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Samenvatting Reumatoïde artritis en de verpleegkundige rol
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uitwerking collega reuma en de verpleegkundige rol
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Reumatoïde artritis en de verpleegkundige rolChronische systemische inflammatoire (ontsteking) auto immuun aandoening
- Chronische ontsteking (langer dan 6 weken)
- Antistoffen tegen eiwitten van het synoviaal vlies
- Symmetrisch
- Systemisch -> andere organen zijn betrokken in het proces
- Perifere gewrichten (uiteinde)
- Oorzaak is onbekend
- Multifactorieel
Ontsteking
- Dolor (pijn)
- Calor (warmte)
- Tumor (zwelling)
- Rubor (roodheid)
- Functio leasa (functieverlies)
Afwisseling exacerbatie (verergering) en remissies (afname)
Progressief verloop (wordt nooit beter)
Behandeling -> vermindering van symptomen
Niet gericht op genezing (curatie)
Extra articulaire manifestaties
- Gezwollen lymfeknopen
- Vergrootte milt
- Huiduitslag en zweervorming
- Beschadiging van de perifere zenuwen
- Orgaanschade (nieren, hart en longen)
- Bloedarmoede (anemisch)
Impact op dagelijks leven
- Chronische pijn
o Beperkte mobiliteit, effect op ADL, zelfredzaamheid, vermoeidheid,
psychosociale effecten
- Vermoeidheid
o Effect op zelfredzaamheid, effect op sociaal leven, gezinsleven
- Beperkte mobiliteit
o Effect op ADL/huishouden, algemeen zelfredzaamheid, zorg voor anderen
- Stijfheid
o Beperking zelfredzaamheid, effect op sociaal leven
- Psychosociale effect
o Gezinsleven, effect op seksualiteit, arbeidsongeschikt
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