Question

The PN is caring for a client who has silvery scaling plaques bilaterally on elbows, forearms, and palms. When scratched, the skin bleeds over these plaques. what is most important to reinforce in this clients plan of care?

Answer 1

The client with silvery scaling plaques likely has psoriasis. Their care plan should emphasize psoriasis management, including prescribed treatments for inflammation and scales, routine follow-ups, and psychological support. Moisturizing, lifestyle changes, and trigger avoidance are key components.

Step-by-step explanation:

The most important aspect to reinforce in a client's plan of care, who presents with silvery scaling plaques that bleed when scratched, is the management of psoriasis. Psoriasis is a chronic skin condition characterized by itchy or sore patches of thick, red skin with silvery scales, often seen on the elbows, knees, scalp, back, face, palms, and feet. The plan of care should include education on skin care routines to avoid irritation, the application of prescribed topical treatments to reduce inflammation and scaling, and possibly systemic medications for more severe cases. It is also important to address potential psychological impacts, as chronic skin conditions can affect mental well-being.

Regular follow-up with a healthcare provider to monitor the condition and any associated complications like psoriatic arthritis is crucial. Instructing the patient on the importance of moisturizing the skin to relieve dryness and itching and advising them on lifestyle modifications such as stress management and avoiding triggers that may cause flare-ups may also be beneficial.