Nursing Diagnosis Interventions 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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