PSORIASIS IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Impaired Skin Integrity Related to psoriatic lesions causing inflammation, scaling, and itching Related to dry, cracked skin prone to infection or bleeding Related to triggers such as stress, environmental factors, or irritants exacerbating skin conditions Interventions The school nurse will educate the student and family on the importance of maintaining regular skincare routines, including moisturizing and applying topical treatments as prescribed. The school nurse will encourage the use of fragrance-free, hypoallergenic soaps and moisturizers to prevent irritation. The school nurse will collaborate with healthcare providers to ensure the student uses prescribed treatments, such as corticosteroids or vitamin D analogs, to manage flare-ups. The school nurse will teach the student to avoid scratching or picking at lesions to prevent infection and worsening of skin integrity. Expected Outcomes The student will demonstrate improved skin integrity with reduced redness, scaling, and inflammation. The student will adhere to a consistent skincare regimen and use prescribed treatments to manage symptoms. The student will experience fewer skin complications, such as infection or cracking, and report reduced discomfort. Nursing Diagnosis: Disturbed Body Image Related to visible psoriatic lesions on the skin, especially in exposed areas (face, arms, hands) Related to social stigma or self-consciousness about appearance Related to fear of peer judgment or rejection Interventions The school nurse will provide emotional support, allowing the student to express feelings about their appearance and concerns related to social interactions. The school nurse will educate the student and family about psoriasis as a chronic condition and how treatment can reduce the visibility of lesions over time. The school nurse will encourage participation in activities that focus on the student’s strengths and abilities rather than physical appearance. The school nurse will collaborate with school counselors to promote self-esteem and body acceptance, addressing any issues related to bullying or social isolation. Expected Outcomes The student will verbalize improved self-esteem and acceptance of their physical appearance. The student will participate in school and social activities with greater confidence and reduced concern about body image. The student will express understanding of how treatment can help reduce the visibility of psoriatic lesions and improve skin condition. Nursing Diagnosis: Chronic Pain Related to painful psoriatic plaques or lesions that may crack, bleed, or become infected Related to itching or burning sensations associated with flare-ups Related to joint pain or discomfort (in cases of psoriatic arthritis) Interventions The school nurse will administer prescribed pain-relief medications or topical treatments to reduce inflammation and discomfort. The school nurse will encourage the use of cold compresses or soothing baths (e.g., oatmeal baths) to alleviate itching and pain. The school nurse will educate the student on the importance of avoiding skin irritants, such as harsh soaps or rough fabrics, to prevent exacerbating symptoms. The school nurse will monitor the student’s pain levels regularly and adjust interventions as needed, collaborating with healthcare providers for additional treatments if necessary. Expected Outcomes The student will report reduced pain and discomfort from psoriatic lesions. The student will use pain management techniques effectively to relieve discomfort during flare-ups. The student will experience fewer flare-ups and less severe symptoms with proper treatment adherence. Nursing Diagnosis: Social Isolation Related to avoidance of social interactions due to fear of being judged for visible skin lesions Related to low self-esteem related to the appearance of psoriasis Related to fear of bullying, teasing, or being misunderstood by peers Interventions The school nurse will encourage participation in social activities, using supportive environments that promote inclusion and acceptance. The school nurse will educate peers and school staff about psoriasis to reduce misconceptions and promote understanding of the condition. The school nurse will foster the development of supportive friendships through peer mentoring or group activities that do not focus on appearance. The school nurse will work with school counselors to address any issues related to bullying or social withdrawal, ensuring the student has access to emotional support. Expected Outcomes The student will engage in social activities with peers, demonstrating greater confidence in social interactions. The student will verbalize reduced feelings of isolation and increased comfort in participating in group activities. The student will report fewer concerns about peer judgment and demonstrate positive social engagement. Nursing Diagnosis: Risk for Infection Related to open or cracked skin from psoriatic lesions Related to scratching of lesions, leading to skin breakdown and potential infection Related to compromised skin barrier due to psoriasis and frequent flare-ups Interventions The school nurse will teach the student and family proper skin care techniques to maintain skin integrity and prevent infection (e.g., moisturizing regularly, avoiding irritants). The school nurse will educate the student on the importance of avoiding scratching or picking at lesions to reduce the risk of infection. The school nurse will monitor for signs of infection, such as increased redness, swelling, warmth, or discharge from lesions, and report any concerns to a healthcare provider. The school nurse will collaborate with healthcare providers to ensure timely treatment of infections with appropriate antibiotics or other interventions. Expected Outcomes The student will maintain intact skin with no signs of infection. The student will demonstrate knowledge of infection prevention techniques, such as avoiding scratching and maintaining proper hygiene. The student will experience fewer infections and skin complications associated with psoriasis flare-ups. Nursing Diagnosis: Ineffective Coping Related to chronic nature of psoriasis and frequent flare-ups causing emotional distress Related to feelings of frustration, embarrassment, or hopelessness related to the unpredictable nature of the disease Related to difficulty managing stress, which can exacerbate psoriasis symptoms Interventions The school nurse will provide emotional support and encourage open communication about the challenges of living with a chronic condition like psoriasis. The school nurse will teach stress management techniques, such as deep breathing, meditation, or journaling, to help the student cope with flare-ups and daily stressors. The school nurse will collaborate with school counselors to provide ongoing mental health support, particularly if the student shows signs of depression or anxiety. The school nurse will help the student set realistic goals for managing psoriasis, focusing on what they can control (e.g., treatment adherence, stress management). Expected Outcomes The student will demonstrate effective coping strategies to manage stress and emotional challenges related to psoriasis. The student will report reduced emotional distress and greater ability to manage flare-ups. The student will participate in regular counseling or mental health support as needed to promote emotional resilience. Nursing Diagnosis: Knowledge Deficit Related to lack of knowledge about psoriasis triggers and flare-up management Related to inconsistent adherence to treatment regimens due to misunderstanding or lack of awareness Related to limited understanding of lifestyle modifications that can reduce symptoms Interventions The school nurse will educate the student and family about psoriasis, including common triggers (e.g., stress, infections, weather changes) and how to manage flare-ups. The school nurse will provide clear instructions on how to use topical treatments, medications, and moisturizers correctly. The school nurse will encourage regular follow-up appointments with dermatologists to monitor skin condition and adjust treatments as needed. The school nurse will teach the student lifestyle modifications that can help manage psoriasis, such as reducing stress, avoiding skin irritants, and maintaining proper skin care routines. Expected Outcomes The student will demonstrate understanding of psoriasis triggers and effective ways to manage flare-ups. The student will adhere to prescribed treatments consistently to prevent or minimize flare-ups. The student and family will report feeling more confident in managing the student’s condition and reducing symptoms. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. Return Clicking this button will return you to the IHP to make changes.