Rheumatoid Arthritis ati PDF

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Summary

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Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Tylour Beret Smith ST UDENT NAME _____________________________________ Rheumatoid Arthritis DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) decreased quality of living r/t acute, severe pain decreased ROM and mobility r/t swelling and stiffness

Pathophysiology Related to Client Problem Autoimmune disease that primarily affects the joint causing swelling and inflammation

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention ~continue using affected joints to help maintain ROM ~Use adaptive devices that prevent development of deformity during ADLs

ASSESSMENT

Risk Factors Epstein Barr virus genetic predisposition female gender 3:1

Laboratory Tests Anti-CCP antibodies positive Rheumatoid factor - positive elevated ESR C-reactive protein - positive

SAFETY CONSIDERATIONS

Expected Findings ~joint swelling, warmth and erythema ~ fever ~muscle weakness and atrophy ~

Diagnostic Procedures Arthrocentesis X-ray

PATIENT-CENTERED CARE

Nursing Care ~apply hot and cold therapies to affected areas depending on the situation ~Administer medication as prescribed ~Assist and encourage physical therapy

Therapeutic Procedures ~Plasmapheresis

ACTIVE LEARNING TEMPLATES

~ Have assistive devices within reach

Complications Medications NSAIDs Corticosteroids DMARDs COX-2-Enzyme blocker

Client Education ~Consume small frequent, meals ~encourage foods high in protein, iron and vitamins ~Use progressive muscle relaxation

Interprofessional Care PT OT Home health aide

~Vasculitis ~ Secondary Osteoporosis ~Sjogren syndrome...