About
Autoimmune, inflammatory disorder causing system and organ failure characterized with periods of remissions and exacerbations.
Assess
Skin changes, especially in response to sunlight; joint pain, muscle pain, weakness, fever, fatigue, weight loss, dyspnea, assess lung sounds, sensitivity to cold. Monitor urine output, abdomen for pain; chest pain; Vital signs. CBC may show decreased values.
Complications
Kidney disease ( lupus nephritis)
Pericarditis
Pneumonia
Diagnosis
- Acute pain related to inflammatory changes
- Knowledge deficit related to disease course, progression, and treatment
- Risk for injury related to skin photosensitivity
Goals
- The client will state a decrease in pain.
- The client will be able to identify three symptoms indicating an exacerbation of the disease state.
- The client will identify methods to reduce complications associated with disease.
Interventions
- Teach the client about the disease, progression, exacerbations, symptoms, management of symptoms, and potential complications.
- Teach the client about medication therapy used to manage disease and symptoms of disease, including steroids and other immunosuppressive therapies..
- Teach the client to avoid sunlight and to always wear a high SPF when in the sun for any length of time.
- Encourage the client to express fears, anxieties, concerns regarding disease process.
- Teach the client to notify physician immediately if symptoms return, worsen, or change to represent a disease exacerbation.
- Monitor for signs/ symptoms of complications.
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