ABSTRACT
Patients undergoing nail surgery frequently experience anxiety. Nail procedures generally are performed under local anesthesia; common concerns include the sight of blood, the procedure itself, procedural-associated disfigurement, and pain. Wearing a sleep mask diverts attention from the surgical field, thus reducing perioperative anxiety. Sleep masks are widely available and inexpensive.
Subject(s)
Anxiety , Masks , Anesthesia, Local , Anxiety/etiology , Anxiety/prevention & control , Anxiety Disorders , Humans , SleepABSTRACT
Psoriasis may affect the skin, scalp, joints, and nails and is common in older adults. Intramatrical injections with triamcinolone acetonide are safe and effective in older individuals. Conventional systemic medications are relatively effective, but side effects, including laboratory abnormalities and drug interactions, are particularly common among older adults. Biologic medications have shown excellent efficacy in treating nail psoriasis. Their safety profile is favorable, but data assessing long-term safety are lacking. Randomized controlled trials in older adults exclusively are necessary to develop evidence-based treatment guidelines in this population.