By Ann Schmidt Luggen Phd RN MSN CS BC-ARNP CNAA, Sue E. Meiner EdD APRN BC GNP

ISBN-10: 0826123627

ISBN-13: 9780826123626

ISBN-10: 0826123635

ISBN-13: 9780826123633

This concise advisor offers nurses with the instruments to aid older adults with arthritis in achieving the top attainable caliber of existence. sensible tips about nursing administration, self care, and the significance of workout are a spotlight all through. half one provides particular arthritic stipulations in a uniform structure -- epidemiology, scientific positive factors and administration, analysis, pharmacotherapy, and nursing administration and interventions. half provides basic thoughts for coping with arthritis, together with finished chapters on a ache administration, workout, and sufferer educating. Any nurse operating with the aged will locate this a basic source.

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One possible explanation for the development of OA is failure to maintain this homeostasis (O'Rourke, 2001). Another theory suggests that subchondral bone may sustain repeated microfractures that result in stiffening and ineffective shock absorbing. Subchondral bone changes are viewed as an important cause of OA rather than a sequel of cartilage damage (O'Rourke, 2001). , 2000). Changes in the load-bearing joints are most pronounced on the articular cartilage. Susceptibility to cartilage damage increases with age and may be the result of abnormal biomechanics that lead to stress and alteration in the normal structure.

Rheumatoid Arthritis 37 Lymphadenopathy occurs frequently with active RA. These nodes are often felt in the axillary, inguinal, and epitrochlear areas; they are mobile and nontender. With good control of RA, the lymphadenopathy diminishes. Felty's Syndrome This is RA with splenomegaly and leukopenia. It occurs usually in RA patients with longstanding, seropositive, nodular disease with lower extremity ulcerations and hyperpigmentation. A recently recognized variant of Felty's occurs mainly in older adults early in the disease course of RA.

See chapter 3, pain management. NURSING MANAGEMENT The geriatric nurse has an important role to play in the management of the older adult with RA. The nurse's support can positively affect self-care and ultimately improve quality of life. Some nursing diagnoses that are appropriate for the older adult with RA include (Luggen & Luggen, 1998): Alteration in role performance related to crippling effects of RA Impaired physical mobility related to pain and joint deformity Pain related to joint inflammation Ineffective coping related to depression of chronic illness Interventions and Outcomes Alteration in role performance related to crippling effects of RA Expected outcome: The patient will learn to function in usual roles as much as possible.

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Care of Arthritis in the Older Adult (Springer Series on Geriatric Nursing) by Ann Schmidt Luggen Phd RN MSN CS BC-ARNP CNAA, Sue E. Meiner EdD APRN BC GNP

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