Nursing Assessment for Osteoarthritis
Osteoarthritis (OA) also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. Symptoms may include joint pain, tenderness, stiffness, locking, and sometimes an effusion. A variety of causes—hereditary, developmental, metabolic, and mechanical—may initiate processes leading to loss of cartilage. When bone surfaces become less well protected by cartilage, bone may be exposed and damaged. As a result of decreased movement secondary to pain, regional muscles may atrophy, and ligaments may become more lax.
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Nursing Assessment for Osteoarthritis
Osteoarthritis (OA) also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. Symptoms may include joint pain, tenderness, stiffness, locking, and sometimes an effusion. A variety of causes—hereditary, developmental, metabolic, and mechanical—may initiate processes leading to loss of cartilage. When bone surfaces become less well protected by cartilage, bone may be exposed and damaged. As a result of decreased movement secondary to pain, regional muscles may atrophy, and ligaments may become more lax.
wikipedia
Nursing Assessment for Osteoarthritis
- Activity / Rest
- Joint pain due to movement, tenderness worsened by stress on the joints, stiffness in the morning, usually occurs bilaterally and symmetrically functional limitation, which affects the lifestyle, leisure, work, fatigue, malaise.
- Limitation of movement, muscle atrophy, skin: contractor / abnormalities in the joints and muscles.
- Cardiovascular
- Raynaud's phenomenon of the hand (eg litermiten pale, cyanosis and redness on the fingers before the color returned to normal.
- Ego Integrity
- Stress factors of acute / chronic (eg, financial jobs, disability, relationship factors.
- Hopelessness and helplessness (inability situation).
- Threats to the self-concept, body image, personal identity, for example dependence on others.
- Food / Fluids
- The inability to produce or consume food or liquids adequately nausea, anorexia.
- Difficulty chewing, weight loss, dryness of mucous membranes.
- Hygiene
- The difficulties to implement self-care activities, dependence on others.
- Neuro Sensory
- Tingling in hands and feet, swollen joints
- Pain / comfort
- The acute phase of pain (probably not accompanied by soft tissue swelling in the joints. Chronic pain and stiffness (especially in the morning).
- Security
- Skin shiny, taut, nodules sub mitaneus
- Skin lesions, foot ulcers
- The difficulty in handling the task / household maintenance
- Mild fever settled
- Dryness in the eyes and mucous membranes
- Social Interaction
- Damage interaction with family or others, the changing role: isolation.
- Counseling / Learning
- Family history of arthritis
- The use of health foods, vitamins, cure disease without testing
- History pericarditis, valve lesion edge. Pulmonary fibrosis.
- Diagnostic Examination
- Agglutination reaction: positive
- LED rapidly increase
- C reactive protein: positive on the incubation period.
- SDP: increases in the inflammatory process
- JDL: Indicates medium threat
- Ig (IgM and Ig G) showed a large increase in the autoimmune process
- RO: show soft tissue swelling, joint erosion, osteoporosis in the adjacent bones, bone cyst formation, joint space narrowing.
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