In: Nursing
compare and contrast 3 medical management treatment for OA and RA
compare and contrast 3/4 nursing intervention for OA and RA
Compare and contrast 2 medications for OA and RA
Rheumatoid arthritis and osteoarthritis are different types of arthritis. They share some similar characteristics, but has different symptoms and requires different treatment.
MEDICAL MANAGEMENT FOR OSTEOARTHRITIS (OA):
1. Medications: Topical pain relief medicines and oral analgesics
including nonsteroidal anti-inflammatory medications, NSAIDs
2. Exercise: aerobics and aquatic excercise
3. Supportive devices: such as braces, orthotics, shoe inserts,
cane, or walker, Intra-articular injections therapy.
MEDICAL MANAGEMENT FOR RHEUMATOID ARTHRITIS (RA):
1. Medications: NSAIDs, corticosteroid, COX-2 inhibitors, DMARDs
and anti TFN agents.
2. Excercise: regular excercise which includes range of motion
exercises, excercise to increase strength and endurance.
3.Supporrtive devices: splinting, finger splinting and other
assistive devices can help to reduce joint pain and improve joint
function and deformities
NURSING INTERVENTIONS FOR OSTEOARTHRITIS (OA):
1. Weight loss is an important approach to pain and disability
improvement.
2. Canes and other ambulatory devices are very helpful for
ambulation.
3. Exercises range of motion activities such as walking should
begin moderately and increase gradually
4. Adequate pain management is essential to the success of an
exercise program.
5. A referral for physical therapy for people with similar problems
can be very helpful.
NURSING INTERVENTIONS FOR RHEUMATOID ARTHRITIS ( RA):
1.Provide a variety of comfort measures.
2. Administer anti-inflammatory, analgesic, and slow-acting
antirheumatic medications as prescribed.
3.Encourage verbalization of feelings about pain and chronicity of
disease.
4. Facilitate development of appropriate activity/rest
scheduled.
5.Encourage adequate nutrition, including source of iron from food
and supplements.
MEDICATION FOR OSTEOARTHRITIS (OA):
1. NSAIDs include aspirin, ibuprofen, naproxen, and celecoxib.
2.Corticosteroids(steroids): These include prednisone and cortisone.
MEDICATION FOR RHEUMATOID ARTHRITIS (RA):
1. Disease-modifying antirheumatic drugs (DMARDs): this include methotrexate, leflunomide, hydroxychloroquine
2. Biologic agents :includes adalimumab, golimumab