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11 Cards in this Set
- Front
- Back
WHAT ARE THE DEFINING CHARACTERISTICS OF OSTEOARTHRITIS?
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-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 |
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WHICH POPULATIONS ARE AFFECTED BY OSTEOARTHRITIS?
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-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 |
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WHAT ARE THE TWO TYPES OF OSTEOARTHRITIS AND WHICH POPULATIONS ARE AFFECTED BY THEM?
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-Primary: (idiopathic) norm aging, mostly women, genetic
-Secondary: mostly men, pre-disposing event ex. trauma, Paget’s leads to degenerative changes |
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WHAT IS THE PATHOPHYSIOLOGY OF OA?
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=new tissue prod in resp to joint insult and cartilege (chrondocyte) deterioration—irritates synovial lining
-new bone formation on joint -cartilage becomes fibrotic |
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HOW IS OA DIAGNOSED?
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-x ray showing osteophytes and dec joint space
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WHAT IS A COMMON REGIMEN USED TO TREAT OA?
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-Exercise-regular, stimulates cartilage growth, protects joints, weight bearing creates support
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WHAT IS USED TO MANAGE OA AND RHEUMATOID ARTHRITIS?
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-Pain and Inflamation relief
-Dec joint stress -low impact exercise -independent ADL -Maintain quality of life -cane, brace, neoprene, collar, corset -apply Heat Cold |
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WHAT MEDICATIONS ARE USED TO HELP MANAGE OA AND RHEUMATOID ARTHRITIS?
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-TYLENOL oa
-NSAIDS rheumatoid -worse oa nsaids w/ misoprostol(cytotec), celebrex(cox2) -viscosupplementation (hyaluronan) injection -OA, glucosamine + chrondroitin, sam-e |
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WHAT ARE THE 3 MAJOR NURSING RESPONSIBILITIES WHEN CONSIDERING OA?
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-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, |
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WHAT ARE 4 SURGICAL INTERVENTIONS USED TO HELP MANAGE OA?
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-Osteotomy: bone excision
-Arthrodesis: bone fusion, laminectomy -Arthroplasty: prosthetic, knee hip |
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WHAT ARE THE OA POST-OPERATIVE NURSING RESPOSIBILITIES?
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-pain
-mobility -peripheral neurovascar care -prevent: injury, infection, skin breakdown, DVT -promote: self care |