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 limitations that affect lifestyle, leisure, work, fatigue, malaise.
- Limitation of movement, muscle atrophy, skin: contractor / abnormalities in the joints and muscles.
- 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.
- The difficulties to implement self-care activities, dependence on others.
- 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).
- 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.
- 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
- Pain Acute / Chronic related to distention of tissue by the accumulation of fluid / inflammatory process, Liquor joints.
- 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.
- 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 :
- 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.