NUR Module Discussion. K.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.
Case Study Questions
Name the most common triggers for psoriasis and explain the different clinical types.
There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.
Included in question 2
A medication review and reconciliation are always important in all patient, describe and specify why in this particular case is important to know what medications the patient is taking?
What others manifestation could present a patient with PsoriasisSubmission Instructions:
You must complete the case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
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Writing Guide:
Name the most common triggers for psoriasis and explain the different clinical types.
Psoriasis is a chronic autoimmune disorder that affects the skin and joints. The most common triggers for psoriasis include stress, infection, injury, hormonal changes, and certain medications.
There are several different clinical types of psoriasis, including plaque psoriasis, guttate psoriasis, inverse psoriasis, pustular psoriasis, and erythrodermic psoriasis. Plaque psoriasis, which is the most common type, is characterized by raised, red, scaly lesions that are typically found on the elbows, knees, scalp, and lower back. Guttate psoriasis is characterized by small, red, scaly lesions that often appear on the trunk and limbs. Inverse psoriasis is characterized by smooth, red, shiny lesions that are found in skin folds, such as the armpits and groin. Pustular psoriasis is characterized by the formation of pustules, which are small, fluid-filled blisters, and erythrodermic psoriasis is characterized by a widespread, fiery redness of the skin.
There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.
Treatment for psoriasis typically includes a combination of topical, systemic, and phototherapy options. Topical treatment options include corticosteroids, calcipotriene, and tazarotene. Systemic treatment options include methotrexate, acitretin, and cyclosporine. Phototherapy options include ultraviolet B (UVB) and psoralen plus ultraviolet A (PUVA) therapy.
In this case, since K.B. has a history of responding well to topical treatment with high-potency corticosteroids, it would be appropriate to start with a combination of topical treatment options such as corticosteroids and calcipotriene, and to consider adding in UVB phototherapy. If the patient does not respond to these treatments, then systemic options such as methotrexate or acitretin may be considered.
Non-pharmacological options that can be recommended for the patient include stress management techniques, such as yoga, meditation, and exercise, as well as dietary changes, such as a low-inflammatory diet.
A medication review and reconciliation are always important in all patient, describe and specify why in this particular case is important to know what medications the patient is taking?
A medication review and reconciliation is the process of reviewing and updating a patient’s medication list to ensure that the patient is taking the most appropriate medications for their condition. This is important for several reasons, including reducing the risk of adverse drug reactions, ensuring that the patient is taking the most appropriate medications for their condition, and ensuring that the patient is taking their medications correctly.
In this particular case, it is important to know what medications the patient is taking because some medications can trigger or worsen psoriasis. For example, certain medications, such as lithium and beta-blockers, have been associated with the development of psoriasis. Additionally, certain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), can exacerbate existing psoriasis. Knowing what medications the patient is taking will allow the healthcare provider to make more informed decisions about treatment options and to make any necessary adjustments to the patient’s medication regimen.
References:
J.K. Cather, H. Gudjonsson, J. Krueger.
