Posted: August 4th, 2022

Nursing assignment help – Essay example>Response 1 patho ADA
ADA response 1

Integumentary Function:

1. Name the most common triggers for psoriasis and explain the different clinical types.

Alcohol, too much sun exposure, dry or cold weather, obesity, infections like candida Albicans or streptococcal pharyngitis, smoking, stress, and any skin injuries like bites or Scratches. Plague psoriasis that affects elbows, scalp, knees, and lower back with red patched with white and silver scales with burning and itching sensations. Erythrodermic psoriasis that causes redness and irritation all over the body and is a much more serious condition that can cause congestive heart failure .Guttate psoriasis mostly occurs in young adults and children (Lebwohl et al., 2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online). There are small red spots on the skin of scalps, thighs, upper arm, and trunk. Inverse psoriasis mostly occurs in obese people. There are shiny bright red patches on armpits, groin, behind ears, buttocks, genitals, and under the breast. Psoriatic arthritis when warm joints that are discolored and painfully stiff are present altogether.

2. There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.

Topical treatment gives suggestive alleviation to the patients and helps in lessening the illness expected for fundamental prescriptions. Emollients are a kind of effective treatment that keeps the skin soft and saturated, which lessens the delicacy and itching of the skin. Corticosteroids are one more type of treatment that is applied topically to help in overseeing new types of psoriasis (Dlugasch, L., & Story, L. (2021). Corticosteroid assumes a critical part in applying insect proliferative, calming and immunosuppressive activities through their effect on quality record. Topical vitamin D analogs are different types of treatment for psoriases, for example, calcitriol, calcipotriene and tacalcitol. In patients with over 5% of their bodies covered with psoriasis and weakening illness, the utilization of foundational treatments would be compelling including the utilization of methotrexate, acitretin, cyclosporine, apremilast and infliximab.

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4. A medication review and reconciliation are always important in all patient, describe and specify why in this particular case is important to know what medications the patient is taking?

It is important to educate the patient about the certain medication they are taking since there are different kinds of psoriasis with different reactions. So, it is best to diagnose the patient first to identify which type we are dealing with. Some topical medications like calcipotriene and calcitriol can cause skin irritation (Rendon & Schäkel, 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). And the problem with corticosteroid use is that it may stop working overtime so it is usually recommended for a short period of time. A retinoid therapy (acitretin) can cause a

severe birth defect, so it is important to counsel the pregnant patient before recommending (Gershman, 2020).

5. What others manifestation could present a patient with Psoriasis?

Psoriasis is portrayed by erythematous plaques and papules with a silver scale. The patients generally present with various clinical indications relying upon the sort of psoriasis (Kim et al., 2017). Most of the patients present with dry, broke skin that can drain particularly when presented to overabundance heat without lotion, the broke skin and rashes are tingling, sore and consuming and they flare for half a month die down consistently. The skin rashes shift in variety going from shades of purple, brown, dark or dim in earthy colored skin and in white skin the scales are red or pink.

References Dlugasch, L., & Story, L. (2021). Applied Pathophysiology for the advanced practice nurse.

Jones & Bartlett Learning. Kim, W. B., Jerome, D., & Yeung, J. (2017, April). Diagnosis and management of psoriasis.

Canadian family physician Medecin de famille canadien. Retrieved August 3, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5389757/

Lebwohl, M. (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online, July 1). Psoriasis: Overview and diagnosis. Evidence-Based Psoriasis: Diagnosis and Treatment. Retrieved August 3, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7122924/

Rendon, A., & Schäkel, K. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers, March 23). Psoriasis pathogenesis and treatment. International journal of molecular sciences. Retrieved August 3, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6471628/

Sensory Function:

1. Based on the clinical manifestations presented on the case above, which would be your eyes diagnosis for C.J. I need help writing my essay – research paper name why you get to this diagnosis and document your rational.

Based on the clinical manifestations on the case above, the best diagnosis for this patient is bacterial conjunctivitis with otitis media. Bacterial conjunctivitis is an infection of the conjunctiva, the mucous membrane that covers the back of the eyelids and the globe until it merges with the cornea at the limbus. In bacterial conjunctivitis, bilateral eye erythema can occur with the presence of ear infection with blurry vision, crusting, and gluing of eyelids after waking. The patient has an opaque and bulging red tympanic membrane that is the sign of otitis media that is caused by bacteria and can easily cause conjunctivitis (Wood, 2020). The tympanic membrane is transparent in normal circumstances. The tympanic membrane, on the other hand, appears hazy, yellowish, or opaque when there is fluid in the middle ear. The tympanic membrane looks transparent above and opaque below the line of demarcation when there is an air-fluid level present. A bulging eardrum can be caused by a variety of factors, including an ear infection. Because it impairs the eardrum’s ability to vibrate and transmit sound, it can affect hearing. When the eardrum is inflamed, a person may suffer fullness, ear discomfort, and pressure in their ears.

2. With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not.

With no additional data, the likely etiology of the infection not entirely known. Bacterial conjunctivitis is frequently brought about by microorganisms, including H. Influenzae, Staphylococcus, Moraxella, trachoma, and streptococcus (Barney, 2013). The patient presents normal side effects that happen in a wide range of bacterial conjunctivitis. The patient reports no serious side effects of bacterial conjunctiva, for example, bright red eyes and outrageous aversion to light. The side effects introduced are moderately gentle side effects of bacterial conjunctivitis. The side effects don’t uncover bodily fluid or watery release; consequently the plausible etiology brought about by viral or unfavorably susceptible conjunctivitis, for example, occasional or vernal conjunctivitis are precluded.

3. Based on your answer to the previous question regarding the etiology of the eye affection, which would be the best therapeutic approach to C.J problem.

Given the side effects and discoveries from the assessment, the particular microorganisms causing the bacterial pink eye can’t be learned. Be that as it may, anti- microbials are the suggested prescription for treating any bacterial conjunctivitis. Further investigation ought to be directed to decide the kind of bacteria causing conjunctivitis (Azari & Arabi, 2020). Regardless, the patient ought to be put on treatment to assist with further developing his ongoing side effects a couple of days subsequent to initiating the antibiotic treatment. Beginning of antibiotic treatment for bacterial conjunctivitis brought about by normal bacteria since the treatment can assist with decreasing the course of the sickness subsequently helping with bringing down the risk of additional inconveniences from the bacterial disease while limiting the risk of spreading to other people. Likewise, a B-trimethoprim arrangement might be utilized no less than 1 drop after each 3-4 hours.

References Azari, A. A., & Arabi, A. (2020, August 6). Conjunctivitis: A systematic review. Journal of

ophthalmic & vision research. Retrieved August 3, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7431717/

Barney, N. P. (2013, October 23). Conjunctivitis: A systematic review of diagnosis and treatment. JAMA. Retrieved August 3, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049531/

Wood, M. (2020). Conjunctivitis: Diagnosis and management. Community eye health. Retrieved August 3, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1706007/

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