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Clinicians lack training to prescribe lifestyle change to psoriasis patients.

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Clinicians lack training to prescribe lifestyle change to psoriasis patients.
Fred Offline
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#1
News  Tue-21-10-2014, 21:57 PM
Here's an interesting study that suggest that the people treating psoriasis patients may not have the right training to suggest lifestyle behaviour change. I say interesting because my dermatologist has often suggested to me that exercise and alcohol have a large part to play in psoriasis, I've never disbelieved her but there is no way she is going to be able to push me hard enough to make the changes needed.

Also in her defence, this study is suggesting that my dermatologist needs better training in lifestyle behaviour. I think she has enough training to understand her job, and her job is not to instruct patients on how to live their life. Advise yes but a dermatologist will never be able to convince me that going without alcohol and doing more exercise will benefit me, I'm stubborn and it's just not her job, she has enough on her workload without trying to convince me to stop drinking or do more exercise.

One wouldn't ask an electrician to fix the plumbing in their house, so why put more pressure on a dermatologist to discuss lifestyle changes with a patient.

I would be interested to what others think after reading the study.

Quote:
Background:
Psoriasis is associated with significant comorbidity. Excess alcohol use, smoking and higher body mass index are all associated with psoriasis and may contribute to its onset and/or exacerbation. Lifestyle behaviour change (LBC) can be beneficial in the prevention of psoriasis and/or reduction of its severity. LBC techniques are effective when used properly by healthcare professionals.

Objectives:
It is unknown whether clinicians managing patients with psoriasis are familiar with LBC techniques or are confident to deliver LBC support in routine consultations. This study aimed to elicit the views and attitudes of healthcare professionals in primary and secondary care about addressing LBC for patients with psoriasis.

Methods:
We carried out in-depth semistructured interviews with 23 dermatology specialist and general practitioners in English primary and secondary care settings stratified by discipline. Data were analysed using constant comparison and principles of Framework Analysis.

Results:
Clinicians recognized that lifestyle behaviours were important in psoriasis management, but believed it was not their role to facilitate LBC. Limited knowledge and skills to implement LBC principles and techniques underpinned their beliefs. Participants identified a need for training to enable the incorporation of LBC support activity into psoriasis services.

Conclusions:
Clinicians are not yet trained to support patients with psoriasis with effective LBC methods. Training in these methods is needed to enable healthcare professionals to assess and manage psoriasis better.

Source: NO LINKS ALLOWED



Usually I don't put my personal comments on these news reports until someone else has posted, but in this case I'm commenting with the post as my dermatologist works very hard. And I'm with the results "It's not their role" and to suggest they should have better training is rubbish.
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Caroline Offline
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#2
Wed-22-10-2014, 18:16 PM
Exercise !!!!!
Fred! Don't you want to do some exercise together with me ?!? 85

I have good experience with doing exercise. But.. I do not have the idea that it somehow helps with my PsA. It is more a belief that it helps and on the other side I think that I feel myself a lot better after having done some exercise.
On the alcohol I am as stubborn as you Fred, I think a glass of wine adds so much to living comfortably that I will not change that.
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mataribot Offline
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#3
Wed-22-10-2014, 19:26 PM (This post was last modified: Wed-22-10-2014, 19:26 PM by mataribot.)
The lifestyle changes needed to be made to make any meaningful changes to my condition is not realistic. Diet and exercise not enough for me (tried it before). When someone pushes lifestyle changes, they are simply wasting my time.
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Fred Offline Author
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#4
Wed-22-10-2014, 19:30 PM
(Wed-22-10-2014, 18:16 PM)Caroline Wrote: Exercise !!!!!
Fred! Don't you want to do some exercise together with me ?!? 85

OK Tiddlywinks, Conkers, or how about a nice quiet game of Cribbage?


(Wed-22-10-2014, 18:16 PM)Caroline Wrote: On the alcohol I am as stubborn as you Fred, I think a glass of wine adds so much to living comfortably that I will not change that.

Should I add that to our very unusual list of agreements? 15
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Fred Offline Author
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#5
Wed-22-10-2014, 19:37 PM
(Wed-22-10-2014, 19:26 PM)mataribot Wrote: When someone pushes lifestyle changes, they are simply wasting my time.

Five Yep life is to short.
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jiml Offline
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#6
Wed-22-10-2014, 19:40 PM
(Wed-22-10-2014, 19:37 PM)Fred Wrote:
(Wed-22-10-2014, 19:26 PM)mataribot Wrote: When someone pushes lifestyle changes, they are simply wasting my time.

Five Yep life is to short.

Got to agree ............. Me as someone with no will power the idea of lifestyle changes will just make me miserable and that's not good for psoriasis Confused
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Fred Offline Author
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#7
Wed-22-10-2014, 20:01 PM
(Wed-22-10-2014, 19:40 PM)jiml Wrote:
(Wed-22-10-2014, 19:37 PM)Fred Wrote:
(Wed-22-10-2014, 19:26 PM)mataribot Wrote: When someone pushes lifestyle changes, they are simply wasting my time.

Five Yep life is to short.

Got to agree ............. Me as someone with no will power the idea of lifestyle changes will just make me miserable and that's not good for psoriasis Confused

Nope it's not good being miserable, and we get one shot at life. What we choose to do with that one shot is our choice, ok we may cock it up occasionally but at least it was Our life we lived and not one of someone behind a desk telling us what's good and what isn't.
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jiml Offline
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#8
Wed-22-10-2014, 20:24 PM
(Wed-22-10-2014, 20:01 PM)Fred Wrote:
(Wed-22-10-2014, 19:40 PM)jiml Wrote:
(Wed-22-10-2014, 19:37 PM)Fred Wrote:
(Wed-22-10-2014, 19:26 PM)mataribot Wrote: When someone pushes lifestyle changes, they are simply wasting my time.

Five Yep life is to short.

Got to agree ............. Me as someone with no will power the idea of lifestyle changes will just make me miserable and that's not good for psoriasis Confused

Nope it's not good being miserable, and we get one shot at life. What we choose to do with that one shot is our choice, ok we may cock it up occasionally but at least it was Our life we lived and not one of someone behind a desk telling us what's good and what isn't.
We all know what we should do and I don't think its my dermatologists place to push lifestyle changes. It's bad enough having psoriasis without being preached to.
In these days of instant news and Internet its easy for anyone to find a diet and fitness regime if they wanted.... I'm happy with my lot,
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