Question

choose 5 nursing care interventions and than give the similarities and differences between them for OA and RA disorder. Explain in details.
OA vs. RA

( please give the 5 intereventions and compare and contrast bween OA & RA for those interventions)

Answer 1

QUESTION: choose 5 nursing care interventions and then give the similarities and differences between them for OA and RA disorder. Explain in details.
OA vs. RA.

ANSWER

Rheumatoid arthritis

RA is an autoimmune disease. It occurs when a person’s immune system mistakenly attacks healthy tissues in the joints.This immune response involves both genetic and environmental factors, including cigarette smoking.

Osteoarthritis

In OA, the protective cartilage gradually wears down and the bones begin to scrape against one another. This wear and tear can result from repetitive movements, such as in sports, that place pressure on the joints.

SL NO	NURSING INTERVENTIONS	SIMILARITIES AND DIFFERENCES IN NURSING INTERVENTIONS FOR PATIENT WITH:
OSTEOARTHRITIS	RHEUMATOID ARTHRITIS
1	Positioning	Support and give comfort to affected extremity while positioning.	Change in position is required as it affects many joints.
2	Nutrition	Foods high in vitamins, protein, and iron for tissue building and repair.	Foods high in vitamins, protein, and iron for tissue building and repair.
3	Activity	Moderate level with provided rest period after activity.	Moderate level with provided rest period after activity.
4	Exercise	Exercises such as walking should begin moderately and increase gradually.	Exercises such as walking should begin moderately and increase gradually.
5	Rest	The patient should avoid joint overuse and rest the joints regularly.	There should be a balance of rest and exercise planned for a patient with RA.
6.	Relieving Pain and Discomfort	Initial analgesic therapy is acetaminophen.	Additional analgesia may be prescribed for periods of extreme pain.
7.	Reducing fatigue	Use energy conservation techniques (pacing, delegating, setting priorities). Encourage adequate nutrition, including source of iron from food and supplements.	Use energy conservation techniques (pacing, delegating, setting priorities). Encourage adequate nutrition, including source of iron from food and supplements.
8.	Facilitating self care	Assist patient to identify self-care deficits and factors that interfere with ability to perform self-care activities.	Assist patient to identify self-care deficits and factors that interfere with ability to perform self-care activities.
9.	Improving Body Image and Coping Skills	Help patient identify elements of control over disease symptoms and treatment. Encourage patient’s verbalization of feelings, perceptions, and fears. Identify areas of life affected by disease. Answer questions and dispel possible myths. Develop plan for managing symptoms and enlisting support of family and friends to promote daily function.	Help patient identify elements of control over disease symptoms and treatment. Encourage patient’s verbalization of feelings, perceptions, and fears. Identify areas of life affected by disease. Answer questions and dispel possible myths. Develop plan for managing symptoms and enlisting support of family and friends to promote daily function.
10.	Use of heat.	To reduce the pain, heat application can be performed over the joints.	To reduce the pain, heat application can be performed over the joints.
11.	Weight reduction.	Weight reduction is strongly recommended for obese patients to avoid further damage to the cartilage.	Weight reduction is strongly recommended for obese patients to avoid further damage to the cartilage.
12.	Orthotic devices.	Devices such as splints and braces can be used to support inflamed joints.	Devices such as splints and braces can be used to support inflamed joints.
13.	Assistive devices	used more often by patients with OA than by those with RA	used more often by patients with OA than by those with RA