Wound Wise: The skinny on psoriasis
Richard L. Pullen EdD, RN

Nursing Made Incredibly Easy!
October 2010 
Volume 8  Number 5
Pages 10 - 13
  PDF Version Available!

Psoriasis is a chronic, inflammatory autoimmune skin disease that affects as many as 7.5 million Americans, according to the National Institutes of Health. What's your role in caring for a patient with this condition? In this article, we'll take a look at nursing care and much more!Psoriasis develops when the immune system becomes overactive and produces too many white blood cells (called CD4 helper T cells), which causes an increase in blood flow to the skin, inflammation, and keratinocyte proliferation. Keratinocytes are epidermal cells that synthesize keratin and undergo chemical changes as they move upward from the basal layers of the epidermis. This means that new skin cells grow faster than the old skin can shed, known as cell turnover.In about one-third of cases, there's a family history of psoriasis. Skin trauma is a common precipitating factor in individuals who have a family history of the disorder. Stress, illness, dry climate, and some medications (such as lithium and beta-blockers) have been known to worsen the symptoms of psoriasis.Psoriasis lesions are generally red and circular, with a patchy appearance, and covered with heavy, dry, silvery scales. Often referred to as plaques, these patches are usually itchy and may be sore or painful. They most often occur on the elbows, knees, legs, scalp, lower back, face, palms, and soles of the feet; however, psoriasis lesions can occur anywhere on the body. Psoriasis lesions aren't contagious.Plaque psoriasis is the most common form of the disorder, characterized by skin lesions that are red at the base and covered by silvery scales (see Picturing plaque psoriasis). Other forms of psoriasis include: * guttate psoriasis—characterized by small, drop-shaped lesions that appear on the trunk, limbs, and scalp; most often triggered by upper respiratory infections * pustular psoriasis—characterized by blisters of noninfectious pus; attacks may be triggered by medications, infections, stress,

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

DNA.jpg      ASPSN.jpg
Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events