Nursing care plan for alopecia

Nursing care plan for alopecia


Alopecia is a condition characterized by the loss of hair from the scalp or body. The cause of alopecia is not completely understood, but it can be caused by physical or psychological stress, as well as certain medications and genetic factors. A nursing care plan for alopecia is created to provide evidence-based nursing care that is individualized to the patient’s needs. It includes assessment, nursing diagnoses, desired outcomes, interventions and rationales.


History: A complete health andMedication history should be taken to determine the possible cause of alopecia. It is important to assess the affected area of hair loss, the degree of loss, and when the hair loss began. It is also important to assess any family history of hair loss.

Physical Exam: The physical exam includes a full skin exam with a special focus on the scalp. Presence of folliculitis, which are small red bumps on the scalp, and erythema, which exhibits redness of the scalp, can indicate an inflammatory skin disorder. The size and shape of the bald spots should also be noted.

Nursing Diagnosis

The nursing diagnosis for alopecia will vary depending on the cause and severity of the hair loss. Possible nursing diagnoses include:

  • Risk for altered body image: This diagnosis is typically related to psychological distress associated with significant hair loss.
  • Impaired skin integrity: This diagnosis can be used if the hair loss is related to an inflammatory skin disorder or infection.


The goal for patients with alopecia is to prevent further hair loss and restore healthy hair growth. Outcomes should be customized to the needs of each individual patient, but may include:

  1. Patient will verbally express improved body image.
  2. Patient will demonstrate healthy skin integrity.
  3. Patient’s hair will grow back in the affected area.


Treatment interventions depend on the underlying cause and severity of the condition. Interventions may include:

  • Nutrition therapy: diet changes may help encourage healthy hair growth.
  • Provide emotional support: Providing emotional support to the patient can help boost their self-esteem and body image.
  • Prescribe medications: Medications such as corticosteroids and anti-inflammatory drugs may be prescribed to reduce inflammation and promote hair growth.


Nursing interventions should always be based on evidence-based practice and the underlying cause of the patient’s condition. Evidence-based rationales for the interventions listed above include:

  • Nutrition therapy: Diet changes can provide necessary vitamins and minerals for healthy hair growth, as well as reduce inflammation.
  • Provide emotional support: Emotional support can help the patient cope with the psychological effects of hair loss.
  • Prescribe medications: Medications can help reduce inflammation and stimulate hair growth.


Patient outcomes should be evaluated on a regular basis in order to ensure that the patient’s condition is improving. Evaluation techniques may include:

  1. Measuring hair growth: The size of the bald spot should be measured at regular intervals to track progress.
  2. Photographs: Photographs of the patient’s scalp before, during and after treatment can reveal hair regrowth.
  3. Psychosocial assessment: The patient’s emotional well-being should be assessed regularly to note improvements in body image and self-esteem.


A nursing care plan for alopecia is an important part of providing evidence-based, individualized care for each patient. Careful assessment and implementation of interventions based on the underlying cause is important for restoring healthy hair growth and improving patient’s body image.


  • What is alopecia? Alopecia is a condition characterized by the loss of hair from the scalp or body.
  • What causes alopecia? Causes of alopecia can be physical or psychological stress, medications and genetics.
  • How is alopecia treated? Treatment depends on the underlying cause, but can include nutrition therapy, emotional support and medication.
  • How is alopecia evaluated? Evaluation techniques may include measuring hair growth, taking photographs and psychosocial assessments.
  • How can alopecia be prevented? Prevention of alopecia will depend on the underlying cause, but reducing stress, eating nutritious food and avoiding certain medications can help reduce the risk.

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