Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Waiters Osteoarthritis PDF

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

ACTIVE LEARNING TEMPLATE: System Disorder

Tommie A Waiters
STUDENT NAME______________________________________
Osteoarthritis
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________

Alterations in Pathophysiology Related Health Promotion and


Health (Diagnosis) to Client Problem Disease Prevention
Degenerative joint disease (DJD), a It is a noninflammatory - Maintain healthy weight to decrease joint
degeneration of the hips and knees
disorder characterized by progressive
deterioration of the articular cartilage (unless localized), - avoid or limit repetitive strain on joints-well fitting shoes

nonsystemic disease

ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings If pt has walker:
- joint pain and stiffness- pain with join palpitations or ROM
- adults over 60 - genetic factors - crepitus (grating sound caused by the rubbing of bone fragments) remove rugs, tape
- joint injury due to acute or repetitive stress - enlarged joint related to bone hypertrophy- Heberden’s nodes
cords to
enlarged at distal interphalangeal joints- Bouchard’s nodes located
on joints predisposes to later OA at the proximal interphalangeal joints (OA is not a symmetrical dx, but
- obesity (knees- weight bearing joint) these nodes can occur bilaterally) can be inflamed and painful baseboards, etc
- metabolic dx (DM,SCD) avoid falls and trips
monitor
medication input
Laboratory Tests Diagnostic Procedures
- X-rays: show worn-down cartilage of joints
- magnetic resonance imaging with or without contrast
- usually normal erythrocyte sedimentation rate - CT scans
- high-sensitivity C-reactive protein can be - nuclear bone scan
- CT myelogram
increased related to secondary synovitis - EMG and nerve conduction
- arthrogram

PATIENT-CENTERED CARE Complications


Nursing Care Medications Client Education - Fat Embolism
teach about incentive spirometry, transfusion,
Venous
- Pain Assessment and Monitoring - Analgesic: does
- - Musculoskeletal not provide
surgical drains, dressing, pain control, transfer,
exercises, and activity limits
-Thromboembolis
Assessment/Muscle Tone and anti-inflammatory
teach about autologous blood donation
m
Strength- Neurological benefits - Osteomyelitis
Assessment/Sensory Perception
- - Psychosocial Assessment:
- *NSAIDS - Avascular
- Corticosteroid Necrosis
injections
- Trolamine
- Doesn't Heal
- Physiotherapist
Therapeutic Procedures salicylate Interprofessional Care
- Lidocaine 5% RD:
- Chiropractic/spinal patch: use for 12 nurse, dietician interprofessional
manipulation hr daily physiotherapist, or MSK team
- Glucosamine supplement - Capsaicin: must
- Intra-articular injections: wear nitrile gloves
kinesiologist, Occupational
glucocorticoids, hyaluronic acid Therapist

ACTIVE LEARNING TEMPLATES

You might also like