الاثنين، 25 يونيو 2018

72-Degenerative Joint Disease

aAbout
See osteoarthritis, as it is now most commonly referred as.
Assess
See Osteoarthritis.
Complications
Total joint replacement
Chronic pain; immobility
Diagnosis
See osteoarthritis
Goals
  • The client will state measures to improve mobility.
  • The client will identify adaptive techniques to accommodate for impaired mobility.
  • The client will identify a pain level less than 4 on a zero to ten scale, zero being none and 10 being the worst imaginable.
Interventions
  • Encourage joint mobility to prevent contractures and muscle atrophy.
  • Administer NSAIDS, analgesics, etc. as ordered.
  • Encourage client to do low weight-bearing exercises, i.e. swimming.
  • Encourage weight loss ( for overweight individuals) to decease pressure on weight bearing joints.
  • Teach client about dietary changes to help lose weight if obesity is a contributing factor.
  • Teach client range of motion exercises to maintain joint mobility.
  • Teach client to use assistive devices, as ordered.
  • Teach client about medications, including NSAIDS and/ or analgesics, to help manage pain.
  • Encourage client to use alternative methods to relieve pain, including relaxation techniques, positioning, use of heat, etc.
  • Prepare for surgery, if indicated. See Total Joint Replacement.
  • Monitor for signs/ symptoms of complications.

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