Other
NUR 1015 Rheumatoid Arthritis Concept Map
- Course
- NUR 1015
- Institution
- Laboure College
This is a comprehensive and detailed concept Map on; Rheumatoid Arthritis for Nur 1015.
[Show more]
Content preview
Nursing interventions:Rheumatoid Arthritis
1. Activity intolerance related to pain and
Signs/symptoms
Holman, H. C., Williams, D., Johnson, J., Ball, B. Tender, warm, swollen joints
swelling of Joints: Pain at rest and w/movement
S., Wheless, L., Leehy, P., & Lemon, T.
Have the patient perform self-care activities. Xerostomia
(2019). Rn adult medical surgical
Begin slowly and increase daily, as tolerated. Anorexia
nursing: Review module unit 13
These activities help the patient regain health. IMMUNE SYSTEM AND CONNECTIVE Fatigue
Teach the patient how to use adaptive aids for TISSUE DISORDERS. In RN adult Paresthesia
mobility so that he or she can do as much as medical surgical nursing: Review Joint swelling and deformity
possible for self. module. Leawood, KS: Assessment Fever
Perform active or passive ROM exercises to all Technologies Institute. Muscle weakness
extremities every 2 to 4 hours to foster muscle Joint stiffening that usually worsens in the
strength and tone, maintain joint mobility, and morning
Callahan, B. (2019). Nursing: A concept-based
prevent contractures. approach to learning (Third ed Vol Subcutaneous nodules
Provide emotional support and encouragement Pathophysiology CHD, vasculitis, pleural effusion, pericarditis
to help improve patient self-esteem and provide
Rheumatoid arthritis is a chronic, progressive inflammatory
the motivation to perform ADLs.
disease that can affect tissues and organs but principally
2. Chronic pain related to the inflammation
attacks the joints, producing inflammatory synovitis. RA is an
of Joints: autoimmune disease that is precipitated by WBCs attacking
Monitor the pain level and duration of morning
synovial tissue. The WBCs cause the synovial tissue to Labs
stiffness. Pain and morning stiffness are
become inflamed and thickened. It involves joints bilaterally,
indicators of disease activity. Anti-CCP antibodies
and symmetrically, and typically affects several joints at one
Increased pain may necessitate changes in the Rheumatoid factor antibody
time. RA typically affects upper joints first.
therapeutic treatment plan. Erythrocyte sedimentation (ESR)
RA is also a systemic disease that can affect any connective
Encourage the patient to relate pain to activity C- Reactive protein
tissue in the body. Common structures affected are the blood
level and adjust their activities accordingly. Antinuclear antibody
Turn and reposition the patient every 2 hours to vessels and pleura surrounding the lungs, and pericardium.
The natural course of the disease is one of exacerbations Elevated WBCs
prevent skin breakdown and improve breathing.
3. Disturbed body imagine related to and remissions. If diagnosed and treated early, it is possible
to avoid permanent damage.
arthritic joints:
Provide emotional support and encouragement
Alternative/social Interventions
to help improve the patient's self-esteem and
provide motivation. Refer the client to support groups as
Refer the patient to self-help groups, support appropriate
groups, and other agencies that provide
assistive devices and literature. Refer the client to occupational
therapy for adaptive devices that can
Medications facilitate carrying out ADL’s and
Education prevent deformities
Instruct client to apply heat or cold to the
affected areas as indicated based on morning
NSAIDs
COX-2 enzyme blockers A home health aide can be necessary
stiffness, pain in hands/fingers, and edema. for assistance.
Encourage patients on spacing out activities Corticosteroids
to conserve energy, take rest periods, and ask Immunosuppressant/ Cytotoxic Risk factors:
for additional assistance when needed. (DMARDs)
Support client to express feelings regarding Female sex (3 for every 1 male)
effect of the disease on body image and self-
Sulfasalazine
esteem. Antimalarials
Age 30-60 years
Educate patient on the importance on the TNF inhibitors
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.19. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now