Rheumatoid Arthritis Case Study

Rheumatoid Arthritis (RA) is a chronic auto immune, systemic inflammatory disease. It attacks peripheral joint and the surrounding muscle, tendons, ligaments and blood vessels. It can also produce inflammation in the lungs, pericardium, pleura and nodular lesions under the skin. (Lippincott, Williams & Wilkins, 2013). RA leads to damage of connective tissues and the synovial membrane in the joints, and can cause permeant damage. The symptoms of RA can vary from person to person. It can be minor and cause only minimal joint discomfort to pain that it is so sever it can be crippling. Patients can experience fatigue, fever and weight loss. (Anderson, 1995). Pain can be worse in the morning when first arising out of bed. There are multiple diagnostic …show more content…
(Rosdahl & Kowaiski,2012). Also the autoimmune suppressants will make patients more susceptible to infections. This disease of inflammation can cause chronic pain or total stiffening of joints make ADLs virtually impossible. The need to have help from others and lose your independence can also lead to depression. Some complications from RA include: joint deformities, vasculitis, pericarditis, and peripheral neuropathy.(Lippincott, Williams & Wilkins, 2013). When a nurse is planning the care of a patient they include nursing diagnosis. Although there are many to choose from here are a few along with some interventions that could help somebody coping with rheumatoid arthritis?
1. Acute pain related to RA as evidenced by verbal …show more content…
Dressing self-care deficit related to muscoskeltal impairment as evidenced by not be able to button shirt and zip zipper on pants.
For this NANDA the nurse should come up with ways for the patient to be able to perform his own dressing routine. Such as providing clothes that do not require buttoning or pants that have elastic bands to eliminate zippers. Provide shoes that are slip-ons and do not have laces on them. These simple activities are important for the patient to preform because it will help maintain movement and the functions of joints. This will also help to enhance their self-esteem and stay as independcy.
3. Disturbed body image related to deformity of the hands as evidenced by intentional hiding of hands and frequent comments of the physical manifestations.
The nurse can provide emotional support and encouragement to improve the patient’s self-concept. Promote motivation to preform ADLs. Help to focus on the individual’s strength. Also encouraging to engage in social activities to keep from feeling isolated.
4. Risk for injury related to loss of full ROM as evidence by unsteady gait.
Teach patient to keep furniture against walls and floors clear from obstruction such as throw rugs or shoes. Have patients dangle after laying down. Keep all assisted walking devices within

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