[Solved] USU-H & P SOAP Note Assignment
Psoriasis in Women
According to Habashy
and Robles (2022), psoriasis is an inflammatory, multifactorial, complex, and
chronic disease that entails hyper-proliferation of the keratinocytes in the
human epidermis and is characterized by an increase in the human epidermal cell
turnover rate. Gardner (2022) explained that psoriasis is a skin disorder that
leads to the skin cell multiplying ten times faster than normal. He further
explained that this leads to bumpy red patches sheltered under white scales on
the skin, especially on the elbows, lower back, knees, and scalp. Habashy and Robles
(2022) noted that its main causal agents include environmental, immunologic,
and genetic factors, with approximately 30% of the patients affected in the
joints. Based on their analysis, Habashy and Robles (2022) provided that the
psoriasis treatment is centered on the body sites affected, the plaques and
scale thickness, the absence or presence of arthritis, and the apparent areas
of involvement. Papp et al. (2019) demonstrated that moderate to severe psoriasis treatment
options include biologic therapy, prescription of oral systemic agents, and phototherapy.
Based on their study, the first line of treatment for psoriasis patients is Secukinumab,
a complete human monoclonal antibody that primarily targets the IL-17A.
Review of topic and rationale for selection of topic
The disease is common in childhood and early
adulthood and appears as inverse psoriasis, erythrodermic psoriasis, guttate
psoriasis, and pustular psoriasis (Gardner, 2022). According to the World Psoriasis Day Consortium,
more than 125 million people worldwide suffer from moderate to severe psoriasis
(National Psoriasis Foundation, n.d.). Papp et al. (2019) posited that scholars
have extensively studied the physical effects of psoriasis with frequency;
however, there exists a gap, primarily in observational studies, examining the
lived experiences of patients with the disease or practical solutions to
evaluate the individuals’ adaption to psoriasis.
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