Introduction to Medical-Surgical Nursing, 6th ed.
52
Lesson Plans for
Skin Disorders
CHAPTER LESSON PLANS & OBJECTIVES
Lesson 52.1:
2. Define terms used to describe the skin and skin lesions.
4. Explain the tests and procedures used to diagnose skin disorders.
5. Explain the nurse’s responsibilities regarding the tests and procedures for diagnosing skin disorders.
Lesson 52.2:
6. Explain the therapeutic benefits and nursing considerations for patients who receive dressings, soaks
and wet wraps, phototherapy, and drug therapy for skin problems.
8. Assist in developing a nursing care plan for the patient with a skin disorder.
CHAPTER TEACHING FOCUS
• In this chapter, the student will have the opportunity to learn about the structure and function of the skin
and the nature and treatment of disorders of the skin.
• The chapter includes nursing assessment of the skin and information on the tests and diagnostic
CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. R. (2013).
Concepts for nursing practice. St. Louis: Elsevier. The specific exemplars chosen and listed below for
each concept have been tailored specifically to correspond to the Linton textbook.
THEME: Protection and Movement
• Concept: Infection
• Table 52-5: Additional Skin Infections, p. 1203
• Concept: Tissue Integrity
• Exemplar: Burns, p. 1206
• Figure 52-14: Rule of Nines, p. 1207
2 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
CHAPTER PRETEST
Have the students answer these questions prior to covering this chapter to understand where they stand
in relation to the content.
1) A 78-year-old retired housewife has large, purplish bruises on her forearms and lower legs that
increase whenever she slightly bumps herself. These are called __________.
a) senile purpura
b) lentigines
c) keratoses
d) acrochordons
2) Three types of skin biopsies that are performed are __________.
a) scale, straight, and slide
b) scrape, peel, and clip
c) shave, punch, and excise
d) freeze, patch, and smear
3) A patient suddenly develops severe pruritus. A possible cause of this could be __________.
a) the soap he uses at home, which his wife brought in yesterday
b) his new roommate, who is receiving oxygen
c) the initial dose of ciprofloxacin (Cipro) that he received this morning
d) the coffee he had with breakfast
4) The physician has ordered hydrocortisone cream to be applied to a patient’s abdominal rash. The
nurse would instruct the patient to __________.
a) use the cream until the tube is empty
b) cover the area with an occlusive dressing after applying the cream
c) use a dabbing, instead of a rubbing, motion when applying
d) apply only a small amount of cream to the affected area
5) People who have dandruff have __________.
a) psoriasis
b) seborrheic dermatitis
c) erysipelas
d) poor hygiene
6) Which of the following people is most likely to develop candidiasis?
a) A pregnant sales clerk with diabetes mellitus
b) A cosmetologist who wears cotton underwear
c) A professional golfer who travels the circuit
d) An overweight dog groomer
7) Cold sores or fever blisters are caused by __________.
a) herpes zoster virus
b) herpes simplex virus type 2
c) chickenpox
d) herpes simplex virus type 1
8) Which of the following topical agents is used to treat fungal infections?
a) Polysporin
b) Terbinafine (Lamisil)
c) Adapalene (Differin)
d) Methoxsalen (Oxsoralen)
9) Full-thickness burns __________.
a) include fat, muscle, and bone
b) are edematous and weepy
c) are extremely painful
d) are pink and blistered
10) An example of aesthetic surgery would be a __________.
a) radical mastectomy
b) below-the-knee amputation
c) blepharoplasty
d) gastric bypass
_________________________________________________________________ Chapter 52Skin Disorders 3
Introduction to Medical-Surgical Nursing, 6th ed.
Chapter Pretest Answers
CHAPTER BACKGROUND ASSESSMENT
Discuss these questions with your students prior to covering this chapter to understand where they stand
in relation to the content.
Question: What are three different types of dermatitis? Briefly describe each type. What is the treatment
for each?
Answer: Eczema is an atopic dermatitis characterized by superficial inflammation of the skin, redness,
edema, vesicles, oozing, crusting, scaling, and itching. Treatment includes topical and systemic
Question: What are the signs and symptoms of the four classifications of burns? Identify the layer of skin
affected by each.
4 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
Instructor Preparation
Textbook Objectives Covered
1. Describe the structure and functions of the skin.
3. List the components of the nursing assessment of the skin.
5. Explain the nurse’s responsibilities regarding the tests and procedures for diagnosing skin
disorders.
Lesson Preparation Checklist
• Prepare lecture from TEACH lecture slides available on Evolve.
• Student performance evaluation of all entry-level skills required for student comprehension of
principles underlying disorders of the skin, including:
• The diagnostic tools and assessments used for these disorders
• The common types of medical treatment and therapeutic measures used with skin disorders
• The nursing care required for a patient with a skin disorder
• Assemble materials and supplies needed for each lesson as indicated below.
Materials and Supplies
• computer and PowerPoint
projector
• token prize for online quiz
Key Terms
• acne (p. 1199)
• acrochordon (p. 1184)
• nevus (pl. nevi) (p. 1186)
• pemphigus (p. 1203)
Assignments 2 hours
1
READ – Textbook (pp. 1183-1185)
REVIEW
• Figure 52-1: Anatomy of the skin (p. 1184)
ANSWER – Text
• Review Questions for the NCLEX Examination: 1 (p. 1218)
ANSWER – Study Guide
• Part IH: 1-2 (p. 356)
_________________________________________________________________ Chapter 52Skin Disorders 5
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
2
READ – Textbook (pp. 1184-1187)
REVIEW
• Table 52-1: Variation in Skin Color (p. 1186)
• Figure 52-2: Common skin changes in the older adult (p. 1185)
ANSWER – Text
• Review Questions for the NCLEX Examination: 2 (p. 1218)
ANSWER – Study Guide
• Part ID: 1-20 (pp. 354-355)
• Part II I: 1 (p. 356)
3
READ – Textbook (pp. 1185-1188)
REVIEW
• Box 52-1: Assessment of the Patient with a Skin Disorder (p. 1188)
ANSWER – Study Guide
• Part II I: 2, 3, 5 (pp. 356-357)
4
READ – Textbook (pp. 1188-1189)
REVIEW
• Figure 52-5: Types of biopsy procedures (p. 1189)
ANSWER – Study Guide
• Part IA: 1-15 (pp. 351-352)
• Part II I: 4 (p. 357)
5
READ – Textbook (pp. 1188-1189)
REVIEW
• Table 52-3: Diagnostic Tests and Procedures: Skin Disorders (p. 1189)
ANSWER – Study Guide
• Part IIIK: 6 (p. 361)
6 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
50-Minute Lesson Plan
Lecture Outline 20 minutes
Slide 1
Chapter 52
Skin Disorders
1
Slide 2
Definition
• The skin is an organ that covers the body surface
• Two distinct layers
Epidermis
• Outermost layer that covers the dermis
Slide 4
Dermis
• Strong connective tissue that contains nerve endings, sweat glands, hair roots
• Well supplied with blood vessels, causing the skin to redden when surface vessels are
dilated
• Subcutaneous tissue lies beneath the dermis
Appendages
• Hair, nails, and sebaceous glands
• Hair root located in tube in dermis called a hair follicle
_________________________________________________________________ Chapter 52Skin Disorders 7
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
Slide 6
Functions
• Protection
• Temperature regulation
• Secretions
• Sensation
• Synthesis of vitamin D
• Blood reservoir
TALKING POINTS:
• The skin performs its protective function by shielding underlying tissues from trauma and
pathogens and by preventing excess loss of fluids from those tissues.
2
Slide 7
Age-Related Changes
• Wrinkling a result of thinning skin layers and degeneration of elastin fibers
• Sweat glands decrease, although production changes little until advanced age
• Production of sebum decreases, becoming apparent earlier in women than in men
• Dryness and pruritus are common
• Skin pales because the number of cells that produce melanin decreases
TALKING POINTS:
• Changes in the skin are probably the most readily recognized of all signs of physical
aging.
• What occurs with the skin elasticity and strength?
Slide 8
Age-Related Changes (cont.)
• Skin lesions are more common
• Lentigines
• Senile purpura
• Senile angiomas
• Seborrheic keratoses
• Acrochordons
TALKING POINTS:
• The risk of premalignant and malignant skin lesions also increases with age.
Age-Related Changes (cont.)
• Scalp hair thins in women as well but usually less obvious
8 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
2
&
3
Slide 10
Health History
• Chief complaint and history of present illness
• Discomfort, pruritus, color changes, lesions, hair loss, or abnormal hair growth
• Onset of condition/precipitating or alleviating factors
• Medical history
• Previously diagnosed skin diseases or problems, current and recent medications, and
allergies
• Diabetes mellitus, cancer, kidney failure, thyroid disease, liver disease, and anemia
TALKING POINTS:
• What information about the lesions may be helpful in the diagnostic process?
Slide 11
Health History (cont.)
• Review of systems
• Change in skin color or pigmentation, change in a mole, sores slow to heal, itching,
dryness or scaliness, excessive bruising, rashes, lesions, hair loss, unusual hair
TALKING POINTS:
• Conditions of what systems may cause signs and symptoms of skin disorders?
Slide 12
Physical Assessment
• Skin color and variations in pigmentation
• Document dilated blood vessels and angiomas
• Nevi (moles) inspected for irregularities in shape, pigmentation, and ulcerations or
changes in surrounding skin
• If a rash, location, distribution, and characteristics. If any drainage, the color, amount, and
odor are noted
TALKING POINTS:
• Nevi also are palpated for tenderness and measured in centimeters.
• What are some terms used to describe skin lesions?
3
Slide 13
Physical Assessment (cont.)
• Palpate skin for temperature, moisture, texture, thickness, edema, mobility, and turgor
• Hair color, distribution, oiliness, and texture. The scalp is inspected for scaliness,
infestations, and lesions
TALKING POINTS:
• Some skin changes are less apparent in dark-skinned people than in light-skinned people.
• What color may be seen with cyanosis in a dark-skinned person?
• The angle of the nail base reveals clubbing of the nails.
_________________________________________________________________ Chapter 52Skin Disorders 9
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
4
&
Diagnostic Tests and Procedures
• Microscopic examination of skin specimens
• Potassium hydroxide (KOH) examination
Slide 15
Diagnostic Tests and Procedures (cont.)
• Biopsy: removal of tissue for microscopic examination
• Shave biopsy: a specimen no deeper than the dermis obtained with scalpel; bleeding
minimal, controlled with pressure, cautery or chemicals
Slide 16
Question 1
• Which of the following is not a function of the skin?
A. Synthesis of vitamin D
B. Secretion of hormones
C. Blood reservoir
D. Body temperature regulation
TALKING POINTS:
Slide 17
Question 2
• “Pigmented spots on sun-exposed areas, commonly called liver spots, although they have
nothing to do with the liver” is a description of which of the following?
A. Acrochordons
B. Lentigines
C. Seborrheic keratoses
D. Senile angiomas
TALKING POINTS:
10 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
Activities
Classroom Choose from below to make 30 minutes
Online
1
ASSESS BASELINE
• Have the class complete the Pretest. Collect
their work and use the results to guide how
you teach the class.
DISCUSS
• Discuss the basic structures of the skin and
their functions in providing protection for the
body’s organs.
PRACTICE
• Provide students with an unlabeled diagram
of the skin. Then call out the following terms
and ask the students to label the diagram
ASSESS BASELINE
• Post the Pretest and the Background
Assessment online and have your class
complete them. Use the results to guide how
you teach the class.
POST AND COMMENT
• Post the following discussion topic online
and have students comment. Post an
unlabeled diagram of the skin. Ask students
to label various structures in a timed quiz.
The student who names the most structures
correctly in the shortest amount of time wins
a token prize or extra credit.
2
DISCUSS
• Discuss age-related changes in the skin and
the related susceptibility to skin disorders.
• Discuss the major types of skin lesions
detailed in Figure 52-3 (p. 1187).
PRACTICE
• Call out the following descriptions and have
the class respond with the term used for the
skin color: white, ashen, or pale (pallor);
bright red (erythema); bluish (cyanosis);
POST AND COMMENT
• Post the following discussion topic online
and have students comment. Discuss the
age-related changes in the skin. Which
changes concern you most? Which changes
will be most visible to others? Which
changes make the older adult more
susceptible to cancer? To infections?
• Post the following discussion topic online
and have students comment. Ask students
to conduct an online image search and find
_________________________________________________________________ Chapter 52Skin Disorders 11
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
3
DISCUSS
• Discuss the importance of conducting a
thorough and complete assessment of the
skin.
• Discuss the steps required to complete a
skin assessment and the purpose of each
step included.
• Have student pairs take turns role-playing a
nurse-patient interaction in which the nurse
collects data from a patient with a common
POST AND COMMENT
• Post the following discussion topic online
and have students comment. Prepare and
post a video of a nonverbal patient who
presents with a rash and itching. The nurse
should conduct a data collection for this
patient, who does not have a caregiver
present. Ask students to provide
constructive comments on each other’s
videos.
4
DISCUSS
• Discuss the different tests available to
diagnose disorders of the skin. Review the
situations in which each might be used and
the different types of information provided.
• Discuss the types of biopsy procedures that
may be performed, using Figure 52-5
(p. 1189) as a guide.
PRACTICE
• As a class, discuss the various tests used to
POST AND COMMENT
• Post the following discussion topic online
and have students comment. Discuss
different types of biopsies used to diagnose
skin lesions. What type of nursing care will
be required for each type of biopsy? Ask
students to provide constructive comments
on each other’s posts.
5
DISCUSS
• Discuss the role of the nurse in the
diagnosis and treatment of disorders of the
skin, with emphasis on the gathering of data
required to form a medical diagnosis.
PRACTICE
• As a class, discuss the responsibilities of a
nurse who is assisting a provider as he or
she performs a surgical excision of a deep
POST AND COMMENT
• Post the following discussion topic online
and have students comment. Ask students
to conduct an online image or video search
for various different types of biopsies. Ask
students to post their findings, along with
comments on the type of nursing care that
type of biopsy will require.
12 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.1
Critical Thinking Question
A nurse screens three senior citizens for skin cancer. A 70–year-old man has three small,
soft, raised, flesh-colored lesions in his axilla; a 70–year–old woman has a large, waxy, dark–
brown, crusty raised lesion on her right temple; a 68-year-old woman, an avid swimmer, has
multiple pigmented spots on her forearms, upper back, and face. What skin problem does
each of these seniors most likely have? What instructions should the nurse give?
Discussion Guidelines: The 70-year-old man most likely has acrochordons, or skin tags, which
are noncancerous and usually asymptomatic. The nurse should explain that if the patient desires,
Instructor Notes/Student Feedback
_________________________________________________________________ Chapter 52Skin Disorders 13
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.2
Instructor Preparation
Textbook Objectives Covered
6. Explain the therapeutic benefits and nursing considerations for patients who receive dressings,
soaks and wet wraps, phototherapy, and drug therapy for skin problems.
8. Assist in developing a nursing care plan for the patient with a skin disorder.
Lesson Preparation Checklist
• Prepare lecture from Tw available on Evolve.
• Student performance evaluation of all entry-level skills required for student comprehension of
principles underlying disorders of the skin, including:
• The diagnostic tools and assessments used for these disorders
• The common types of medical treatment and therapeutic measures used with skin disorders
• The nursing care required for a patient with a skin disorder
• Assemble materials and supplies needed for each lesson as indicated below.
Materials and Supplies
• computer and PowerPoint
projector
Key Terms
• acne (p. 1199)
• acrochordon (p. 1184)
• angioma (p. 1184)
• débridement (p. 1210)
• dermatitis (p. 1194)
• nevus (pl. nevi) (p. 1186)
• pemphigus (p. 1203)
• pruritus (p. 1188)
• psoriasis (p. 1196)
Student Preparation
Assignments 2 hours
6
READ – Textbook (pp. 1188-1193)
REVIEW
• Table 52-4: Medications for Skin Disorders (pp. 1191-1193)
ANSWER – Text
• Review Questions for the NCLEX Examination: 3, 8 (p. 1218)
ANSWER – Study Guide
• Part IE: 4-8 (p. 355)
• Part II I: 24, 31 (p. 358)
• Part IIJ: 1-9 (p. 360)
14 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.2
7
READ – Textbook (pp. 1190-1217)
REVIEW
• Figure 52-6: Atopic dermatitis (p. 1194)
• Figure 52-7: Psoriasis (p. 1196)
• Figure 52-8: Candidiasis (p. 1198)
• Figure 52-9: Herpes simplex lesions (p. 1200)
• Figure 52-10: Herpes zoster lesions (p. 1202)
• Figure 52-11: Folliculitis (p. 1203)
• Table 52-5: Additional Skin Infections (p. 1203)
• Table 52-6: Infestations of the Skin (p. 1204)
• Figure 52-17: Burn depth (p. 1208)
• Figure 52-18: Antiscar pressure garment (p. 1211)
• Table 52-7: Complications of Common Plastic Surgery Procedures (p. 1215)
ANSWER – Text
• Review Questions for the NCLEX Examination: 4, 5, 6, 7, 9, 10 (p. 1215)
ANSWER – Study Guide
• Part IB: 1-8 (p. 353)
• Part IC: 1-10 (p. 353)
• Part IE: 1-8 (p. 355)
• Part IF: 1-6 (p. 355)
• Part IG: 1, 2 (p. 355)
• Part II I: 8, 9, 11-18, 20, 21, 23, 25-30, 32-37 (pp. 357-359)
• Part IIIK: 4 (p. 361)
• Part IIIL: 3, 4 (p. 361)
8
READ – Textbook (pp. 1190-1217)
REVIEW
• Nursing Care Plan 52-1: Patient with Psoriasis (p. 1197)
• Figure 52-19: Therapeutic Positioning (p. 1213)
ANSWER – Study Guide
• Part II I: 6, 7, 10, 22 (pp. 357-258)
• Part IIIK: 1-3, 5 (pp. 360-361)
• Part IIIL 1, 2, 5 (pp. 361-362)
_________________________________________________________________ Chapter 52Skin Disorders 15
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.2
Lecture Outline 20 minutes
6
Slide 18
Therapeutic Measures
• Dressings
• Protect wounds; retain surface moisture
• Types: wet, dry, absorptive, and occlusive
• Negative pressure wound therapy
• Reduce healing time of traumatic wounds, dehisced surgical wounds, pressure and
chronic ulcers
• Soaks and wet wraps
• Soothe, soften, and remove crusts, debris, and necrotic tissue
TALKING POINTS:
• Dry dressings protect wounds and absorb drainage.
Slide 19
Therapeutic Measures (cont.)
• Phototherapy
• Ultraviolet light in combination with photosensitive drugs promotes shedding of the
epidermis
• Drug therapy
• Topical drugs: keratolytics, antipruritics, emollients, lubricants, sunscreens, tars,
antiinfectives, glucocorticoids, antimetabolites, antihistamines, antiseborrheic agents,
and vitamin A derivatives
TALKING POINTS:
• What are the types of ultraviolet light?
• Phototherapy may be used in the treatment of psoriasis, vitiligo, and chronic eczema.
7
&
8
Slide 20
Pruritus
• Etiology and risk factors
• Triggered by touch, temperature changes, emotional stress, and chemical,
mechanical, and electrical stimuli
• Prominent symptom of psoriasis, dermatitis, eczema, insect bites
TALKING POINTS:
• What drugs may cause pruritus?
• Which systemic conditions can cause pruritus?
16 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.2
Slide 21
Pruritus (cont.)
• Medical treatment
• Stress management and avoidance of known irritants, sudden temperature changes,
and alcohol, tea, and coffee
• Lubricants in the bathwater and emollients applied after bathing also may help
• Medications include corticosteroids, antihistamines, and local anesthetics
• In some situations, antidepressant and antiserotonin drugs are prescribed
Slide 22
Pruritus (cont.)
• Assessment
• Collect data about symptoms that may help determine the cause
• The history of the current illness is important because pruritus may be just one
symptom of a condition that requires attention
Slide 23
Pruritus (cont.)
• Impaired skin integrity
• Ineffective self-health management
Slide 24
Pruritus (cont.)
• Interventions
• Lubricants/emollients; adding oils to bathwater (with safety precautions)
• Advise to avoid bathing in very hot water
• Administer medications or instruct patient in their use
• Inspect skin daily to determine effects of treatment
• Explain possible causes of pruritus and encourage the patient to avoid them
Atopic Dermatitis (Eczema)
• Pathophysiology
• Acute stage: red, oozing, crusty rash and intense pruritus
Slide 26
Atopic Dermatitis (Eczema) (cont.)
• Cause and risk factors
• Personal or family history of asthma, hay fever, eczema, or food allergies
• People with atopic dermatitis have an immune dysfunction, but it is not known
whether that dysfunction is a cause or an effect of the disorder
Atopic Dermatitis (Eczema) (cont.)
• Medical diagnosis
TALKING POINTS:
• If allergy is suspected as a cause of dermatitis, the provider may perform allergy tests to
identify allergens.
• Soaks, occlusive dressings, and emollients help to keep the skin moist.
• In severe cases that do not respond to topical agents, what medication may be ordered?
_________________________________________________________________ Chapter 52Skin Disorders 17
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.2
Slide 28
Atopic Dermatitis (Eczema) (cont.)
• Assessment
• Allergies, bathing practices, and current medications
• Interventions
• Impaired skin integrity
• Risk for infection
• Disturbed body image
Slide 29
Seborrheic Dermatitis
• Pathophysiology
• Chronic inflammatory disease of the skin
• Affects scalp, eyebrows, eyelids, lips, ears, sternal area, axillae, umbilicus, groin,
gluteal crease, and under the breasts
• Areas affected by this condition may have fine, powdery scales, thick crusts, or oily
patches
• Scales may be white, yellowish, or reddish
• Pruritus is common
TALKING POINTS:
• What is seborrheic dermatitis of the scalp called?
Slide 30
Seborrheic Dermatitis (cont.)
• Cause and risk factors
• The cause is unknown
• May be an inflammatory reaction to infection with the yeast Malassezia
Slide 31
Seborrheic Dermatitis (cont.)
• Medical diagnosis
• Health history and physical examination
• Medical treatment
Slide 32
Seborrheic Dermatitis (cont.)
• Assessment
• Inspect and describe the affected areas
• Interventions
• Ineffective self-health management
• Disturbed body image
18 Chapter 52Skin Disorders __________________________________________________________________
Introduction to Medical-Surgical Nursing, 6th ed.
LESSON 52.2
Slide 33
Psoriasis
• Pathophysiology
• Abnormal proliferation of skin cells
• Classic sign: bright red lesions that may be covered with silvery scales
• Cause and risk factors
• Caused by rapid proliferation of epidermal cells
• Usually chronic with cycles of exacerbations and remissions
TALKING POINTS:
• When is the onset of psoriasis common?
• Psoriasis may affect a limited body area or may be extensive.
Slide 34
Psoriasis (cont.)
• Medical diagnosis
• Health history and physical examination
• Medical treatment
• No cure; usually treated with topical medications: corticosteroids, tazarotene, Estar
(coal tar), and vitamin D derivatives
• Biologic agents: etanercept (Enbrel). Agents tend to decrease number of circulating T
cells
• Systemic corticosteroids may be used on short-term basis
• Methotrexate, oral retinoids contraindicated during pregnancy due to risk of fetal harm
TALKING POINTS:
• Topical salicylic acid may be used with the corticosteroids. Tazarotene (Tazorac) is a
topical retinoid that stays in the skin longer, leading to longer remissions.
• What is PUVA? UVB?
• Anthralin (Anthra-Derm) may be used to remove heavy scales.
Psoriasis (cont.)
• Assessment
• Describe symptoms and treatments