Mod10_NUR2356 (1).pptx - MOD 10 INFLAMMATION AND CONNECTIVE...

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MOD. 10: INFLAMMATION AND CONNECTIVE TISSUE DISORDERS
Inflammation and Connective Tissue DisordersLoss of mobility and the ability to complete activities of daily living without pain or discomfort impacts a person’s life in a negative way. The psychosocial complications associated with a change in one’s ability to interact with the environment carries significant influence. Complications such as depression, impaired sleep wake cycles and sensory deprivation may result from one’s inability to manage self-care
Osteoarthritis (Degenerative Joint Disease)Most common type of arthritis in the U.S.Major cause of disability and impaired mobility in adults in the U.S. and the worldResults in bone rubbing against bone in the joint space causing joint pain and stiffness leading to decreased mobility and muscle atrophy
ASSESSMENT
HistorySeek assistance because of joint painAssess how the pain has affected the ADL’sHow they manage the painJoint swellingHistory of joint injuryWeight historyFamily history of arthritisOccupational history
Physical AssessmentChronic joint pain and stiffness is the most common complaintCrepitus of the jointAtrophy of skeletal muscle from disuseImpaired gait with a limp
Psychosocial AssessmentDepressionAnxietyAltered body image/self esteem
Lab assessment & ImagingLab assessmentErythrocyte sedimentation rate (ESR)C-reactive protein (CRP)ImagingMRI & CT imaging may be helpful for vertebral and knee involvement
Analysis/DiagnosisChronic pain related to joint inflammation as evidence by pain rating of 5 on a scale of 0 – 10.
PLANNING/INTERVENTION-NON-SURGICAL
Managing chronic painAcetaminophenTopical drug applicationsLidocaine patchesTopical NSAIDSNSAIDSBlood work - CBC and liver and kidney function test (AST/ALT, BUN, creatinine, GFR) Cortisone injection into the joint spaceHyaluronic acid into the joint space of the hip or kneeMuscle relaxants—cyclobenzaprine hydrochlorideWeak opioids—tramadolDrug therapyRest balanced with exerciseJoint positioningHeat or cold applicationWeight controlComplementary/integrative therapiesTopical capsaicinDietary supplements such as glucosamine and chondroitinNon-pharmacological interventions
Planning/Interventions Surgical ManagementTotal joint arthroplasty or total joint replacement
Pre- and Intra-OperativeUnderstanding of the procedure and ability to

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