الثلاثاء، 28 أغسطس 2018

279-Osteoarthritis

About
Decreased cartilage and/or mobility in one or more joints, typically weight bearing joints such as knees and hips.
Assess
Assess for pain and stiffness of weight-bearing joints ( knees, hips); Assess for inflammation, response to NSAIDS; Obesity; Enlarged joints, grating sound of joints, Usually unilateral although can be bilateral.
Complications
Total joint replacement
Diagnosis
  • Acute pain related to movement of effected joint
  • Activity intolerance related to pain and inflammation of effected joint
Goals
  • The client will remain free from injury.
  • The client will be able to state rationales and potential side effects of medication therapy.
  • The client will maintain physical mobility.
Interventions
  • Administer NSAIDS, analgesics, etc. as ordered.
  • 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.
  • 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.
  • Teach client about medications, including NSAIDS and/ or analgesics, to help manage pain.
  • Monitor for signs/ symptoms of complications.

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