By Ann Schmidt Luggen Phd RN MSN CS BC-ARNP CNAA, Sue E. Meiner EdD APRN BC GNP
This concise advisor offers nurses with the instruments to aid older adults with arthritis in achieving the top attainable caliber of lifestyles. sensible pointers on nursing administration, self care, and the significance of workout are a spotlight all through. half one offers particular arthritic stipulations in a uniform structure -- epidemiology, medical good points and administration, analysis, pharmacotherapy, and nursing administration and interventions. half provides basic suggestions for handling arthritis, together with entire chapters on a soreness administration, workout, and sufferer instructing. Any nurse operating with the aged will locate this a primary source.
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Extra info for Care of Arthritis in the Older Adult (Springer Series on Geriatric Nursing)
If there is inflammation the erythrocyte sedimentation rate (ESR) may be elevated. Tests for rheumatoid factor or antinuclear antibodies may be normally elevated in older adults. C-reactive protein may also reveal mild elevations and increased levels may predict progression of OA (Kee, 2000; Townes, 1999). Joint aspiration may be performed as a method to eliminate other diagnoses when effusion is present. Synovial fluid in OA is usually of the noninflammatory type, with normal viscosity, few leukocytes, and a normal differential count (Cardone & Tallia, 1999; Townes, 1999).
Donnelly, S. (1999). Hyaluronic acid in the treatment of the knee. Rheumatology, 38, 602-607. Kee, C. K. (2000). Osteoarthritis: Manageable scourge of aging. Rheumatology, 35, 199-208. Merenstein, G. A. & D'Amico, J. H. (1999). Therapeutic touch and osteoarthritis of the knee. Journal of Family Practice, 48, 11-12. , Chapman, C. L, Carr, A. , Sinsheimer, J. , Bloomfield, V. , Sykes, J. , & Louhlin, J. (2000). Linkage analysis of candidate genes as susceptibility Osteoarthritis 27 loci for arthritis-suggestive linkage of COL9A1 to female hip osteoarthritis.
Exertion may cause rupture and extravasation of inflammatory synovial fluid, presenting a picture that resembles thrombophlebitis. Foot Many areas of the foot are involved in RA. The metatarsal heads in the forefoot cause much pain and disability. Synovitis of the rnetatarsophalangeal (MTP) joints and the flexor tendons cause patients to walk on their heels. This eventually leads to clawing of the toes and eventual dorsal dislocation of the MTP joint. Heel pain can be a particular problem in RA.