Dermatology Care Plan Template

Have a look through the template, the care plan can be adapted to suit your patient cohort.

Urticaria Activity Score (UAS7) Care Plan

Key objectives

To use PKB to facilitate remote communication and monitoring with patients.

Outcome measures

Equip every patient with a specific patient-reported measure. Patients to document 24-hour self-evaluation scores over 7 consecutive days to create the UAS7 within a shareable and editable digital care plan.

Current Baselines

All activity is face to face, patients are travelling large distances, and their follow-ups aren’t being efficiently, or effectively managed.

Workflow

Team: Adds care plan to the patient's record
Patient: Uses care plan to record daily symptoms for seven days
Team: Ability to view patients UAS7 score and review in appointments along with other data in the record

Urticaria Activity Score (UAS7) Care Plan Template

Example care plan template code for Urticaria Activity Score (UAS7) Care Plan HTML

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<h2>Using the UAS7 in routine clinical practice to assess disease activity in patients with CIU*</h2>

<p style="font-size: 50%;"><sup>*</sup>UAS7: weekly Urticaria Activity Score; CIU: chronic idiopathic urticaria <br />

<sup>†</sup>Chronic idiopathic urticaria is sometimes referred to as chronic spontaneous urticaria.</p>

<h3>UAS7: A tool to assess disease activity in patients with CIU</h3>

<p>Chronic idiopathic urticaria (CIU) is a skin disorder characterized by the spontaneous appearance of wheals and/or angioedema for at least 6 weeks.<sup>1</sup></p>

<p>The <b>Urticaria Activity Score (UAS)</b> is a CIU-specifi c patient-reported measure. It is based on the assessment of key CIU symptoms: <b>number of wheals</b> and <b>intensity of itch</b>.<sup>1</sup></p>

<p>Patients with CIU are advised to document 24-hour self-evaluation scores. Daily UAS scores are summed over 7 consecutive days to create the UAS7, with higher scores indicating greater disease severity.<sup>1</sup></p>

<p class="cp_whiteBox" style="background-color: #E1DEDC;">The UAS7 should be used in routine clinical practice to determine disease severity in patients with CIU. Comparing UAS7 scores at different visits enables to monitor disease activity over time.<sup>1</sup></p>

<p class="cp_whiteBox" style="color: #E40178; border: 2px solid #E40178;">Please remind patients to bring their completed questionnaires to their next visit.</p>

<h2>Weekly Urticaria</h2>

<h3>Activity Score (UAS7)</h3>

<p>Complete this questionnaire over 7 consecutive days. Your responses will help your doctor assess how active your chronic idiopathic urticaria (CIU) is. Please circle the score that corresponds to the number of wheals you have and the score that represents the intensity of your pruritus (itching) on a daily basis (see description in chart below). Remember to bring your completed questionnaire to your next visit.</p>

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<label for="cp_dailyWheals_1"><h3>Daily number of wheals</h3></label>

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