Term
Introduction of Osteoarthritis
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Definition
Osteoarthrits is the most prevalent chronic condition among older persons.
OA is assocaiated with the disability in older persons in the U.S
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Term
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Definition
* Age
*genetic predisposition
*obesity
*occuaption
*mechanical joint stress
*joint trauma
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Term
Risk Factors for OA
(cont'd)
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Definition
* previous joint/bone disorders
*a history of inflammatory,endrocrine or metabolic disease
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Term
Comparsion of OA and RA
(osteoarthritis)
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Definition
Definition: OA is a degenerative joint diesease, which leads to the thinning or destruction of cartialge causing paniful irritation of the involved joints and adjacent bone tissues.
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Term
Comparsion of OA and RA
(osteoarthritis)
(cont'd2)
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Definition
Age: usually develops after age 40
slowly develops over the years.
Often affects the joints on only one side of the body at first. nonsystemic
Affects certain joints most often (weight bearing joints) the hips, knees,cervical spine, and lower back,fingers,feet(big toe)
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Term
Comparsion of OA and RA
(osteoarthritis)
(cont'd 3)
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Definition
*Dx. Stiffness on arising but usually subsides after 30 minutes
*Osteophytes
a. herben nodes DIP (1st joint)
b. Bouchards nodes PIP (2nd joints)
* Does not cause a general feeling of sickness but does have joint sysmptoms, pain, stiff and functional impairment
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Term
Comparsion of OA and RA
(Rheumatoid arthritis)
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Definition
Definition: RA is an inflammatory disease of the lining of the joints, results from a fault in the bodys defense or immune system |
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Term
Comparsion of OA and RA
(Rheumatoid arthritis) |
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Definition
* Age: usually begins between ages 35-45. Can affect children
* acute onset development, fusion of bones
*Usually affects the same joint on both sides of the body-symmetrical
* Pattern of joint involvement usually begins with smaller joints. Hands, writs and feet. Later moving inot larger joints
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Term
Comparsion of OA and RA
(Rheumatoid arthritis) |
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Definition
Dx. Stiffness 1 hour to all day
* Articular changes ( bilateral changes, swelling,stiffness, tenderness and temp. changes in the joints affected)
*boutonniere-nodules(deformity from contraction)
Xrays(extra-articular changes)
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Term
Comparsion of OA and RA
(Rheumatoid arthritis) |
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Definition
* Often causes a general feeling of sickness.
*Symptoms of fatigue, fever, anemia,lymph node enlargement and weight loss.
*excerbation ad remission of disease.
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Term
Priority Goals of treatment for OA and RA |
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Definition
* Allevaiation of pain
*Prevention of disability/maintenance of function
*Protection of joints.
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Term
Relief of pain
*Medications (analgesic,NSAIDS)
eg. tylenol(primary drug choice for pain releif)
Prescriptions analgesics
Tylox, Percodan
NSAIDS
IF no releif from analgesic drug, Usual drug of choice are these.
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Definition
Nursing interventions
For severe pain, adminster around the clock to avoid peaks and troughs of the analgesics
Controlled substance, potential for abuse.
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Term
Treatments
Salicylates(aspirin-OTC
Ibuprofen(motrin)-OTC
Prescriptions (oxaprozin,diclofenac sodium
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Definition
Nursing Interventions
Take with food, GI disturbances-assess for GI bleeding
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Term
Treatments
Cox-2 Enzymes inhibitor
Celecoxib(celebrax)
Valdecoxib(Bextra)
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Definition
Nursing Interventions
Less GI side effects and bleeding
Monitor for cardiovascular disease |
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Term
Muscle Relaxants and Depressants |
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Definition
Corticosteroids
Predinose-(systemic effect)
Injections into joints-(Temporary relief)
DMARDS for RA
Disease modifying antirrheumatic drugs ie. Methotrexate(priority treatment for RA)
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