Summary
Summary Nursing Cheat Sheet Ankylosing Spondylitis
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Nursing care and summary for spondyloarthropathies (including ankylosing Spondylitis)
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spondyloarthropathies* a
group of interrelated multi system inflammatory disorders that affect the spine ,
the peripheral joints , and peri articular
structures
* presence of RF not a hallmark of these disorders ; referred to as
seronegative arthropathies
* both genetic and environmental factors play a role in disease development
( AS ) : affects primarily the axial
ankylosing spondylitis a chronic inflammatory disease that skeleton
as many as 150 000 to 300000 Canadians are affected by AS
the usual
age of onset is 15 30
years
-
three times as
many men develop AS than women
etiology and pathophysiology >
genetic predisposition
Aseptic synovial inflammation in the joints and adjacent tissue causes the formation of granulation tissue ( pannus ) and
the development of dense fibrous scars that lead to fusion of articular tissues .
clinical manifestations >
symptoms of inflammatory spine pain all first clues to diagnosis
Affected clients typically complain of low back pain ,
stiffness ,
and limitation of motion that is worse
during the
night
and in the but improves with mild
morning ,
activity .
General fever fatigue
symptoms such as , , anorexia ,
and
weight loss are rare .
Uveitis ( intraocular inflammation ) is the most common non skeletal
symptom .
Severe postural abnormalities and deformity can lead to significant disability for clients with AS .
diagnostic studies radiological studies are essential for the diagnosis of AS
x -
rays are limited in
detecting early sacroiliitis or subtle changes in posterior vertebr
presence of HLA 1327 antigen the likelihood of this
heightens diagnosis
-
collaborative care nursing management
care maximal skeletal
is aimed at maintaining mobility
and inflammation
ankylosing spondylitis : education is
key
while
decreasing pain .
range of ( RO
baseline motion
of smoking cessation
Heat applications can help in the relief local symptoms
postural training
NSAIDs and salicylates are commonly prescribed proper positioning
Exercise
Postural control
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