Nursing Care Plan for Erythrodermic Psoriasis

Nursing Diagnosis for Erythrodermic Psoriasis
Nursing Interventions for Erythrodermic Psoriasis

Erythrodermic psoriasis is a medical disorder that affects the skin severely and causes it to be red, itch, swell, bleed, and form scale or flake etc. This medical condition is a rare but very serious reoccurring skin disorder caused by an inflammation of the skin cells due to abnormalities in the immune system.

Erythrodermic Psoriasis. This kind of psoriasis is far more harmful than all the other kinds of this auto immune disease. It may appear together with pustular psoriasis. In this kind of psoriasis, your skin displays a fiery red color on the lesions, that can wide spread all your body.

Often times, the Erythrodermic Psoriasis requires hospitalization. So, if you have skin lesions on many parts of your body, you may consult a good dermatologist on your location.

There is pain, itching and swelling of the body in erythrodermic psoriasis which is a grave type of disorder, caused by inflammation of skin cells which hampers the normal functioning of the body. There is a rise in the body temperature and the body tends to lose body fluids and proteins.

This condition is commonly seen in people who are already suffering from psoriasis and is a serious disorder. Without a past history of psoriasis, this condition hardly occurs.

Signs and Symptoms of Erythrodermic Psoriasis : 1) the skin becomes pale and red, 2) The body will be hot from a rise in temperature and loss in body fluid and proteins, 3) The patches on the skin will begin to fall off (like it's exfoliating or shedding off), 4) There will be a feelings of pain, 5) The skin will begin to itch, 6) The Body will have shivering fever, 7) Most body parts will begin to swell (e.g. ankles).

Erythrodermic psoriasis if left unattended to could cause life threatening illness like hypertension, failure of the heart, infections, body dehydration and a lot more.

If erythrodermic psoriasis is unattended then it may lead to certain life threatening conditions like infections, heart failure, hypertension, body dehydration, etc.

Nursing Diagnosis and Nursing Interventions for Erythrodermic Psoriasis

1. Impaired skin integrity related to the lesion and inflammatory response.

Expected outcomes are:
- Demonstrate an increase in skin integrity
- Avoid injury to the skin

Nursing Interventions:
a. examine the skin in general circumstances
b. instruct the patient to not pinch or scratch the skin area
c. keep the skin moist
d. reduce the formation of scales with the provision of bath oil
e. patient's motivation for consuming nutrients: high in calories and high in protein.

2. Risk for Infection related to hypoproteinaemia

Purpose: no infection
Expected outcomes are:
- There are no signs of infection (rubor, calor, dolor, fungsiolaesa)
- No new injuries occur

Nursing Intervention :
a. monitor vital signs
b. examined for signs of infection
c. patient's motivation to improve nutrition: high in calories and high in protein.
d. keep the wound clean
e. collaboration antibiotics

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