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Knowledge Deficit NCP Rheumatoid Arthritis

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Nursing Care Plan for Rheumatoid Arthritis

Nursing Diagnosis for Rheumatoid Arthritis

Knowledge Deficit (learning need): the disease, prognosis, and treatment

Related to:
  • Lack of exposure / recall.
  • Misinterpretation of information.

Can be evidenced by:
  • Questions / requests for information, statements misconceptions.
  • Not exactly follow the instructions / occurrence of complications that can be prevented.

The expected outcomes / evaluation criteria, patients will:
  • Demonstrate an understanding of the condition / prognosis, treatment.
  • Develop a plan for self-care, including lifestyle modification and consistent with mobility or activity restrictions.

Knowledge Deficit Nursing Interventions NCP Rheumatoid Arthritis:

1. Review the process of disease, prognosis, and future expectations.
Rationale: Provides knowledge that patients can make informed choices.

2. Discuss the habits of the patient in pain management through diet, medication, and a balanced diet, exercise and rest.
Rationale: The purpose of control is to suppress inflammatory disease self / other tissue to maintain joint function and prevent deformities.

3. Assist in planning a realistic schedule of activities integrated, rest, personal care, administration of medication, physical therapy, and stress management.
Rationale: Provide structure and reduce anxiety at the time of handling complex chronic disease processes.

4. Emphasize the importance of continuing medication management.
Rationale: The advantage of drug therapy depends on the accuracy of dose.

5. Encourage digest medicine with food, milk, or an antacid at bedtime.
Rationale: Limiting gastric irrigation, reduction of pain in the HS will improve sleep and reduce morning stiffness.

6. Emphasize the importance of reading product labels and reduce the use of drugs are sold freely without doctor's approval.
Rationale: Many products contain hidden salicylates may increase the risk of a decent pint of drugs / dangerous side effects.

7. Review the importance of a balanced diet with foods rich in vitamins, protein and iron.
Rationale: Increased sense of well-general and tissue repair.

8. Encourage obese patients to lose weight and weight loss provide information as needed.
Rationale: Weight loss will reduce the pressure on the joints, especially the hips, knees, ankles, feet.

9. Provide information about the tools
Rationale: Reduce compulsion to use the joints and allows individuals to participate more comfortably in activities that are needed.

10. Discuss energy saving techniques, eg sitting than standing for preparing food and bathing.
Rationale: Prevent fatigue, providing ease of self-care, and independence.

11. Push maintain correct posture both at rest and during activity, such as keeping the joints remain stretched, no flexion, using a splint for the specified period, placing hands near the center of the body during use, and shifting rather than lifting if possible.
Rationale: good body mechanics should be part of the patient's lifestyle to reduce joint stress and pain

12. Review the need for frequent inspection of the skin and other skin care under the bandage, plaster, backer tool. Indicate giving proper bearings.
Rationale: Reduce the risk of irritation / skin breakdown.

13. Discuss the importance of continued drug / laboratory test.
Rational: drug therapy requires assessment / continuous improvement to ensure optimal effect.

14. Give sexual counseling as needed
Rationale: Information on different positions and techniques or other options for sexual fulfillment may improve personal relationships and a sense of self esteem / confidence

15. Identify community resources, eg: arthritis foundation (if any).
Rationale: Help / support from others to increase the maximum recovery.

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