Nursing Diagnosis and Intervention for Osteoarthritis
Definition
Osteoarthritis is known as degenerative joint disease or osteoartrosis (even if there is inflammation) is a joint disorder that most commonly found and often lead to disability.
Osteoarthritis is the arthritis as a cause of disability groups who occupied the first order and will increase with increasing age, the disease is rare below the age of 46 years but more often found at the age of 60 years. Factors age and sex showed a difference frequency.
Classification
Osteoarthritis is classified into:
Pathophysiology
Degenerative joint disease is a chronic disease, not inflamed, and slowly progressive, as if it is a process of aging, deteriorated joints and cartilage degeneration is accompanied by the growth of new bone at the joint edge.
The process of degeneration is caused by chondrocyte-solving process which is an important element of joint cartilage. Solving allegedly initiated by certain biomechanical stress. Lysosomal enzyme causes dipecahnya expenditure polysaccharide matrix proteins that form around the chondrocytes resulting in cartilage damage. The joints most often affected are the joints that must bear weight, like knee and hip spine. Interfalanga distal joints and proksimasi.
Osteoarthritis in some instances will result in limited motion. This is caused by the pain suffered by or caused by narrowing of joint space or less use of these joints.
Degenerative changes that result because of certain events such as joint injuries and joint infection congenital deformities other arthritic diseases will cause trauma to the cartilage that are intrinsic and extrinsic ligaments causing existing fractures or joints metabolic changes that ultimately result in cartilage have erosion and destruction, the bones become thicker and there was narrowing of the joint cavity that causes pain, leg kripitasi, deformity, presence of hypertrophy or nodules.
Osteoarthritis Nursing Diagnosis
Definition
Osteoarthritis is known as degenerative joint disease or osteoartrosis (even if there is inflammation) is a joint disorder that most commonly found and often lead to disability.
Osteoarthritis is the arthritis as a cause of disability groups who occupied the first order and will increase with increasing age, the disease is rare below the age of 46 years but more often found at the age of 60 years. Factors age and sex showed a difference frequency.
Classification
Osteoarthritis is classified into:
- Type of primary (idiopathic) without the occurrence or previous illnesses associated with osteoarthritis
- Type of secondary as a result of trauma, infection and had a fracture.
Pathophysiology
Degenerative joint disease is a chronic disease, not inflamed, and slowly progressive, as if it is a process of aging, deteriorated joints and cartilage degeneration is accompanied by the growth of new bone at the joint edge.
The process of degeneration is caused by chondrocyte-solving process which is an important element of joint cartilage. Solving allegedly initiated by certain biomechanical stress. Lysosomal enzyme causes dipecahnya expenditure polysaccharide matrix proteins that form around the chondrocytes resulting in cartilage damage. The joints most often affected are the joints that must bear weight, like knee and hip spine. Interfalanga distal joints and proksimasi.
Osteoarthritis in some instances will result in limited motion. This is caused by the pain suffered by or caused by narrowing of joint space or less use of these joints.
Degenerative changes that result because of certain events such as joint injuries and joint infection congenital deformities other arthritic diseases will cause trauma to the cartilage that are intrinsic and extrinsic ligaments causing existing fractures or joints metabolic changes that ultimately result in cartilage have erosion and destruction, the bones become thicker and there was narrowing of the joint cavity that causes pain, leg kripitasi, deformity, presence of hypertrophy or nodules.
Osteoarthritis Nursing Diagnosis
Pain (acute / chronic) related to tissue distension by fluid accumulation / inflammation process, distruksi joints.
Osteoarthritis Nursing Interventions:
Osteoarthritis Nursing Interventions:
Assess complaints of pain; note the location and intensity of pain (scale 0-10). Write down the factors that accelerate and signs of non-verbal pain
Give mat / hard mattress, small pillow. Elevate the bed according to current needs of the client to rest / sleep.
Help clients take a comfortable position when sleeping or sitting in a chair. Depth of bed rest as indicated.
Monitor the use of pillows.
Encourage clients to frequently change positions.
Help clients to a warm bath at the time of waking.
Help clients to warm compresses on the sore joints several times a day.
Monitor temperature compress.
Give a gentle massage.
Encourage the use of stress management techniques such as progressive relaxation bio-feedback therapeutic touch, visualization, self hypnosis imagination guidance and control of breath.
Engage in activities of entertainment that is appropriate for individual situations.
Give the drug prior to activity / exercise that is planned as directed.
Help clients with a physical therapist.
The expected outcome / evaluation criteria
Pain showed reduced or controlled
Looks relaxed, can rest, sleep and participate in activities according to ability.
Following the therapy program.
Using the skills of relaxation and entertainment activities into a program of pain control.
