Rheumatic 1 Flashcards
Rheumatic disease
Arthritis refers fo inflammation of a joint
Rheumatic diseases affect primarily the bones and muscles but also the joints
Classification of rheumatic disease
Monoarticular or polyarticular
Inflammatory or non-inflammatory
Osteoarthritis
Is a joint disorder characterised by slowly progressive non-inflammatory changes to the synovial joints
Degenerative bone disease
New joint forma in response to cartilage destruction
Moat common form of joint disease in Australia
Oa type
Idiopathic (primary)
Secondary oa cause of trauma , mechanical stress, specific medications
Oa pathophysiology
Cartilage damage triggers metabolic response
Progression causes the cartilage to become softer, less elastic, and more susceptible to wear with heavy use
Eventually fissures develop and erosion occurs resulting in reduced motion
Oa risk factors
Increased age Obesity Previous joint pain Repetitive use Anatomic deformity Genetic susceptibility
Oa symptoms
Stiffness Pain upon movement Pain gradually worsens with joint use Pain affected by barometric changes Decreased morbidity Creptitation Weight bearing joints
Oa medical management
Rest and joint protection Heat and cold application Nutritional therapy and exercise Drug therapy Weight reduction Use if orthotic devices
Oa pharmacological management
Topical agents Paracetamol Salicylates Cox-2 inhibitors Corticosteroids opioids
Surgical management
Repair cartilage
joint replacement
Oa nursing management
Pain due to disease process
Impaired physical mobility Related to limitations
Reduced self care ability to decrease activity
Mood alteration due to discomfort and reduced mobility
Oa preparation for discharge
Quality of life is largely dependent upon the severity of the patient’s disease and the pain they are experiencing
Adjustments to home
Mobility aids
Arthritis support groups
Rheumatoid arthritis
Chronic systemic inflammatory disease that affects the connective tissue in the synovial joints
Autoimmune
Characterised by exacerbation and remission periods
Ra clinical manifestation
Fatigue anorexia
Joint stiffness
Swelling
Deformity of hands
Ra collaborative care
Multidisciplinary team can include physician, nurse, physiotherapist and occupational therapist
Nutrional counselling Drug therapy Implants Complimentary therapy Heat and cold application
