Abstract
Psoriatic arthritis is an inflammatory disease of the joints associated
with progressive joint destruction and loss of function. The additional
challenge of managing psoriasis can mean patients’ needs differ from
those associated with other inflammatory joint conditions. This article
discusses the goals of drug treatment and physical therapies in terms
of minimising symptoms of the disease. In addition, the psychological
effect of this physically debilitating and unpredictable disease is
explored. Guidance is offered on how the nurse should address the
individual needs of patients and the importance of regular monitoring
to ensure safety and efficacy of treatments. The need for effective
patient education is emphasised to ensure the person is better able to
manage disease progression and any treatment regimens. The nurse’s
role should be viewed in the context of the multidisciplinary team to
ensure all patient needs are met.
Author
Nicola Waldron
Clinical nurse specialist in rheumatology,
Royal National Hospital for Rheumatic Diseases, Bath.
Correspondence to: nicola.waldron@rnhrd.nhs.uk
Keywords
Drug treatment, inflammatory joint conditions, pain, patient education,
psoriasis, psoriatic arthritis
Review
All articles are subject to external double-blind peer review and
checked for plagiarism using automated software.
Online
Guidelines on writing for publication are available at
www.nursing-standard.co.uk. For related articles visit the archive
and search using the keywords above.
Care and support of patients
with psoriatic arthritis
Waldron N (2012) Care and support of patients with psoriatic arthritis.
Nursing Standard. 26, 52, 35-39. Date of acceptance: June 26 2012.
Psoriatic arthritis is a chronic
inflammatory arthropathy (disease of the joints)
associated with progressive joint destruction and
loss of function (Kyle et al 2005). In 1964, the
American Rheumatism Association classified
psoriatic arthritis as different to rheumatoid
arthritis (Blumberg et al 1964, Al Hammadi
2012). In the past, psoriatic arthritis was often
viewed by clinicians as milder and less destructive
than rheumatoid arthritis. However, although
peripheral joint involvement in psoriatic arthritis
may not be as extensive as that associated with
rheumatoid arthritis, the additional challenge of
skin psoriasis and enthesitis (inflammation at sites
where tendons and ligaments attach to bone) can
lead to a reduction in physical function and quality
of life comparable to the burden of rheumatoid
arthritis (Lee and Kyle 2011).
Psoriatic arthritis is an immune-mediated
inflammatory disease that can affect any joint
in the body as well as skin and related structures
such as tendons and ligaments (Gladman and
Chandran 2009). In most patients, psoriasis
will pre-date joint involvement (Al Hammadi
2012). Development of psoriatic arthritis is
equally distributed between men and women and
commonly develops between the ages of 35 and 55
(Al Hammadi 2012).
Abstract
Psoriatic arthritis is an inflammatory disease of the joints associated
with progressive joint destruction and loss of function. The additional
challenge of managing psoriasis can mean patients’ needs differ from
those associated with other inflammatory joint conditions. This article
discusses the goals of drug treatment and physical therapies in terms
of minimising symptoms of the disease. In addition, the psychological
effect of this physically debilitating and unpredictable disease is
explored. Guidance is offered on how the nurse should address the
individual needs of patients and the importance of regular monitoring
to ensure safety and efficacy of treatments. The need for effective
patient education is emphasised to ensure the person is better able to
manage disease progression and any treatment regimens. The nurse’s
role should be viewed in the context of the multidisciplinary team to
ensure all patient needs are met.
Author
Nicola Waldron
Clinical nurse specialist in rheumatology,
Royal National Hospital for Rheumatic Diseases, Bath.
Correspondence to: nicola.waldron@rnhrd.nhs.uk
Keywords
Drug treatment, inflammatory joint conditions, pain, patient education,
psoriasis, psoriatic arthritis
Review
All articles are subject to external double-blind peer review and
checked for plagiarism using automated software.
Online
Guidelines on writing for publication are available at
www.nursing-standard.co.uk. For related articles visit the archive
and search using the keywords above.
Care and support of patients
with psoriatic arthritis
Waldron N (2012) Care and support of patients with psoriatic arthritis.
Nursing Standard. 26, 52, 35-39. Date of acceptance: June 26 2012.
Psoriatic arthritis is a chronic
inflammatory arthropathy (disease of the joints)
associated with progressive joint destruction and
loss of function (Kyle et al 2005). In 1964, the
American Rheumatism Association classified
psoriatic arthritis as different to rheumatoid
arthritis (Blumberg et al 1964, Al Hammadi
2012). In the past, psoriatic arthritis was often
viewed by clinicians as milder and less destructive
than rheumatoid arthritis. However, although
peripheral joint involvement in psoriatic arthritis
may not be as extensive as that associated with
rheumatoid arthritis, the additional challenge of
skin psoriasis and enthesitis (inflammation at sites
where tendons and ligaments attach to bone) can
lead to a reduction in physical function and quality
of life comparable to the burden of rheumatoid
arthritis (Lee and Kyle 2011).
Psoriatic arthritis is an immune-mediated
inflammatory disease that can affect any joint
in the body as well as skin and related structures
such as tendons and ligaments (Gladman and
Chandran 2009). In most patients, psoriasis
will pre-date joint involvement (Al Hammadi
2012). Development of psoriatic arthritis is
equally distributed between men and women and
commonly develops between the ages of 35 and 55
(Al Hammadi 2012).
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