 Psoriatic Arthritis Joint and Skin Tips

  https://www.webmd.com/arthritis/psoriatic-arthritis/psa-care-for-skin-joints

  Stay at a healthy weight. Extra body weight puts stress on your joints. Aim to stay at a healthy weight to ease joint pain, boost energy, move more easily, and help your medications work well. […] Rest and relax. Psoriatic arthritis pain, inflammation, and medications can cause severe fatigue. Take breaks throughout your day. […] Psoriatic arthritis can cause serious nail problems like pitted, crumbled, or loose nails. Any injury to your nails can trigger a flare-up, so try these tips to protect your nails. […] Keep fingernails and toenails short. Trim nails often to prevent them from pulling away from your skin. […] Wear roomy shoes. Too-snug shoes can crush your toenails and make nail symptoms worse. Avoid high heels to lower your risk of toenail injuries too. […] Try these tips to keep your skin healthy and relieve scaly plaques.

• #30 Psoriatic Arthritis Self-Care Tip | Arthritis Foundation

  https://www.arthritis.org/diseases/more-about/psoriatic-arthritis-self-care-tips

  Psoriatic arthritis can affect many aspects of your health sometimes all at once. While effective medical treatments are available, much of the management of PsA is focused on self-care to prevent and treat flares. […] Getting regular exercise 30 minutes, five times a week has several benefits. Itll help you maintain a healthy weight, keep extra pressure off painful joints, keep your joints flexible and relieve stress. […] A healthy, balanced diet one rich in fresh foods like fruits and vegetables and low in sugar, fat and salt can help you boost your overall health and control your weight. […] Drinking too much alcohol can interfere with medications and increase the side effects of some drugs. […] In a 2014 study published in Annals of the Rheumatic Diseases, researchers found that compared with non-smoking psoriatic arthritis patients, smoking PsA patients had worse self-reported disease.

• #31 Psoriatic Arthritis Joint and Skin Tips

  https://www.webmd.com/arthritis/psoriatic-arthritis/psa-care-for-skin-joints

  Moisturize skin daily. Apply rich, thick, fragrance-free lotions to your skin often to ease dryness, itch, and flaking. […] Skip long, hot showers. Take 5-minute showers and 15-minute baths to prevent dry skin and psoriasis skin flares. […] Prevent skin traumas. Psoriasis can flare if you irritate, scratch, or scrape your skin. […] Use sunscreen outdoors. While sunlight may relieve psoriasis plaques, protect your skin from sunburn. […] Don’t smoke. Tobacco smoking makes skin symptoms more severe. And limit how much alcohol you drink to lower your risk of a skin symptom flare.

• #32 Self-care with psoriatic arthritis: Tips to relieve symptoms

  https://www.medicalnewstoday.com/articles/self-care-with-psoriatic-arthritis

  Stress is a common trigger for psoriasis and PsA. Along with exercise, which can also help people relieve stress, other stress management techniques may help reduce PsA flares. […] During flares, applying heat and cold therapy to sore joints can help reduce swelling, soothe pain, and ease stiffness. […] A dietitian can help a person create an eating plan to help them manage PsA symptoms while ensuring they get enough essential nutrients. […] Maintaining a moderate weight can reduce this risk. […] Following an anti-inflammatory diet and exercise regimen can help with weight management. […] A person may wish to contact their doctor for advice if they wish to consider quitting smoking. […] Home remedies may help with daily management of PsA symptoms, but they won’t slow the progression of the condition. A doctor may recommend medications alongside self-care tips.

• #33 Psoriatic Arthritis Joint and Skin Tips

  https://www.webmd.com/arthritis/psoriatic-arthritis/psa-care-for-skin-joints

  Managing psoriatic arthritis symptoms is more than just taking your medications. Simple lifestyle changes and home remedies can protect your skin, nails, and joints too. […] Simple changes to how you do daily tasks can prevent joint injuries and pain from psoriatic arthritis. […] Try protective tools and gadgets to prevent finger injuries. Use grips or jar openers when you grasp or twist a lid. Lift heavy objects with both hands. Push doors open with your body, not your outstretched hands. […] Get regular exercise. Exercises like swimming, walking, or biking are easy on your joints. They help keep your muscles toned and your joints flexible. […] Ask about splints. In certain situations, your doctor or physical therapist may prescribe a splint for unstable or inflamed joints. They take some stress off your joints and help you feel more stable.

• #34 Psoriatic Arthritis Joint and Skin Tips

  https://www.webmd.com/arthritis/psoriatic-arthritis/psa-care-for-skin-joints

  Stay at a healthy weight. Extra body weight puts stress on your joints. Aim to stay at a healthy weight to ease joint pain, boost energy, move more easily, and help your medications work well. […] Rest and relax. Psoriatic arthritis pain, inflammation, and medications can cause severe fatigue. Take breaks throughout your day. […] Psoriatic arthritis can cause serious nail problems like pitted, crumbled, or loose nails. Any injury to your nails can trigger a flare-up, so try these tips to protect your nails. […] Keep fingernails and toenails short. Trim nails often to prevent them from pulling away from your skin. […] Wear roomy shoes. Too-snug shoes can crush your toenails and make nail symptoms worse. Avoid high heels to lower your risk of toenail injuries too. […] Try these tips to keep your skin healthy and relieve scaly plaques.

• #35 Patient education: Psoriatic arthritis (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics

  Nonsteroidal antiinflammatory drugs — Nonsteroidal antiinflammatory drugs (NSAIDs) can help to control inflammation and to relieve the pain of psoriatic arthritis. NSAIDs must be taken continuously and at a sufficient dose to have an antiinflammatory effect. […] Glucocorticoid injections — Glucocorticoids, also called steroids, can suppress inflammation and can relieve pain when injected into affected joints. Oral glucocorticoids are not usually recommended for people with psoriatic arthritis because they may cause a severe form of skin psoriasis. […] Methotrexate — Methotrexate (MTX) is a „conventional,” „nonbiologic” disease-modifying antirheumatic drug (DMARD). It reduces excessive production of skin cells and may also suppress the immune system. It is often recommended for people with multiple swollen joints caused by psoriatic arthritis.

• #36 Patient education: Psoriatic arthritis (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics/print

  Nonsteroidal antiinflammatory drugs (NSAIDs) can help to control inflammation and to relieve the pain of psoriatic arthritis. […] Glucocorticoids, also called steroids, can suppress inflammation and can relieve pain when injected into affected joints. […] Methotrexate (MTX) is a „conventional,” „nonbiologic” disease-modifying antirheumatic drug (DMARD). It reduces excessive production of skin cells and may also suppress the immune system. […] If you are unable to take methotrexate, or if it does not work well enough to relieve your symptoms, your doctor might suggest another medication. […] TNF-alpha inhibitors are among the group of drugs called „biologics,” „biologic DMARDs,” or „biologic response modifiers.” These drugs interfere with inflammation and the immune response; they may be used if methotrexate (or another nonbiologic DMARD) is ineffective, or as first-line therapy in people whose psoriatic arthritis is severe and interferes with their ability to function, and in those with arthritis affecting the sacroiliac joint or spine. […] People with severe disease may be treated with other „biologics” instead of TNF inhibitors.

• #37 Psoriatic Arthritis Pain and Mobility Management – Nursing CE Central

  https://nursingcecentral.com/lessons/psoriatic-arthritis-pain-and-mobility-management/

  There are many options to manage psoriatic arthritis pain and mobility, so it is important to keep the patient involved in decision making and be aware of the latest research affecting this condition. […] One of the most complementary non-pharmacological mobility management options for psoriatic arthritis is physical therapy (PT). […] Occupational therapy can help patients with skills, such as cooking, going to the bathroom, and cleaning on their own. […] Nurses remain the most trusted profession for a reason, and nurses are often pillars of patient care in several health care settings. […] While there is no specific guideline for the nurses role in psoriatic arthritis patient education and management, here are some suggestions to provide quality care for patients with a current or suspected psoriatic arthritis.

• #38

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engage patients in dialogue about their long-term treatment goals for PsA to maximize quality of life, prevent joint destruction, and preserve mobility. Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen. […] While every person with PsA is different, treatment plans typically include an individualized medication regimen, regular checkups, and lifestyle changes.

• #39 Psoriatic Arthritis | Cooper University Health Care

  https://www.cooperhealth.org/services/psoriatic-arthritis

  Psoriatic arthritis is similar to rheumatoid arthritis (RA) in its symptoms and joint inflammation, but it tends to affect fewer joints than RA. […] Because the symptoms of psoriatic arthritis can look like other health conditions, including other forms of arthritis, its important to see a specialist in rheumatic diseases to obtain an accurate diagnosis and appropriate treatment. […] Cooper University Health Cares Division of Rheumatology has a team of expert, board-certified and fellowship-trained rheumatologists with extensive experience in diagnosing and treating psoriatic arthritis. Our capabilities include: […] Diagnosing psoriatic arthritis begins with a comprehensive medical history, physical exam and laboratory tests. […] A multidisciplinary team approach to care: Because psoriatic arthritis can affect different parts of the body, you may need a variety of specialists working together on your care team.

• #40 Psoriatic Arthritis Diagnosis & Treatment | Mount Sinai – New York

  https://www.mountsinai.org/care/rheumatology/services/arthritis/psoriatic

  If you have psoriatic arthritis, certain trigger can cause a flare-up or make your symptoms worse. These include: […] We diagnose psoriatic arthritis by a physical exam. We may also use blood work and imaging tests, such as X-rays and magnetic resonance imaging (MRI) scans. […] We can treat psoriatic arthritis to improve your quality of life and suppress disease. We work closely with dermatologists to coordinate your care. At Mount Sinai, we prescribe medications and, if necessary, perform a surgical procedure. Typically, we use topical medications to treat the skin condition. For the inflammation, we use different types of medications, sometimes in combination: […] We may also use a combination of these medications.

• #41

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engage patients in dialogue about their long-term treatment goals for PsA to maximize quality of life, prevent joint destruction, and preserve mobility. Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen. […] While every person with PsA is different, treatment plans typically include an individualized medication regimen, regular checkups, and lifestyle changes.

• #42 Psoriatic arthritis: Tips for managing

  https://www.aad.org/public/diseases/a-z/psoriatic-arthritis-self-care

  If you have psoriatic arthritis, you may have trouble using your hands. You may have joint pain and swelling. These tips may help. […] Your doctor can help you decide which exercises will benefit you. […] A few sessions of physical therapy may be helpful. Your doctor can write a prescription for physical therapy. […] During physical therapy, your therapist will evaluate your movement to determine how the arthritis affects you and provide specific therapies and exercises that can help. […] Many organizations offer arthritis-friendly exercise classes. To find out whether such classes are available in your area, contact your local hospital, YMCA, fitness center, community center, or park district. […] When psoriatic arthritis flares, you need to rest your joints. Using the joints during a flare puts more stress on the joints. This can lead to lasting damage. Medicine and joint protection (braces, splints, and supports) may help ease joint stress. […] Each time your psoriatic arthritis flares, make a note of what you were doing or eating. This may help you learn what triggers your psoriatic arthritis. […] Maintaining a healthy weight helps to reduce joint pain and allows you to move with greater ease.

• #43

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  Because PsA can involve various body systems, nursing assessment and patient teaching should cover the following points. […] Assess the patient for vision and ocular problems such as dry eye, eye inflammation or pain, or vision loss. […] Inquire about disturbed sleep patterns and fatigue, which have been correlated with a higher incidence of depression and mortality.

• #44 Psoriatic arthritis: Tips for managing

  https://www.aad.org/public/diseases/a-z/psoriatic-arthritis-self-care

  If you have psoriatic arthritis, you may have trouble using your hands. You may have joint pain and swelling. These tips may help. […] Your doctor can help you decide which exercises will benefit you. […] A few sessions of physical therapy may be helpful. Your doctor can write a prescription for physical therapy. […] During physical therapy, your therapist will evaluate your movement to determine how the arthritis affects you and provide specific therapies and exercises that can help. […] Many organizations offer arthritis-friendly exercise classes. To find out whether such classes are available in your area, contact your local hospital, YMCA, fitness center, community center, or park district. […] When psoriatic arthritis flares, you need to rest your joints. Using the joints during a flare puts more stress on the joints. This can lead to lasting damage. Medicine and joint protection (braces, splints, and supports) may help ease joint stress. […] Each time your psoriatic arthritis flares, make a note of what you were doing or eating. This may help you learn what triggers your psoriatic arthritis. […] Maintaining a healthy weight helps to reduce joint pain and allows you to move with greater ease.

• #45 Psoriatic arthritis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/symptoms-causes/syc-20354076

  A small percentage of people with psoriatic arthritis develop arthritis mutilans a severe, painful and disabling form of psoriatic arthritis. Over time, arthritis mutilans destroys the small bones in the hands, especially the fingers, leading to permanent deformity and disability. […] Psoriatic arthritis also puts some people at higher risk of developing hypertension, metabolic syndrome, diabetes and cardiovascular disease.

• #46 Psoriatic Arthritis – Rheumatology Advisor

  https://www.rheumatologyadvisor.com/ddi/psoriatic-arthritis/

  Patients should be well-informed and advised on the chronic nature of psoriatic arthritis and the necessity of non-pharmacological treatments such as exercise, quitting smoking, loss of weight, physical therapy, and occupational therapy. […] PsA is linked to a number of chronic illnesses that can shorten life and reduce the quality of life. Even though most studies suggest that overall mortality in individuals with psoriatic arthritis is not greater than in the general population, obesity and cardiovascular comorbid conditions are more common, which might affect lifespan and quality of life.

• #47

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  Because PsA can involve various body systems, nursing assessment and patient teaching should cover the following points. […] Assess the patient for vision and ocular problems such as dry eye, eye inflammation or pain, or vision loss. […] Inquire about disturbed sleep patterns and fatigue, which have been correlated with a higher incidence of depression and mortality.

• #48

  https://www.nursingcenter.com/journalarticle?Article_ID=5688368&Journal_ID=54016&Issue_ID=5688332

  Because PsA can involve various body systems, nursing assessment and patient teaching should cover the following points. […] Assess the patient for vision and ocular problems such as dry eye, eye inflammation or pain, or vision loss. […] Inquire about disturbed sleep patterns and fatigue, which have been correlated with a higher incidence of depression and mortality.

• #49 Living With Psoriatic Arthritis

  https://www.psoriasis.org/living-with-psoriatic-arthritis/

  Biologics target specific parts of the immune system (unlike traditional oral systemic drugs, which impact the entire immune system). […] When the pain of PsA is severe or when it does not go away with traditional PsA treatments, you may want to talk to your health care provider about medication that helps reduce your sensitivity to pain. […] Some studies show acupuncture as a valuable option for pain relief. […] Its important to understand your disease, your rights and the resources available to you. […] The goal of this talk is to find the workplace adjustments that will benefit the company, your co-workers and yourself. […] Assistive devices covers everything you need to be comfortable and more productive on the job. […] Your employer may not be required to purchase expensive equipment for you. However, tax deductions and/or tax credits may be available to certain employers who provide accommodations and/or jobs for people with disabilities. […] NPFs Patient Navigation Center can help you understand your employment rights and the resources available to you.

• #50

  https://link.springer.com/article/10.1007/s40267-021-00814-5

  Psoriatic arthritis is a clinically heterogeneous, chronic, and progressive disease that develops in up to 30% of patients with psoriasis and is characterized by multiple and increasing joint defects caused by persistent immune-mediated inflammation. […] Early detection and intervention are critical to preventing severe joint damage and pain, necessitating increased awareness and education about this disease for primary providers and nonphysician clinicians. […] Physician assistants and nurse practitioners, given their role in the primary care setting and within multiple specialty areas such as dermatology and rheumatology, are often the first to see patients who may have psoriatic arthritis. […] These healthcare providers are increasingly important in the early diagnosis and treatment of this disease.

• #51

  https://link.springer.com/article/10.1007/s40267-021-00814-5

  We also discuss ways to help recognize early joint involvement in the clinic and emphasize the role that nonphysician clinicians play in the care of patients with psoriatic arthritis. […] Physician assistants and nurse practitioners in dermatology and rheumatology, who are well positioned to recognize psoriatic arthritis early, treat patients, and prevent long-term complications, benefit from education on recognizing and treating psoriatic disease to improve outcomes. […] Healthcare providers (HCPs) in primary care and dermatology settings, including physician assistants (PAs) and nurse practitioners (NPs), are often the first to see patients and therefore play a critical role in the early diagnosis and treatment of those with PsA. […] This review provides an overview of PsA and aims to inform the nonphysician clinician on their role in the diagnosis and treatment of the disease and how to apply the information in practice.

• #52

  https://link.springer.com/article/10.1007/s40267-021-00814-5

  We also discuss ways to help recognize early joint involvement in the clinic and emphasize the role that nonphysician clinicians play in the care of patients with psoriatic arthritis. […] Physician assistants and nurse practitioners in dermatology and rheumatology, who are well positioned to recognize psoriatic arthritis early, treat patients, and prevent long-term complications, benefit from education on recognizing and treating psoriatic disease to improve outcomes. […] Healthcare providers (HCPs) in primary care and dermatology settings, including physician assistants (PAs) and nurse practitioners (NPs), are often the first to see patients and therefore play a critical role in the early diagnosis and treatment of those with PsA. […] This review provides an overview of PsA and aims to inform the nonphysician clinician on their role in the diagnosis and treatment of the disease and how to apply the information in practice.

• #53 Successful Screening of Undiagnosed Psoriatic Arthritis in Primary Care Utilising Digital Interventions Within a Quality Improvement Programme – European Medical Journal

  https://www.emjreviews.com/rheumatology/article/successful-screening-of-undiagnosed-psoriatic-arthritis-in-primary-care-utilising-digital-interventions-within-a-quality-improvement-programme/

  Background: Despite the advancements in the management of psoriasis (PsO) and psoriatic arthritis (PsA), there remains a significant delay to diagnosis of PsA. National guidelines recommend regular screening of patients with PsO for PsA. The aim of this study was to increase the screening of patients with PsO, and reduce the delay to diagnosis in PsA. […] The authors have successfully implemented an integrated and interactive digital screening tool for PsA within the GP system. This has led to an increase in the detection of patients with PsA. This practical and effective approach is in line with national guidelines for early detection, to prevent long-term damage and disability from PsA. […] Increasing screening for PsA in patients with psoriasis (PsO) at primary care level using digital interventions can improve identification and referral of potential psoriatic arthritis (PsA) at an early stage.

• #54 Shaping the Future of Psoriatic Arthritis Care in Rural Settings | UCB

  https://www.ucb-usa.com/stories-media/UCB-U-S-News/detail/article/shaping-future-psoriatic-arthritis-care-rural-settings

  Radiant Complexions has made it standard to screen all psoriasis patients at each visit utilizing the validated Psoriasis Epidemiology Screening Tool (PEST). As a result, they have seen a significant increase in the identification of psoriatic arthritis patients earlier in their disease journey. As we look to the future, our goal is to continue to work together and look for new ways to expand and improve patients care earlier in their disease journey. […] UCB is committed to partnering with the healthcare community to craft solutions that better serve patients in rural America, and bring the highest level of care to all people living with severe immunologic conditions.

• #55 Psoriatic Arthritis | Cooper University Health Care

  https://www.cooperhealth.org/services/psoriatic-arthritis

  Psoriatic arthritis is similar to rheumatoid arthritis (RA) in its symptoms and joint inflammation, but it tends to affect fewer joints than RA. […] Because the symptoms of psoriatic arthritis can look like other health conditions, including other forms of arthritis, its important to see a specialist in rheumatic diseases to obtain an accurate diagnosis and appropriate treatment. […] Cooper University Health Cares Division of Rheumatology has a team of expert, board-certified and fellowship-trained rheumatologists with extensive experience in diagnosing and treating psoriatic arthritis. Our capabilities include: […] Diagnosing psoriatic arthritis begins with a comprehensive medical history, physical exam and laboratory tests. […] A multidisciplinary team approach to care: Because psoriatic arthritis can affect different parts of the body, you may need a variety of specialists working together on your care team.

• #56 Psoriatic Arthritis | UW Orthopaedic Surgery and Sports Medicine

  https://orthop.washington.edu/patient-care/articles/arthritis/psoriatic-arthritis.html

  Psoriatic arthritis is a common form of arthritis that affects both joints and skin. […] With proper treatment and help from others you can relieve joint pain and stiffness and keep skin problems under control. […] Psoriatic arthritis is treatable but not curable. […] Treatment for psoriatic arthritis depends on how severe your condition is and what areas of the body are affected. […] The goals of treatment are to reduce joint pain and swelling, control the skin patches, and slow down or prevent joint damage. […] People with psoriatic arthritis may be treated by their family doctor a skin specialist (dermatologist) or an arthritis specialist (rheumatologist). […] The pain and swelling of arthritis can make your joints stiff and hard to move. […] Some medications can help relieve joint pain and swelling and can help slow down the joint damage.

• #57

  https://link.springer.com/article/10.1007/s40267-021-00814-5

  PAs and NPs play important roles in the diagnosis and treatment of psoriasis and PsA and can help improve the care of patients with PsA. […] Once patients are referred to a rheumatologist and a diagnosis of PsA has been confirmed, rheumatology PAs/NPs can effectively educate patients on the disease and available treatments. […] They can also treat patients with PsA and help prevent complications and disease progression by managing treat-to-target (T2T) strategies in rheumatology practice, as has been done previously for patients with rheumatoid arthritis (RA). […] These findings suggest that PAs and NPs should be trained in T2T strategies as part of their education. […] Nonphysician clinicians are well positioned to identify patients with PsA and increasingly play larger roles in the early diagnosis, treatment, and education of these patients. […] Further utilization of nonphysician clinicians is needed to improve the care of patients with psoriatic disease.

• #58 Psoriatic Arthritis

  https://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/psoriatic-arthritis/

  Treatment focuses on predominant disease domains and organ involvement: peripheral arthritis, axial disease, dactylitis, enthesitis, and skin and nail disease. […] The relatively recent approvals of TNF alpha inhibitors and other biologic DMARDs have significantly improved outcomes for skin and joint involvement, providing expanded therapeutic choices for PsA. […] The concept of treat to target has been adapted to PsA with studies showing that tight control of disease can improve outcomes. […] In addition, criteria for minimal disease activity have been developed to provide specific measures for identifying therapeutic outcomes of low disease activity. […] Psoriatic skin disease usually precedes the joint symptoms. […] Because most patients with psoriasis are initially seen by an internist or dermatologist, screening questionnaires can help them identify PsA symptoms earlier, prompting appropriate early referral to a rheumatologist. […] Treatment guidelines have been issued by the European League Against Rheumatism (EULAR) and the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA).

• #59 Survey: Psoriatic Arthritis Patients, Rheumatologists Are Aligned on Care Plan

  https://www.hcplive.com/view/psoriatic-arthritis-patients-rheumatologists-aligned-care-plan

  Patients with psoriatic arthritis (PsA) are in general alignment with their rheumatologists on most parameters of their disease status and care plan however, there may be differences on what patients and clinicians perceive as key treatment goals for PsA. […] The findings helped illuminate disparate understandings of patients needs and treatment capabilities throughout the common rheumatic disease. […] Alignment of patient and clinician goals and perceptions of PsA burden and treatment are important to improving disease management, the team noted. […] Top treatment goals for patients were reducing joint pain and stiffness and stopping the progression of joint damage or erosion, investigators wrote. […] Despite general alignment between patient and rheumatologist responses across metrics, 87.1% of patients reported they did not feel that their treatment goals matched those of their current health care provider.

• #60 “What Matters”: Patient and Clinician Perspectives in Psoriatic Arthritis Care – ACR Meeting Abstracts

  https://acrabstracts.org/abstract/what-matters-patient-and-clinician-perspectives-in-psoriatic-arthritis-care/

  What Matters: Patient and Clinician Perspectives in Psoriatic Arthritis Care […] Recent psoriatic arthritis (PsA) treatment recommendations highlight the importance of shared decision making; this ideally requires the clinician understands what matters to each patient regarding their disease. […] This study highlights the need for physicians to ask and address what matters with patients and to educate patients about potential differences in physicians areas of concern to optimize shared decision making.

• #61 Get Psoriatic Arthritis Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/psoriatic-arthritis-treatment

  Psoriatic arthritis is chronic, which means youll need to manage it for the rest of your life. But dont worry. You dont have to do this alone. Our specialists will partner with you and your primary care provider to make sure your treatment is working. And theyll help you cope with any side effects from it. […] Managing a long-term condition like psoriatic arthritis can take a physical and emotional toll. And you might feel overwhelmed at times. We understand that and you dont have to worry, because were here for you. Well help you keep your flare-ups at bay and stay as healthy as possible, so you can live an active life.

• #62

  https://umiamihealth.org/en/treatments-and-services/arthritis-(rheumatology)-/psoriatic-arthritis

  Specialized care to improve your quality of life. Your team will educate you about psoriatic arthritis and help you learn how to manage symptoms with a nutritious diet, exercise, proper skin care, and other healthy lifestyle habits. We make sure you have the support and resources you need to relieve symptoms and improve your well-being.

• #63 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA): updated treatment recommendations for psoriatic arthritis 2021 | Nature Reviews Rheumatology

  https://www.nature.com/articles/s41584-022-00798-0

  Since the second version of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations were published in 2015, therapeutic options for psoriatic arthritis (PsA) have advanced considerably. […] These GRAPPA treatment recommendations provide up-to-date, evidence-based guidance on PsA management for clinicians and people with PsA. […] The process to develop this latest version of the recommendations began once again in 2019 in order to address recent important advances in the treatment of PsA. […] These recommendations are intended for all clinicians caring for patients with PsA. […] In these recommendations, a Grading of Recommendations, Assessment, Development and Evaluations (GRADE)-informed methodology was utilized to provide a transparent approach to grading the quality of evidence underpinning the recommendations.

• #64 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA): updated treatment recommendations for psoriatic arthritis 2021 | Nature Reviews Rheumatology

  https://www.nature.com/articles/s41584-022-00798-0

  The schema highlights that the initial approach should be to assess disease activity in each of the domains as well as to consider comorbidities, previous therapies and patient preference. […] Wherever possible, treatment for an individual with PsA should be selected to address all active domains of the disease and any related conditions. […] The use of NSAIDs, local glucocorticoid injections and physiotherapy was conditionally recommended, despite the lack of high-quality studies that investigated their efficacy for enthesitis in PsA or SpA. […] Strong recommendations were made for TNF inhibitors, IL-17 inhibitors, IL-12/23 inhibitors and IL-23 inhibitors; newer mode of action drugs (inhibitors of IL-17, IL-12/23 and IL-23) show higher efficacy for skin involvement than TNF inhibitors in studies of psoriasis and/or PsA.

• #65 Psoriatic Arthritis Pain and Mobility Management – Nursing CE Central

  https://nursingcecentral.com/lessons/psoriatic-arthritis-pain-and-mobility-management/

  There are many options to manage psoriatic arthritis pain and mobility, so it is important to keep the patient involved in decision making and be aware of the latest research affecting this condition. […] One of the most complementary non-pharmacological mobility management options for psoriatic arthritis is physical therapy (PT). […] Occupational therapy can help patients with skills, such as cooking, going to the bathroom, and cleaning on their own. […] Nurses remain the most trusted profession for a reason, and nurses are often pillars of patient care in several health care settings. […] While there is no specific guideline for the nurses role in psoriatic arthritis patient education and management, here are some suggestions to provide quality care for patients with a current or suspected psoriatic arthritis.

• #66 Psoriatic Arthritis Pain and Mobility Management – Nursing CE Central

  https://nursingcecentral.com/lessons/psoriatic-arthritis-pain-and-mobility-management/

  If a patient is complaining of symptoms that could be related to psoriatic arthritis, inquire more about that complaint. […] If you feel like a patients complaint is not being taken seriously by other health care professionals, advocate for that patient to the best of your abilities. […] Nurses can recommend self-monitoring for patients with known or suspected psoriatic arthritis, especially regarding medication side effects and quality of life. […] Patients should know that psoriatic arthritis is a chronic health condition that can require extensive medical intervention and support.

• #67 IFPA | Good Care

  https://www.ifpa-pso.com/projects/psoriatic-arthritis-awareness

  Understanding the course of psoriatic arthritis (PsA) has led to important breakthroughs in therapy, yet many needs of people living with PsA remain unmet. […] The GoodCare Project for Psoriatic Arthritis is dedicated to empowering people living with Psoriatic Disease and healthcare providers with accessible tools and resources for improved PsA management. By fostering collaboration and raising awareness of treatment guidelines, the project aims to enhance the quality of life for individuals living with PsA worldwide. […] IFPAs Good Care Campaign for Psoriatic Arthritis is raising awareness among healthcare providers to adopt T2T strategies in the management of PsA. IFPA advocates for clearer guidelines and further research to support effective treatment plans for individuals with PsA. IFPA also raises awareness about the impact of PsA on individuals’ lives and the broader community. The personal and financial burden of PsA cannot be overlooked. The frequent need for medical appointments, medications, and specialized treatments can place a heavy strain on individuals and their families. Moreover, the societal impact, including lost productivity and increased healthcare costs, further highlights the urgency for better treatment support and resources.

• #68

  https://journals.lww.com/nursing/fulltext/2020/11000/supporting_young_adults_with_psoriatic_arthritis.8.aspx

  Keeping cardiovascular risks in mind, nurses should monitor patients’ BP, heart rate and rhythm, and BMI and assess lab results for elevated fasting glucose levels, liver function, total cholesterol, and both low-density and high-density lipoprotein levels. Patient education should include encouraging healthy lifestyle choices, including weight control, a nutritious diet, and regular exercise. […] Engage patients in dialogue about their long-term treatment goals for PsA to maximize quality of life, prevent joint destruction, and preserve mobility. Engaging in dialogue and shared decision-making promotes self-management, improves patient outcomes, and promotes adherence to the treatment regimen. […] While every person with PsA is different, treatment plans typically include an individualized medication regimen, regular checkups, and lifestyle changes.

• #69 About Psoriatic Arthritis

  https://www.psoriasis.org/about-psoriatic-arthritis/

  Psoriatic arthritis is best diagnosed and treated by a rheumatologist (a doctor who specializes in the diagnosis and treatment of diseases that affect the muscles, joints, and bones and related immune-mediated conditions). Early diagnosis and treatment can not only help relieve symptoms but may also help prevent permanent joint damage. […] Treating psoriatic arthritis is important to help lessen pain, reduce inflammation, help keep joints healthy, and possibly prevent permanent joint damage. Generally, biologic, biosimilar, and oral systemic treatments are prescribed to treat psoriatic arthritis. […] While there is no cure for psoriatic arthritis, treatments today are more effective than ever before and research into new treatments, as well as a cure, is ongoing. Treating psoriatic arthritis can help improve symptoms, prevent joint damage, and may decrease the associated inflammation that can lead to comorbidities such as heart disease, diabetes, anxiety, and depression.

• #70 About Psoriatic Arthritis

  https://www.psoriasis.org/about-psoriatic-arthritis/

  As with other chronic diseases, psoriatic arthritis may affect a variety of areas of your life including your physical and mental health, participation in social activities, and your work life. Learn about the importance of physical activity, pain management, and stress reduction for living with psoriatic arthritis as well as tips on how to manage your disease on the job.

Zobacz więcej