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Psoriasis guidelines: can they improve the delivery of better holistic care?

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The Scottish Intercollegiate Guidelines Network (SIGN) 121 and National Institute for Health and Care Excellence (NICE) 153 offer guidance on diagnosis and management of psoriasis. Key recommendations include performing Psoriasis Assessment Severity Index (PASI) and Dermatology Life Quality Index (DLQI) serially to assess the severity of disease, and that patients with severe psoriasis should have an annual health check. The authors conducted a clinical audit to assess the ease of implementation of these recommendations in a secondary care setting. This paper describes the audit cycle and outcomes. Data was collected over a four-month period from six general and nurse-led dermatology clinics. There were a total of 207 patients: PASI and DLQI were calculated in 93% of patients and an annual health check was performed on 94% of patients. During the audit period we felt we offered a more comprehensive assessment and holistic approach when managing patients; however, its execution was time-consuming for clinicians, as well as for assisting outpatient nursing staff. Although monitoring patients' progress with assessment tools and performing health checks is desirable, ongoing resource limitations make this difficult to achieve.
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Keywords: AUDIT; DIAGNOSIS; GUIDELINES; MANAGEMENT; PSORIASIS; SEVERITY

Document Type: Research Article

Publication date: September 1, 2015

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  • Dermatological Nursing is the quarterly, peer-reviewed journal of the British Dermatological Nursing Group (BDNG) and the UK's only quality dermatological nursing journal. It aims to provide cutting-edge articles on the treatment and management of dermatological conditions and the care of patients with skin problems. While the focus is on dermatological nursing, the information included is relevant to other healthcare professionals.
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