Care Plan Synthesis
Case Study -Psoriasis
A 54-Year-Old Man with Mild to Moderate Psoriasis
History and Presentation Adam is a 54-year-old man who presents for a routine checkup,
complaining about increasing flares of his psoriasis. He has a 15-year history of
mild/occasionally moderate psoriasis and applies topical cream inconsistently. You remind Adam
that psoriasis puts him at risk for comorbidities. You check his blood pressure (BP) and order
appropriate laboratory tests. Physical findings
• Height: 5 ft 8 in
• Weight: 192 lb
• Body mass index (BMI): 29.0 kg/m2
• BP (treated): 131/86 mm Hg Laboratory findings
• Glycated hemoglobin (A1C): 6.3%
• Fasting plasma glucose: 121 mg/dL
• Lipids (treated) (mg/dL): total cholesterol (TC) = 215; low-density lipoprotein cholesterol
(LDL-C) = 128; high-density lipoprotein cholesterol (HDL-C) = 52 On thorough visual examination, Adam’s body surface area (BSA) is >5%. It is evident that
Adam's psoriasis has not been well-controlled on his current topical therapy regimen.
As you take out your prescription pad, Adam mentions that he has been waking up most
mornings with wrist stiffness and swelling and pain in his ankles. He also complains of fatigue. To assess his complaints, you examine his wrists and ankles and order x-rays, suspecting that
Adam has Psoriatic arthritis (PsA).
You assess Adam's current and future clinical care, considering his increasing difficulties with
psoriasis. Questions 1. Design a comprehensive and holistic recognition and planning for the disorder. (10
points)
2. Address how the patient’s Sociocultural Background can potentially impact optimal
management and outcomes. (10 points)
3. Demonstrate an evidence-based approach to address key issues identified in the case
study (See above requirements for references). (10 points)
4. Formulate a comprehensive but tailored approach to disorder management. (10 points)

Attachments:

• 1505821370-Comprehensive care plan by it self.docx