Deficient Knowledge - Rheumatoid Arthritis Nursing Care Plan

Nursing Care Plan for Rheumatoid Arthritis

Deficient Knowledge (about the disease, prognosis, and treatment needs) related to the lack of exposure / recall, misinterpretation of information.

Evidenced by:

• Questions / requests for information, statements misconceptions.
• Not exactly follow the instruction / complications can be prevented.

Expected outcomes: The patient will be:

• Demonstrate an understanding of the condition / prognosis, treatment.
• Develop a plan for self-care, including lifestyle modifications consistent with mobility or activity restrictions.

Intervention and Rationale

1. Review the process of the disease, prognosis, and future expectations.
R /: Provide knowledge of where patients can make informed choices.

2. Discuss the habits of the patients in the management of the hospital, through; diet, medication, and a balanced diet, exercise and rest.
R /: The purpose of disease control is to suppress the inflammatory own / other tissue to maintain joint function and prevent deformity.

3. Assist in planning integrated realistic schedule of activities, rest, personal care, administering medications, physical therapy, and stress management.
R /: Provide structure and reduce anxiety during the handling of complex chronic disease processes.

4. Emphasize the importance of continuing management pharmacotherapeutics.
R /: Advantages of drug therapy depends on the accuracy of the dose.

5. Encourage digest medication with food, milk, or an antacid at bedtime.
R /: Limiting irrigation gastric, pain reduction will improve sleep and reduce stiffness in the morning.

6. Identification of the side effects of drugs that harm, eg tinnitus, gastrointestinal bleeding, and purpuric rash.

7. Emphasize the importance of reading product labels and reduce drug use-the-counter medicines without a doctor's approval.
R /: Many products contain salicylic hidden that can increase the risk of servings worth of drugs / dangerous side effects.

8. Review the importance of a balanced diet with foods rich in vitamins, protein and iron.
R /: Increase the general healthy feeling and tissue repair.

9. Encourage obese patients to lose weight and provide information about weight loss as needed.
R /: Weight reduction will reduce the pressure on the joints, especially the hips, knees, ankles, feet.

10. Provide information about the tools.
R /: Reduce compulsion to use the joints and allows individuals to participate more comfortably in activities that are necessary.

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Acute Pain / Chronic Pain - Rheumatoid Arthritis Nursing Care Plan

Rheumatoid Arthritis

Rheumatoid Arthritis (RA) is a chronic inflammation of the joints. This disease is categorized as an autoimmune disease because people suffering from this condition have antibodies in their blood that target their own body tissues.

Rheumatoid arthritis can attack various organs and tissues in the human body. However, it mainly attacks synovial joints in the hands, wrists, ankles, and knees.

There are, typically, three distinctive types of discomfort which go along with chronic RA. The foremost of these types of discomfort is often called "flair up pain." It is caused by the inflammation of the joints which goes along with periods when your RA is flaring and active.

The next type of rheumatoid pain is often simply called joint pain. It is caused by damage to the joints, which is a consequence of the inflammation. This is the everyday discomfort which is present, even while your RA is not active.

Finally, the very last rheumatoid aspect of the pain equation might be called "emotional pain." It involves the emotions, your psychological well being, and your stress level. The tiredness which you will feel is a part too. This aspect of RA really makes "everything hurt worse."

Management / Treatment of Rheumatoid Arthritis

Nursing Care Plan for Rheumatoid Arthritis

Nursing Diagnosis for Rheumatoid Arthritis : Acute Pain / Chronic Pain

related to:

• Tissue distension by accumulation of fluid / inflammatory process
• Destruction of joints.

Can be evidenced by:

• Complaints of pain, discomfort, fatigue.
• Focusing on self / narrowing of focus
• Behavior distraction / autonomic response
• Behavior that is care / protect

Expected results / patient evaluation criteria will be:

• Showed pain relief / control
• Looks relaxed, able to sleep / rest and participate in activities according to ability.
• Follow the program prescribed pharmacological
• Combining the skills of relaxation and entertainment activities into a program of pain control.

Nursing Interventions and Rational - Nursing Care Plan for Rheumatoid Arthritis

1. Record complaints of pain, record the location and intensity (scale 0-10). Write down the factors that accelerate and signs of pain - non-verbal.

Rational: To assist in determining the need for pain management and program effectiveness.

2. Give a hard mattress, a small pillow. Elevate the bed linen as needed.

Rational: a soft mattress, pillow that would prevent maintenance of proper body alignment, placing stress on the joints that hurt. Elevation of the bed linen lowering the pressure in the inflamed joints / pain.

3. Place / monitor the use of pillows, sandbags, splint, brace.

Rational: Resting sore joints and maintain a neutral position. The use of the brace can reduce pain and can reduce damage to the joints.

4. Advise to change position frequently. Help to move in bed, prop joint pain above and below, avoid jerky movements.

Rationale: Prevent the occurrence of general fatigue and joint stiffness. Stabilize joints, reduce the movement / pain in the joints.

5. Instruct the patient to a warm bath or shower at the time awake and / or at bedtime. Provide a warm washcloth compress for sore joints several times a day. Monitor the temperature of the water compresses, baths, and so on.

Rational: The heat increases muscle relaxation, and mobility, reduce pain and stiffness in the morning release. Sensitivity to heat can be removed and dermal wound can be healed.

6. Give a gentle massage

Rationale: Increase relaxation / reducing pain.

7. Encourage the use of stress management techniques, such as progressive relaxation, therapeutic touch, biofeed back, visualization, guidelines imagination, self hypnosis, and breath control.

Rationale: Increase relaxation, provide a sense of control and may enhance coping abilities.

8. Engage in activities appropriate entertainment for individual situations.

Rationale: Focusing attention back, providing stimulation, and increased self-confidence and feeling healthy.

9. Give drug before the activity / planned exercise as directed.

Rationale: Increasing realaksasi, reduce muscle tension / spasm, making it easier to participate in therapy.

10. Collaboration: Give medications as directed.

Rational: As an anti-inflammatory and mild analgesic effect in reducing stiffness and increasing mobility.

11. Give ice-cold compress if needed

Rational: The cold can relieve pain and swelling during the acute period

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Management / Treatment of Rheumatoid Arthritis

Management / Treatment of Rheumatoid Arthritis

Therefore, the exact cause of rheumatoid arthritis is unknown, there is no causative treatment that can cure this disease. This should really be explained to patients so that it knows that the treatment is given aimed at reducing complaints / symptoms slow the progression of disease.

The main objective of the program management / treatment of Rheumatoid Arthritis, as follows:

• To relieve pain and inflammation
• To maintain joint function and the maximum capability of the patient
• To prevent and or correct deformity that occurs in the joints
• Maintain independence so it does not depend on others.

There are a number of ways that management deliberately designed to achieve the objectives mentioned above, namely:

1. Education

The first step of this management program is to provide adequate education about the disease to the patient, family and anyone associated with the patient. Education will include understanding the pathophysiology (disease course), the cause and the estimated trip (prognosis) of this disease, all components of program management including complex drug regimens, sources of help to overcome this disease and effective method of management provided by health team . This education process should be carried out continuously.

2. Rest

Is important because of rheumatism, usually accompanied by severe fatigue. Although fatigue may arise every day, but there are times where patients feel better or heavier. Patients should be split into several times a day time activity time, followed by a period of rest.

3. Physical exercise and Thermoterapy

Specific exercises can be helpful in maintaining joint function. This exercise includes active and passive movements in all joints are sore, at least two times a day. Medication for pain relief should be given before starting the exercise. Hot compresses on the sore and swollen joints may reduce pain. Exercise and Thermoterapy is best regulated by the health workers who have received special training, such as a physical therapist or occupational therapist. Excessive exercise can damage the structure supporting the joints that are already weakened by the disease.

4. Diet / Nutrition

Rheumatic Patients do not require a special diet. There are a number of ways giving a diet with a variety of variations, but all of which has not been proven true. The general principle for obtaining a balanced diet is important.

5. Drugs

Drug delivery is an important part of the program management of rheumatic diseases. Drugs used to reduce pain, relieve inflammation and to try to change the course of the disease.

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