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Psoriasis Inflammatory Disease

Question:

Write an essay on  Psoriasis.

Answer:

Psoriasis is a chronic inflammatory disease that leads to the hyper proliferation of keratinocytes in the epidermis. It is characterized by the increase in cell turnover rate. It occurs due to environmental, genetic and immunological factors. The manifestation of the disease is mainly on the skin of elbows, knees, scalp, etc. The treatment of the disease is dependent on surface area of involvement, area affected, thickness of plaques and presence of arthritis. There are various types of psoriasis. The psoriasis diseases affect the mostly large number of population in western countries. Psoriasis therapy gives relieve from skin clearance but still permanent cure is not achieved. Mild psoriasis is treated by topical therapy while severe psoriasis treatment is dependent on phototherapy along with systemic therapy. The focus of this essay is mainly to prepare an academic paper that a situation where different evidence was used to the process of treatment of psoriasis. It will critically analyze the issues involved in a treatment process. It describes the reasons for the change and the type of evidence applied for the change. It will discuss the solutions offered and the rational for decision making. It will explain the overall outcome of the evidence-based action and their impact on professional practice and health service management.
 
This section is a critical analysis of the issues involved in the treatment of psoriasis. Patients suffering from psoriasis disease are not getting proper treatment. Despite advances in psoriasis care, effective long-term treatment of psoriasis remains a challenge for both physician and patients. Treatment for the different level of psoriasis often does not meet patient’s expectations. This may be due to adverse effects, lack of long-term relief or efficacy and inconvenient schedules and practice of psoriasis treatment. The biological agents only give hope to those patients who are experiencing little improvement after treatment and whose quality of life is affected by the disease. Finding a suitable medication that suits each patient needs is difficult. The patient may not be following treatment regimens for extended periods of time. But psoriasis requires long-term maintenance and strict adherence to treatment routine in both remission period and flare-up periods. But this concept is often not understood by patients. The problem also occurs because treatment goals differ in patients and doctors. Therefore, a problem arises as both person perspective of the treatment process is different (Armstrong et al., 2013).
 
The critical issue faced in the treatment is identified. According to a study on the disease, it was found that despite the availability of numerous treatment options, many patients are not getting optimal care and their quality of life is compromised. Therefore, the underlying aim of this study was to improve patient care and to give more stress on quality of life of patients after treatment and during treatment. The drugs and the therapeutic procedure were redeveloped according to guidelines of published clinical data. Improvement in individual patients depends on some factors like drug efficacy, patient-reported feedbacks like their preference, satisfaction and improvement in the quality of life for treatment, convenience, and safety of therapy process, etc. The efficacy of the treatment process relies on smart judgment like the decision to continue therapy in individual patients or modification of current regimen (Edson-Heredia, E. et al., 2014).

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