Week Nine Modules Flashcards
(113 cards)
what are some common s/s of arthritis?
with arthritis, symptoms can be _____ and may be mild, ____, or ____
severe arthritis can result in _____ and the inability to perform ____
common symptoms include swelling, pain, stiffness, and decreased range of motion
intermittent; moderate; severe
chronic pain; ADLs
what is osteoarthritis?
osteoarthritis is a ____, progressive, _______ disorder of the synovial joints
osteoarthritis affects joints _____
with osteoarthritis, there are no _____
the most common form of arthritis that affects over 30 million americans
slow; non-inflammatory
asymmetrically
systemic manifestations
osteoarthritis can affect any joint, but it most commonly affects what parts of the body?
who is the most at risk for developing osteoarthritis?
knees, hips, lower back, neck, finger joints, and bases of the thumb & big toe
athletes, military members, and people who work physically demanding jobs
is there a cure for osteoarthritis?
no, there is no cure
osteoarthritis may be caused by a known event that directly _____ cartilages
what are some causes of osteoarthritis?
damages
drugs, inflammation, joint instability, mechanical stress, neurological disorders, and skeletal deformities
what is the pathophysiology behind osteoarthritis?
as osteoarthritis worsens, the bones may _____ and develop ____ known as osteocytes
eventually, the cartilage wears away and leads to _______
cartilage breaks down and causes swelling, pain, and problems moving the joint
break down; growths
bone rubbing against bone
how is osteoarthritis treated?
treated with pain medications and then joint replacement
what are some modifiable risk factors for osteoarthritis?
what are some non-modifiable risk factors for osteoarthritis?
excess weight; joint injury; type of occupation
gender, age, genetics, and race
osteoarthritis tends to affect which gender more?
_______ estrogen during the menopausal transition may contribute to ____ incidence of osteoarthritis in women
what two types of osteoarthritis affect women the most?
what type of osteoarthritis affects men the most?
women
decreased; increased
hand & knee osteoarthritis
hip osteoarthritis
name some functions of estrogen?
bone growth; cholesterol levels; lubrication of joints; memory; and elasticity of the skin
what are some signs and symptoms of osteoarthritis?
joint pain that worsens with use, and is relieved by rest
joint stiffness that occurs after periods of rest
crepitation which is a grating sensation that is caused by loose cartilage
herberden’s nodes which is the formation of osteocytes
early morning stiffness that is caused by osteoarthritis usually resolves itself within ____ minutes
what are some diagnostic tests we could run to determine if the patient has osteoarthritis?
diagnostic tests like x-rays help to determine what?
30
bone scan, CT scan, MRI, and x-rays
help to confirm presence of the disease and the stage of joint damage
LABS AND OSTEOARTHRITIS:
with osteoarthritis, the patient’s ESR levels will be _____ and there will be a ______ during the acute inflammatory phase
with osteoarthritis, the synovial fluid with ___ or ____ with little or no sign of inflammation
within normal limits; slight increase
clear; yellow
what are the goals of care for a patient who has been diagnosed with osteoarthritis?
what are some nursing interventions we can perform for patients who have been diagnosed with osteoarthritis?
manage pain; prevent disability; maintain or improve joint function; improve activity tolerance
non-drug interventions tend to be the basis of OA management; rest and joint protection; nutritional therapy & exercise; and complementary/alternative therapies
as a nurse, how can we provide rest and joint protection?
teach the patient to balance rest and activity
keep joints in functional positions with braces or splints
avoid mobilization for more than one week due to the risk of joint stiffness
avoid standing, kneeling, or squatting for long periods of time
as a nurse, how can we provide heat and cold applications for nursing interventions?
heat therapy helps to ____ stiffness
heat tends to be used more often than ice with OA treatment
reduce
some examples of heat therapy are hot packs, whirlpool baths, ultrasound, and parrafin wax baths
nursing interventions for nutritional therapy and exercise
encourage the patient to maintain a ______ and help the patient evaluate their _____
you’ll want to discuss ____, ROM, and ____ the muscles around the affected area
healthy body weight; current diet
cardio exercise; strengthening
when it comes to complementary and alternative therapies what are some things we could do?
when it comes to drug therapy, what are some medications we might offer the osteoarthritis patient?
offer acupuncture; massage; or tai chi
tylenol; capsaicin cream; bengay; nsaids like ibuprofen; and salicylates like aspirin
when would we give an osteoarthritis patient methylprednisolone or prednisone?
these two drugs are only used during life-threatening exacerbations
rheumatoid arthritis is a _____, systemic _____ disease
rheumatoid arthritis consists of inflammation in the ______ of the synovial joints
rheumatoid arthritis is marked by periods of ____ and _____
rheumatoid arthritis has been considered one of the most _____ forms of arthritis
chronic; autoimmune
connective tissue
exacerbations; remissions
disabling
without treatment, patients who have osteoarthritis may need ______ or joint _____
mobility; reconstruction
what kinds of things increase a person’s risk for rheumatoid arthritis?
what kinds of things decrease a person’s risk for rheumatoid arthritis?
gender/age –> females over the age of 60; genetics; smoking; and menstrual history
use of oral contraceptives; live birth history; and breastfeeding
what is the etiology behind rheumatoid arthritis?
rheumatoid arthritis attacks the ____ of the joints and affects joints _____
rheumatoid arthritis can lead to ____ of cartilage, ligaments, and the ___
the exact cause is unknown; however, the autoimmune theory is most widely accepted
lining; symmetrically
erosion; joint caps
what are some s/s of rheumatoid arthritis?
with rheumatoid arthritis, when does stiffness occur?
what are some deformities of the hands and feet that can occur with rheumatoid arthritis?
fatigue, anorexia, and weight loss
occurs after periods of inactivity and morning stiffness tends to last more than 60 minutes
hallux valgus; boutonniere deformity; ulnar drift; and swan neck deformity