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Flashcards in OA Osteoarthritis Deck (52)
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1

Osteoarthritis

-DJD (Degenerative Joint Disease)

-Non-inflammatory disorder of mobile joints

-Characterized by breakdown in cartilage

2

Osteoarthritis is the most common...

form of joint disease in US

3

Most significant risk factor for osteoarthritis

age

-normal process of aging due to wear and tear on joint

4

Percentage of affected adults by osteoarthritis

greater than 90% by age 40

5

What gender is more affected by osteoarthritis after age 50

women are more affected after 50

6

How many people are symptomatic over 65 years old?

60%

7

Types of Osteoarthritis

1. Primary
2. Secondary

8

Primary Osteoarthritis

-idiopathic (no known cause)

-localized vs. general

9

Secondary Osteoarthritis

-identifiable cause or predisposition

-repetitive movement
-physical stress
-obesity
-certain occupations

10

What gender is more affected by osteoarthritis before 45

men more affected before 45

11

Male osteoarthritis differences

-more affected before 45
-knee OA is more common before 45
-Hip OA is more common after 55
-Hip, Knee, spine

12

Female osteoarthritis differences

-affected twice as often as men after 45
-knee OA more common after 45
-joints in fingers and thumb base more common after 55
-Hip, knee, hands

13

Describe cartilage during osteoarthritis

-damaged
-dull, yellow, and granular
-thins/erodes

14

What happens to the joint during osteoarthritis?

-deteriorates
-spurs develop at joint margins
-joint anatomy changes
-interferes with function, decreases mobility
-underlying bone is exposed

15

Prevention of OA

-maintain ideal weight
-control blood sugar
-regular moderate exercise
-maintain proper posture
-maintain body alignment
-rest when discomfort noted
-seek treatment early

16

Diagnostic Studies for OA

-xray
-MRI
-Bone Scan
-CT
-ESR
-Fluid aspiration

17

What do xrays show for OA patients?

-joint narrowing
-spurs

18

Joint fluid aspirate is used to detect...

-presence of bacteria (infection)

-uric acid crystals (gout)

19

Nursing assessment

-fam hx
-OLDCARTS-P
-pain
-activity level
-mobility
-physical apperance
-dx tests

20

OLDCARTS-P

-onset
-location
-duration
-character
-aggravating/relieving
-radiation
-timing
-severity
-prior

21

Nursing diagnoses

-chronic pain
-impaired physical mobility
-sedentary lifestyle
-imbalanced nutrition
-dressing self care deficit

22

Implementation of nursing process

-decrease pain
-increase mobility
-encourage weight loss
-assistive device

23

evaluation of nursing process

-routine assessment
-monitor changes

24

Management of osteoarthritis

-no cure
-interdisciplinary
-control of pain and inflammation
-prevention of disability
-improvement of joint function

25

Non-invasive management

-rest and joint protection
-heat for stiffness
-ice for acute exacerbation
-weight reduction
-complimentary/homeopathic therapies
-PT

26

complimentary/homeopathic therapies

-acupuncture
-yoga
-massage
-glucosamine and condroitin

27

PT for osteoarthritis

increases strength and flexibility

28

Pharm therapies for mild to moderate pain

Non-opioid analgesics

-NSAIDs
-Topical gels/cream

29

Typical non-opioid analgesics cream for OA

Capsalcin cream

30

Pharm therapies for moderate to severe pain

-Salicylates
-NSAIDs
-Corticosteroids
-Opioid Analgesics