Journal of the Dermatology Nurses' Association

April 2009, Volume 1 Number 2 , p 141 - 142 [FREE]


  • Cathy Fairlie RN
  • Sandra Walsh RN, BN, DNC


 function set_JnlFullText_Print() { metaTag = document.createElement('meta'); metaTag.setAttribute('name','OvidPageId'); metaTag.setAttribute('content','JnlFullText_Print'); head = document.getElementsByTagName('head')[0]; head.appendChild(metaTag); return; } if (window.addEventListener) { // DOM Level 2 Event Module (NS 6+) // Firefox throws an uncaught exception error executing this // code, even though it seems to work. Adding a do nothing // try/catch clause around it for now, since the exection itself // appears to be innocuous try { window.addEventListener('onload',set_JnlFullText_Print(),false); } catch(e) {} } else if (window.attachEvent) { // IE 5+ Event Model window.attachEvent('onload',set_JnlFullText_Print); } // For anything else, just don't add the event Print Close Journal of the Dermatology Nurses' Association Enhancing Self-management of Chronic Disease: A Nursing Approach DOI: 10.1097/01.JDN.0000350418.83712.5d ISSN: 1945-760X Accession: 01412499-200903000-00018 Author(s): ...



The overwhelming challenge for patients with chronic disease is how to continue with treatment over the course of their lifetime. In response to the unique needs of the patient with chronic skin diseases, the Phototherapy Education and Research Centre (PERC) has developed a nurse-driven model of care. Access, education and support are the foundations of this model, resulting in improved patient satisfaction and medical outcomes.



PERC's nurse-driven model of care consists of three components:


1. Access to care


2. Patient education and empowerment


3. Patient-Nurse relationship




* Distance is not a barrier limiting access to PERC services


* Specialized patient education resulting in successful long-term management of psoriasis


* 97% patient satisfaction with overall care


* 33,000 patient visits per year managed by 4.6 FTE RNs, 1 secretary and 10 physician clinic hours




The nurse-driven model of care is an efficient means of providing treatment, education and support to patients with chronic skin diseases.



Nurses have the ability to take a leadership role in enhancing patient self-management of chronic diseases.



Ahluwalia, R. (2006). Psoriasis, self-esteem & social support. Dermanities, 2(4).


Hinek, A. (2005). Patient accessibility: Transportation study. Toronto, Ontario, Canada: Peter Boyd Academy, University of Toronto.


Skarpathiotakis, M., Fairlie, C., & Ryan, S. (2006). Specialized education for patients with psoriasis: a patient survey on its value and effectiveness. Dermatology Nursing, 18(4), 358-361.


Winkleman, W., & Halifax, N. (2007). Power is only skin deep: An institutional ethnography of nurse-driven outpatient psoriasis treatment in the era of clinic Web sites. Journal of Medical Systems, 31(2), 131-139.