Psoriasis

Psoriasis is an inflammatory disease that marked by epidermal proliferation. This chronic skin disease involves the first layer of the skin. Cases usually prevail among white races. The etiology of psoriasis appears to be hereditary or genetic. Clinical manifestations are pruritus, pain, profuse erythematous scales or plaques. Large area of the body affected with psoriasis and joint stiffness can possibly occur. To determine if the client is positive of psoriasis he must undergo several laboratory examinations. Phempigus vulgaris is a skin biopsy from the blister that demonstrates separation of the epidermal cells from each other. Serum studies will reveal circulating pemphigus antibodies. The ten tests are also a skin biopsy from freshly denuded area reveals necrotic tissue. The result reveals atypical epidermal autoantibody.

To manage psoriasis always enhance and maintain good skin integrity like assessing the skin area including the mucous membranes, scalp and nails for irritation and breakdown.

Clean the skin using mild soap at least once daily. Protect skin folds and surfaces that rub together to avoid production of heat that will cause irritating sensation. Keep clothing and linen clean and dry.

Use protective gloves when using strong soaps, detergents and other chemicals that will harm the skin.

Prevent skin infection is implemented like maintaining careful hand washing and wear gloves when changing dressing. Standard precautions should be practice. Maintain a cool environment to deter itching.

Wash all bed linens and clothing with mild soap. Protect skin from sun exposure, especially between 10 am and 4pm and use sunscreen with a sun factor of 30 or higher. Take tepid, cooling baths or use a cool dressing for itching. Apply mild skin lotion to keep the skin hydrated. Keep fingernails short and trimmed to prevent injury from scratching.

Do not use commercial topical ointments unless prescribed by a health care provider. Dry skin thoroughly after bathing by blotting gently and avoiding to produce friction. Apply topical steroidal and antibacterial ointment as prescribed; wash hands before and after application. Notify a health care provider if skin condition does not improve after 48 hours of treatment, if affected areas become reddish with purulent drainage, or if the client has a temperature greater than 38 degree Celsius.

Medications for psoriasis are topical vitamin a that helps in clearing keratin plugs from the pilosebaceous ducts. Topical corticosteroids that will relieve prevent inflammation and itching. Topical antibiotics that will suppress the growth of bacteria. Opioid analgesic that will relieve pain and reduce emotional upset.

For clients who have psoriasis, their main concern is their body image and this can lead to depression. It is important to express feelings about body image disturbance because of the skin disorder and to increase self-esteem.