Managing Psoriasis Late in Life

This article provided by Comfort Keepers, an independent caregiving provider in the Masonic Value Network

An Unwelcome Change

There are certain changes to our skin that we come to expect as we age. Whether it’s looser skin, wrinkles, or spots, it’s often understood that these changes represent part our body’s natural aging process. Thick, scaly patches, on the other hand, are not as expected. And yet, psoriasis – a condition which causes the body to accelerate skin cell production resulting in scab-like plaques – is noted as the most prevalent autoimmune disease in the United States. Although it tends to develop in those between the ages of 15 and 35, psoriasis is a lifelong ailment, and it’s especially important that seniors with the condition properly manage it. Doing so will help lead to better overall physical health and greater quality of life.

What to Expect with Psoriasis

The scaly patches that begin to develop are only part of the equation when it comes to psoriasis. The condition can also increase the risk of lymphoma, non-melanoma skin cancer, low bone density, and even osteoporosis. What’s more, older adults with psoriasis may often develop psoriatic arthritis, which causes swollen fingers/toes, foot pain, and lower back pain. Because of the numerous risks associated with psoriasis, it’s vital for older adults to see a board-certified dermatologist to better understand the severity of the condition, recognize the triggers (e.g., stress, alcohol consumption, medications, and injury), and to determine the most appropriate treatment plan.

When considering treatment, it’s important to know that it’s not a one-size-fits-all approach. Guidelines from the National Psoriasis Foundation Medical Board recommend that older adults with mild psoriasis use only topical treatments, and for those with severe psoriasis, to receive phototherapy. The latter is often administered by dermatologists 2-3 times a week, using a booth that exposes the patient to either ultraviolet A or B light. Oral/injected medications are also an option, but they tend to have severe side effects, and are often prescribed only for short durations.

Older adults should include all of their doctors and medical care professionals in the conversation before any treatment plan is prescribed. Primary care physicians need to be informed of treatment to ensure that it doesn’t interfere with medications or increase the risk of other health problems.

Steps for Managing Psoriasis

In addition to prescribed treatment, older adults can take steps to manage psoriasis and ease its associated
symptoms.

• Check over-the-counter skin care products to ensure they aren’t alcohol-based. Alcohol can irritate the skin further, so choose products that include ceramides, lipids, and hyaluronic acid – natural moisturizers that the body produces less of with age.
• Use a humidifier in the home to help distribute moisture and prevent dry skin.
• Avoid using fragrances, as they can inflame psoriasis.
• With physician/dietician approval, follow a healthy diet that includes cold water fish, omega-3 fatty acids, and nuts. Also consider adding turmeric to your diet. This natural supplement’s anti-inflammatory properties are known to help reduce psoriasis flare ups.
• Avoid alcohol. Studies have shown that alcohol is a trigger for psoriasis, and frequent consumption can even increase the chances of developing the condition.
• Maintain a healthy weight through exercise and – as noted above – a healthy diet. Doing so will also help to reduce the risk of other psoriasis-related health problems, such as heart disease and diabetes. Remember to consult a physician before beginning any exercise regimen.
• Reduce stress whenever and however possible. Like alcohol, stress is a known psoriasis trigger – but unlike alcohol, stress can be harder to avoid in day-to-day life. To help keep it at bay, consider practicing yoga, meditation, or other activities that can bring a sense of peace.
• Maintain a strong support network. Late-onset psoriasis can lead to feelings of anxiety and depression, so whether it be friends, family, or an actual support group, having people to talk to about the condition can help improve emotional wellbeing.

Comfort Keepers® Can Help

Psoriasis can be very alarming, especially if it develops later in life, and managing it can be demanding on seniors and family caregivers. At Comfort Keepers®, we can help seniors and other adults with psoriasis maintain their health and wellbeing. Our caregivers can help prepare healthy meals, see that they’re taking medications, and assist with physical tasks that may be difficult because of the condition. Learn more about Comfort Keepers’ in-home care services by contacting your local office at (888) 778-9619.

Fast Fact

Genetics play a significant role in psoriasis development. A person is 50% more likely to get psoriasis if both parents have it.

References:
American Academy of Dermatology. “What is Psoriasis?” Web. 2018.
SkinCareGuide. “Psoriasis in the Elderly.” Web. 2018.
HealthCentral. “Common Questions about Late-Onset Psoriasis” by Sarah Markel. Web. 2018.
HealthLine. “Psoriasis by the Numbers: Facts, Statistics, and You” by Ann Pietrangelo & reviewed by Debra Sullivan, PhD, MSN, RN, CNE, COI. Web. 2018.
HealthLine. “10 Ways to Treat Psoriasis at Home” by Brian Krans and Cathie Ericson & medically reviewed by Debra Sullivan, PhD, MSN, RN, CNE, COI. Web. 2018.
WebMD. “Aging with Psoriasis” by Camille Noe Pagan. Web. 2018.