Clinical Reasoning Case Study: Knee Osteoarthritis
Emotions of the patient to pain may increase the level of pain and may also increase the risk of having anxiety. On the other hand, cold minimizes muscle spasticity, inflammation, and reducing pain through the reduction of the release of pain-inducing chemicals. Nursing Care Plans According to the Arthritis Foundation 2014 , Nursing Care Plan for patients suffering from Osteoarthritis comprise of; easing pain, enhancing comfort processes, averting progressive disability, as well as sustaining optimal functions of the joints. Paracetamol and topical use of NSAIDs are the currently recommended first-line treatments for knee OA NICE 2008. The patient may find it challenging to cope with an advancing and devastating disease. Osteoarthritis and Cartilage, 28, S301.
Osteoarthritis and cartilage, 12, 39-44. BMC Musculoskeletal Disorders, 5 , 17-25. Manual therapy is more efficient than exercise therapy for osteoarthritis of the hip. The health of both patient and carer was then assessed by the nurse during subsequent home visits. The Story:You the LPN are working in an urgent care center on a team with an RN, Physician, and NP.
Nursing Case Study: Osteoarthritis (OA) Management
The following medications are prescribed: o Aspirin acetylsalicylic acid 1 g PO 3x per day o Capsaicin Zostrix apply to affected areas three to four times a day only o Celecoxib Celebrex 200mg PO two times a day o Calcium Os-Cal 1g PO in the morning and at bedtime 7. Camarista, Coleen Mae C. The first case study deals with osteoporosis and osteoarthritis. Lin, J, Fessell, D P, Jacobson, J A et al, 2000. This is considered by many to be against the founding principles of the NHS which was introduced with the vision of providing free medical care for all Donnelly 2008.
The chances of infection increases if any surgical procedures are carried out nearby the colon area. Presence of other co morbidities can prolong the recovery stage. Radiology, 234 , 125-133. This will provide baseline information for formulating goals. The NSF for Older People Department of Health 2001 addresses some of the ethical issues surrounding the care of older adults, in particular infringement of their dignity and unfair discrimination in access to care. The most common type of arthritis is degenerative joint disease, also known as osteoarthritis OA.
Yoga for Managing Knee Osteoarthritis in Older Women: A pilot Kalunian, K. Loss of height may occur due to increased bone loss Brown, 2009. OA starts from an injury of the articular cartilage, subchondral bone, and synovium. A personalised care plan was developed for Mrs Smith with the involvement of both her and her husband, which was tailored to meet her individual goals. Eighteen months ago, she underwent emergency hospital admission for a urine infection.
SOLUTION: Georgian Court University Osteoarthritis Nursing Case Study
ADVERTISEMENTS Although the disease occurs most often in older adults, osteoarthritis is not part of the normal aging process. Having previous joint damage predisposes the patient to secondary OA. These included the installation of a raised toilet seat and wall bars in the bathroom. The doctor may recommend surgery to resolve unbearable joint pain due to OA. This can help to determine the severity of the disease and further diagnosis.
CASE STUDY: OSTEOARTHRITIS NURSING CARE PLAN PROJECT
Give the patient pain relief medication as needed and as prescribed by the physician. Place the patient in a reachable room that is closer to the nurse. Ask the patient to describe their present pain using a pain scale of 1 to 10, with 1 being the lowest pain and 10 being the worst pain. . Position the personal items of the patient within easy reach, such as call light, water, urinal, and telephone. Clinical review: The orthopaedic approach to managing osteoarthritis of the knee.
Acute Knee Trauma: Value of a Short Dedicated Extremity MR Imaging Examination for prediction of Subsequent Treatment. Arthritis Research Campaign, London. Roos 2005 provided a model for the processes responsible for pain and development of osteoarthritis. Lack of physical activity can make Claire prone to osteoporosis Metcalfe, 2008. Indication of MRI, in this case, is to evaluate pain as it persisted for more than 3-6 weeks Oel and others 2005. These are persistent pain for four months, reduced right knee extension in standing with slight varus deformity. Effective communication and building trust is central to this relationship and it is necessary to gain the perspective of both the patient and carer to develop a thorough understanding of individual needs.
MJA, 180 , 232-236. Changing positions regularly when maintaining functional alignment Poor body alignment may result in muscle spasms which may, in turn, lead to discomfort Eliminating extra stressors Pain is a stressor to patients, and minimizing other stressing factors may promote effective coping with pain by increasing emotional energy reserve Using adaptive medical equipment Adaptive equipment help in ambulation and reduction of joint stress. Evaluation of Acute Knee Pain in Primary Care. Knowing the level of tolerance will guide the nurse in planning and doing interventions. Proper lighting decreases the risk of injuries like falls among elderly patients. Instruct the patient to take prescribed analgesics and anti-inflammatory drugs. Ann Intern Med, 139 , 575-588.
Educate the patient about the safety measures such as: Raising the chairs and toilet seatUse of handrailsCorrect use of mobility equipment and wheelchair safety Safety measures should always be followed to help prevent accidental injuries and prevent the patient from falling. Muscle spasms and other discomforts may happen due to the flexion of the joints. Statistics and Epidemiology Osteoarthritis often begins with the third decade of life and peaks between the fifth and the sixth decades. In conclusion, the conditions such as osteoarthritis and osteoporosis can be disastrous to Claire as it can affect the quality of her life to a high degree. Administering Muscle relaxants Muscle relaxants may relax muscles but can cause drowsiness and exaggerate the depressive effects of alcohol on the nervous system Kodadek 2015, p. Impaired Physical Mobility Impaired Physical Mobility refers to the constraint in the purposeful, independent physical movement of the body or one or more part of the body. Suggested interview questions:Did a patient education representative give you instructions on how to care for yourself after your illness or operation? Moreover, there were numerous small areas where dehiscence was apparent with pus present.
