Nursing Care Plan for Osteoarthritis
Pain (acute / chronic) related to tissue distension by accumulation of fluid / inflammation, joint destruction.
Outocomes :
- Showed pain control.
- The client looks relaxed, can sleep / rest and participate in activities.
- Following therapy program.
- Combining the skills of relaxation and entertainment activities into the program of pain control.
Interventions :
- Assess complaints of pain, note the location and intensity of pain (scale 0-10), note the factors that accelerate and signs of pain.
- Give a hard mattress, small pillows. Elevate the bed linens as needed.
- Let the patient take a comfortable position when sleeping or sitting in a chair. Increase bed rest as indicated.
- Encourage patients to frequently change positions. Help the patient to move in bed, prop sore joints above and below, avoid jerky movements.
- Encourage patients to a warm bath or shower to wake-up time. Provide a warm washcloth to compress the affected joints several times a day. Monitor the temperature of the water compresses , water bath.
- Give a gentle massage.
- Collaboration : Give medication before activity or exercise that is planned according to the instructions as acetyl salicylate.
Rationale :
- Assist in determining the need for and effectiveness of pain management programs.
- Soft mattress, great pillows will prevent the maintenance of proper body alignment, placing setres the diseased joints. Elevation of the bed linens pressure on inflamed joints / pain.
- In severe disease, bed rest may be necessary to limit joint pain or injury.
- Preventing the occurrence of general fatigue and joint stiffness. Stabilize the joint, reduce movement / pain in the joints.
- Heat increases muscle relaxation and mobility, decrease pain and stiffness in the morning release. The sensitivity of the heat can be removed and dermal wounds can be healed.
- Increasing relaxation / reduce muscle tension.
- Increase relaxation, reduce muscle tension, ease to participate in therapy.
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