Sabtu, 21 Januari 2012

Nursing Assessment for Osteoarthritis

Osteoarthritis

Hypertrophic osteoarthritis; Osteoarthrosis; Degenerative joint disease; DJD; OA; Arthritis - osteoarthritis


Nursing Assessment for Osteoarthritis
  1. Activity / Rest
    • Joint pain due to movement, tenderness worsened by stress on the joints, stiffness in the morning, usually occurs bilaterally and symmetrically functional limitations that affect lifestyle, leisure, work, fatigue, malaise.
    • Limitation of movement, muscle atrophy, skin: contractor / abnormalities in the joints and muscles.
  2. Cardiovascular
    • Raynaud's phenomenon of the hand (eg litermiten pale, cyanosis and redness on the fingers before the color returned to normal.
  3. 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.
  4. Food / Fluids
    • The inability to produce or consume food or liquids adequately nausea, anorexia.
    • Difficulty chewing, weight loss, dryness of mucous membranes.
  5. Hygiene
    • The difficulties to implement self-care activities, dependence on others.
  6. Neurosensory
    • Tingling in hands and feet, swollen joints
  7. 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).
  8. 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
  9. Social Interaction
    • Damage interaction with family or others, the changing role: isolation.
  10. Counseling / Learning
    • Family history of rheumatic
    • The use of health foods, vitamins, cure disease without testing
    • History pericarditis, valve lesion edge. Pulmonary fibrosis, pleuritis.

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