Question

Suggest a treatment plan for rheumatoid arthritis

Answer 1

Rheumatoid Arthritis ;-

it is a autoimmune disease many joints in our body ,including those in the hands and feet .

Signs and symptoms ;-

-pain in joints.back and muscles

-stiffness,swelling ,weakness and tenderness

-fatigue,malaise ,and anaemia in whole body

-sensation of pins and needles

-bumb on finger

-swelling on hands

-dry mouth

-physical deformity

# treatment ;-

-there is no permanent treatmeent for cure rheumatoid arthririts

selfcare

-use heatpads that helps to relieve pain in muscles and joints

-maintain balaced rest and exercise

pharmacological management

-non steroidal anti inflammatory drugs helps to reduce pain ,inflammation and fever

-immunosupressive drugs helps to reduce immune respones

-methotrexate ; helps to prevent joint destruction and longterm disability

-antidepressent

-analgesics

-anti inflammatory drugs helps to reduce swelling

-steroids

physical therapy

-streching improve flexibility of body

-physical therapy helps to restore your muscle strenght

-medical procedure mainly include arthrocentesis ;removal of fluis from around the affected joints

surgical management;

-reconstructive surgery

-synovectomy-excision of synovial membrane

-arthrodesis ;surgical fusion of the joint

-Arthroplasty ;repair or replacement of joints

-joint replacement; removal of damaged joint and repace it with a new healthy one .

nursing management;-

-assess the general condition of the client

-provide variety of comfortable measures to relieve pain and discomfort example; position change ,supporting pillows,

-administewr prescribed medication

-encourage verbalisation of feeling

-assess subjective changes of pain

-explain about energy conservation techniques to reduce fatigue like pacing ,deligating etc

-assess emotional and physical factors that can leads to fatigue

-promote to adherence to treatment programmes

-encourage adequate nutrition ,iron suppliement and minerals

-assist to identify environmental barriers of mobility

-assist and support them to maintain adequate mobility

-assist need for occupatiobal and physical consultation

-initiate refferal to community health agenciy.

-assist the client to identify selcare defecit

-help and assist them to perform activites of daily livings

-help them to improve body image and copying skills

-monitor and managing potential complications

-monitor for medication sideeffect and systemic and local infections

-teach the client and family members about disease,treatment strategies,side effects of medications and safty in home

-teach about necessary adaptation in lifestyle

-assess the home environment and its adequecy for patient safty.

-emphasize the importance of followup