Nursing Diagnosis and Nursing Intervention for Rheumatoid Arthritis

Nursing Diagnosis and Nursing Intervention for Rheumatoid Arthritis

Nursing Diagnosis and Nursing Intervention for Rheumatoid Arthritis

Nursing Diagnosis

Pain (Acute / Chronic)

Related to:
  • Tissue distension by fluid accumulation / inflammation
  • Joint destruction.

Can be evidenced by :
  • Complaints of pain, discomfort, fatigue.

  • Self-focusing / narrowing of focus
  • Behavior distraction / autonomic response
  • Behavior that is carefully / protect

Expected Result / criteria for evaluation of patients will :
  • Showed pain relief / control
  • Looks relaxed, sleep / rest and participate in activities according to ability.
  • Follow the program prescribed pharmacological
  • Combining the skills of relaxation and entertainment activities into a program of pain control.

Nursing Interventions and Rational for Rheumatoid Arthritis :
  1. Assess complaints of pain, note the location and intensity (scale 0-10). Note factors that accelerate and signs of pain non-verbal.
    Rational: To assist in determining the need for pain management and program effectiveness.

  2. Give a hard mattress, small pillows, bed linen Elevate as needed.
    Rational: A soft mattress, large pillows, will prevent the maintenance of proper body alignment, placing stress on joints that hurt. Elevation of bed linen lowering the pressure in the inflamed joints / pain.

  3. Place / monitor the use of pillows, sandbags, splint, brace.
    Rational: Resting sore joints and maintain a neutral position. Use of the brace can reduce pain and can reduce damage to the joints.

  4. Suggest to frequently change positions, Help to move in bed, prop a pain in the joints above and below, avoid jerky movements.
    Rationale: Prevent the occurrence of general fatigue and joint stiffness. Stabilize the joint, reducing the movement / pain in the joints.

  5. Instruct the patient to a warm bath or shower at the time awake and / or at bedtime. Provide a warm washcloth to compress the joints are sick several times a day. Monitor water temperature, water bath, and so on.
    Rational: Heat increases muscle relaxation, and mobility, reduce pain and release the stiffness in the morning. Sensitivity to heat can be removed and dermal wound can be healed.

  6. Give a massage.
    Rationale: Increase relaxation / pain relief.

  7. Encourage the use of stress management techniques, such as progressive relaxation, therapeutic touch, biofeed back, visualization, imagination guidelines, self hypnosis, and breath control.
    Rationale: Increase relaxation, giving a sense of control and possibly enhance the coping abilities.

  8. Engage in activities of entertainment that is appropriate for individual situations.
    Rational: To focus attention again, provide stimulation, and increased self-confidence and feeling healthy.

  9. Give the drug prior to activity / exercise that is planned as directed.
    Rationale: Increase relaxation, reduce muscle tension / spasm, making it easier to participate in therapy.

  10. Collaboration: Give medicines as directed.
    Rational: As an anti-inflammatory and mild analgesic effect in reducing stiffness and improving mobility.

  11. Give ice-cold compress if needed
    Rational: The cold can relieve pain and swelling during the acute period.

NANDA NURSING

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