Nursing Diagnosis Interventions for Osteoarthritis

Nursing Care Plan for 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.

Nursing Diagnosis Interventions for Osteoarthritis

Nursing Diagnosis for Osteoarthritis
  1. Pain Acute / Chronic related to distention of tissue by the accumulation of fluid / inflammatory process, Liquor joints.
  2. Impaired Physical Mobility related to skeletal deformities, pain, discomfort, decreased muscle strength.

Nursing Diagnosis and Nursing Intervention for Osteoarthritis

1. Pain Acute / Chronic related to distention of tissue by the accumulation of fluid / inflammatory process, Liquor joints.

Expected Outcomes :
  • Showing pain is reduced or controlled
  • Looks relaxed, to rest, sleep and participate in activities based on ability.
  • Following the therapy program.
  • Using the skills of relaxation and entertainment activity in the pain control program.
Nursing Intervention :
  • Assess pain; note the location and intensity of pain (scale 0-10). Write down the factors that accelerate and signs of non-verbal pain.
  • Give the hard mattress, small pillow. Elevate bed when a client needs to rest / sleep.
  • Help the client take a comfortable position when sleeping or sitting in a chair. Depth of bed rest as indicated.
  • Monitor the use of a pillow.
  • Help clients to frequently change positions.
  • Help the client to a warm bath at the time of waking.
  • Help the client to a warm compress on the sore joints several times a day.
  • Monitor temperature compress.
  • Give a massage.Encourage the use of stress management techniques such as progressive relaxation bio-feedback therapeutic touch, visualization, self hypnosis guidelines imagination, and breath control.Engage in activities of entertainment that is suitable for individual situations.
  • Give the drug before activity / exercise that is planned as directed.
  • Assist clients with physical therapy.

2. Impaired Physical Mobility related to skeletal deformities, pain, discomfort, decreased muscle strength.

Expected Outcomes :



  • Maintain or improve strength and function of the compensation part of the body






  • Demonstrating techniques / behaviors that allow doing activities.





  • Nursing Intervention

    • Monitor the level of inflammation / pain in joints
    • Maintain bed rest / sit if necessary
    • Schedule of activities to provide a rest period of continuous and uninterrupted nighttime sleep.
    • Assist clients with range of motion active / passive and resistive exercise and isometric if possible.
    • Slide to maintain an upright position and sitting height, standing, and walking.
    • Provide a safe environment, for example, raise the chair / toilet, use a high grip and tub and toilet, the use of mobility aids / wheelchairs rescue.
    • Collaboration physical therapist / occupational and specialist vasional.

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