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11 Cards in this Set

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WHAT ARE THE DEFINING CHARACTERISTICS OF OSTEOARTHRITIS?
-Most common arthritis
-degenerative, chronic,NOT systemic
-stiffness, morning, after exercise
-achieness weather
-crepitus, motion
-narrowed joint space
-pain/stiffness inc w/activity dec w/rest
-mild tenderness joint area
-dec ROM
-joint enlrg
WHICH POPULATIONS ARE AFFECTED BY OSTEOARTHRITIS?
-symp middle age, progress with age
=65yrs <
=obesity (knees) disability in lower extremities due to effects on lg wt bearing joints
=PT no hist. of joint inj or disease, nor systemic ill assoc w/arthritis
WHAT ARE THE TWO TYPES OF OSTEOARTHRITIS AND WHICH POPULATIONS ARE AFFECTED BY THEM?
-Primary: (idiopathic) norm aging, mostly women, genetic
-Secondary: mostly men, pre-disposing event ex. trauma, Paget’s leads to degenerative changes
WHAT IS THE PATHOPHYSIOLOGY OF OA?
=new tissue prod in resp to joint insult and cartilege (chrondocyte) deterioration—irritates synovial lining
-new bone formation on joint
-cartilage becomes fibrotic
HOW IS OA DIAGNOSED?
-x ray showing osteophytes and dec joint space
WHAT IS A COMMON REGIMEN USED TO TREAT OA?
-Exercise-regular, stimulates cartilage growth, protects joints, weight bearing creates support
WHAT IS USED TO MANAGE OA AND RHEUMATOID ARTHRITIS?
-Pain and Inflamation relief
-Dec joint stress
-low impact exercise
-independent ADL
-Maintain quality of life
-cane, brace, neoprene, collar, corset
-apply Heat Cold
WHAT MEDICATIONS ARE USED TO HELP MANAGE OA AND RHEUMATOID ARTHRITIS?
-TYLENOL oa
-NSAIDS rheumatoid
-worse oa nsaids w/ misoprostol(cytotec), celebrex(cox2)
-viscosupplementation (hyaluronan) injection
-OA, glucosamine + chrondroitin, sam-e
WHAT ARE THE 3 MAJOR NURSING RESPONSIBILITIES WHEN CONSIDERING OA?
-Promote Healthy Life: exercise, rest, reg meds, emotional supp
-Education: proper fit and correct use of appliance, not systemic, avoid over exertion
-Assist w/selfADL: ROM, pace adl’s,
WHAT ARE 4 SURGICAL INTERVENTIONS USED TO HELP MANAGE OA?
-Osteotomy: bone excision
-Arthrodesis: bone fusion, laminectomy
-Arthroplasty: prosthetic, knee hip
WHAT ARE THE OA POST-OPERATIVE NURSING RESPOSIBILITIES?
-pain
-mobility
-peripheral neurovascar care
-prevent: injury, infection, skin breakdown, DVT
-promote: self care