Osteoarthritis

Question 1

What is osteoarthritis?

Answer 1

Slowly progressive non inflammatory disorder of the synovial joints

Question 2

Osteroarthritis involves the gradual loss of?

Answer 2

Articular cartilage with formation of honey outgrowths ( spurs or osteophytes ) at the joint margins

Question 3

Notes
It’s important to note that osteoarthritis is not a part of aging process but age can play a role in getting osteoarthritis

Question 4

The normally smooth white translucent articular cartilage becomes what as OA progress?

Answer 4

Dull and yellow and granular

Question 5

What are the 3 clinical manifestations?

Answer 5

Joint pain
Deformity
Systemic

Question 6

How does joint pain play a role?

Answer 6

Pain worsens with activity
Rest will usually ease it if OA is mild

Question 7

Notes
Joint pain
OA develops in the intervertebral joint of the spine, local pain and stuffiness

Joint stiffness occurs after periods of rest or unchanged position
( gelling phenomenon )

Early morning stiffness is common

Crepitation

Usually affected one side of the body

Question 8

How does deformity work for OA
Varus deformity means?
Valgus deformity means?

Answer 8

Bowlegged
Knocked knees

Question 9

How does systemic play a role in OA?
What’s a huge distinction between OA and RA?

Answer 9

Fever
Fatigue

Organ is not involved

Question 10

What are diagnostic studies for OA? (3(

Answer 10

X ray
CT scan
Synovial fluid analysis

Question 11

How does synovial fluid analysis help determined OA from other types of inflammatory arthritis?

Answer 11

Because it’s
Clear yellow with little or no sign of inflammation

Question 12

Notes
Interprofessional care

OA has no cure

Care is focused on managing pain and inflammation, preventing disability and maintaining and improving joint function

A comprehensive treatment plan may include education, behavior, psychological, physical and drug intervention

Question 13

Drugs are thought to slow the progression of OW or support healing are known as ?

Answer 13

DMOADS

Disease modifying osteoarthritis drugs

Question 14

What are some drugs to help OA? (2)

Answer 14

NSAIDs
Topical creams - capsaicin

Question 15

Why do we not use corticosteroids for OA?

Answer 15

Because it hasten the disease process

Question 16

Notes
Surgery isn’t typically used but it can be found mainly with hip and knee replacements

Acupuncture may reduce pain

Fish, oil, ginger can help with anti inflammatory effects

Question 17

Notes
Nursing management
Assessment
- location, type, severity, frequency, duration
- treatment
- surgery
- history
- ADLS affecting

Clinical problems
- pain
- MSK problems
- impaired role performance

Question 18

What are the 4 planning goals of OA?

Answer 18

Maintain improve joint function
Use joint protection
Achieve independence
Drug or non drug strats to manage pain

Question 19

Notes
Implementation
- education
- exercise
- lose weight

Ambulatory care
- caregiver education
- cane, walker
- joint protection
- energy conservation
- nutrition choices
- weight & stress management

Question 20

Can you use heat and cold applications for OA?

This helps with?

Answer 20

Yes

Flexibility and blood flow

Question 21

How does nutritional/exercise therapy help?

Answer 21

Lose weight !!

Question 22

Evaluation (3)

Answer 22

Have adequate rest
Achieve pain management
Maintain joint flexibility & strength

Question 23

Extra
Rheumatoid arthritis
Autoimmune disease
Organ involvement