Managing itch: a biopsychosocial approach to care

Itch is most often associated with inflammatory and non- inflammatory skin conditions, but can also manifest in other non-dermatological illnesses such as haematological conditions, malignant disease, endocrine disorders, hepatic and renal disease, human immunodeficiency virus (HIV), pregnancy, and psychiatric conditions (Karim, 2011). Managing chronic itch remains a major nursing challenge, despite advances in medical science and nursing practice. This article provides an overview of itch from a biopsychosocial perspective (where biological, psychological and social factors all play a significant role in disease), as well as encouraging an holistic approach to care.