Community nurses are frequently involved in the care of patients after they are discharged from hospital, including many who have undergone stoma-forming surgery. There is evidence that it takes some time to adjust to life with a stoma, with much of this adjustment occurring in the first three months following surgery. During this period, nurses can use their skills to resolve any
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problems that might occur, helping patients to adapt and improve their quality of life. If community nurses cannot resolve any issues patients may have with their stomas, referral to a specialist such as the local stoma specialist nurse, might be necessary.
Psoriasis can be a long-term condition, which is a significant problem for approximately 2% of the UK population. Recent NICE guidance on the treatment of psoriasis provides much-needed advice and reminds clinicians of the importance of assessment (both physical and psychological) and of talking to patients about side-effects and mode of action. Primary care nurses are in a great position to work with patients to ensure that they have the optimum treatment regimen, and that they have realistic expectations as to how it will work. An optimum regimen should always include an emollient, a topical product to treat plaques on the body along with topical products for scalp, face and flexures as necessary.
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