Question

Choose a Skin, Hair or Nail disorder of interest to you and answer the following questions:

1. Is there a genetic or race-linked component of this disorder?

2. What is the cause? Is it preventable?

3. Do you know anyone with the condition? If so, how is it being managed?

4. Formulate a nursing care plan for the disorder.

a. Assessment findings

b. Nursing diagnosis

c. Intervention (2)

d. Planning-Short term goal (1), Long term goal (1)

e. Evaluation

with a reference.

Answer 1

Psoriasis

genetic predisposition: The association of psoriasis with the HLA-Cw6 allele is seen

cause of psoriasis:

• Autoimmune
• Infections, such as strep throat or skin infections
• Injury to the skin, such as a cut or scrape, a bug bite, or a severe sunburn
• Stress
• Smoking
• Heavy alcohol consumption
• Vitamin D deficiency
• Certain medications — including lithium, which is prescribed for bipolar disorder, high blood pressure medications such as beta blockers, antimalarial drugs, and iodides

no it is not preventable as it has genetic predisposition

yes i have seen many patients with psoriasis who were managed with topical corticosteroids, topical retinoids and with oral intake of immunosuppressant like methotrexate and cyclosporine.

assessment finding: plaques on skin, itching, reddened skin

1. Impaired skin integrity related to inflammation between dermal - epidermal secondary to psoriasis

interventions:

• Assess skin condition

• Observation of vital signs

• Assess skin color changes

• Keep the infected area clean and dry

• apply topical medications as prescribed

2. assessment findings:sleep disturbances, avoiding communication

Anxiety related to changes in health status secondary to psoriasis

interventions:Assess the level of anxiety and discuss the cause if possible

Encourage to express his feelings.

Give the patient time to express the problem and the encouragement of free expression, such as anger, fear, doubt

Explain all procedures and treatments

Discuss alternative coping behaviors and problem-solving techniques

Short term goal:patient will experience relief in anxiety

long term goal: skin integrity of the patient will be maintained.

evaluation: patient is experiencing improvement in skin integrity and relief in anxiety.