By Ann Schmidt Luggen Phd RN MSN CS BC-ARNP CNAA, Sue E. Meiner EdD APRN BC GNP
This concise advisor offers nurses with the instruments to assist older adults with arthritis in attaining the top attainable caliber of lifestyles. functional pointers on nursing administration, self care, and the significance of workout are a spotlight all through. half one provides particular arthritic stipulations in a uniform structure -- epidemiology, medical positive aspects and administration, prognosis, pharmacotherapy, and nursing administration and interventions. half offers basic suggestions for dealing with arthritis, together with accomplished chapters on a discomfort administration, workout, and sufferer instructing. Any nurse operating with the aged will locate this a primary source.
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Additional info for Care of Arthritis in the Older Adult (Springer Series on Geriatric Nursing)
Low impact exercises, such as walking three times per week for at least 30 minutes, is a reasonable target for most people. Supervised fitness walking with light stretching and strengthening exercises improves pain and physical fitness while reducing the need for medication (Sharkey, 2000; Townes, 1999). Support the patient's efforts to lose weight. Weight reduction activities, for those individuals in whom it is needed, is very important in any treatment plan. Even a small weight loss can result in immediate and recognizable positive effects.
There may be fatigue, malaise, diffuse musculoskeletal pain, tendon pain, morning stiffness and edema, with painful swollen joints presenting later. It may present asymmetrically with a symmetrical pattern evolving later. Usually, there is symmetrical involvement of joints of hands, wrists, elbows, shoulders, knees, ankles and feet. Any diarthrodial joint can be affected. Course The course and complications of chronic RA are complex and variable. Some patients progress from the onset with unrelenting disease activity and systemic features of RA.
Tenderness to palpation over the joint is common but may be mild or absent. Inflammation, swelling, and joint effusion are seen more often in more advanced cases of OA. Knees are more likely to experience effusion and generally do not reveal any warmth or erythema. Joint mobility may be limited, leading to joint deformities; again this occurs later in the course of OA. When the knee and/or hip is involved, gait may be impaired, leaving the individual with a noticeable limp (Townes, 1999). DIAGNOSIS There is no definitive laboratory test to aid in the diagnosis of OA; it is a diagnosis that is made clinically.