Nursing Care Plan for Rheumatoid Arthritis
Nursing Diagnosis for Rheumatoid Arthritis: Acute Pain
related to:
- Injury agents
- Tissue distension, by the accumulation of fluid / inflammation
- Joint destruction.
Can be evidenced by:
- Complaints of pain, discomfort, fatigue.
- Focusing on self / narrowing the focus
- Behavior distraction / autonomic response
- Behavior that is carefully / protect
Expected results / patient evaluation criteria will be:
- Showed pain relief / control.
- Looks relaxed, able to sleep / rest and participate in activities according to ability.
- Following pharmacological prescription program.
- Combining the skills of relaxation and entertainment activities in a pain control program.
Nursing Interventions Acute Pain - Rheumatoid Arthritis:
1. Investigate complaints of pain, note the location and intensity (scale of 0-10). Note the factors that accelerate and signs of non-verbal pain.
Rational: Assist in determining the need for and the effectiveness of the pain management program.
2. Give a hard mattress, small pillows,. Elevate the bed linens as needed.
Rational: A soft mattress, great pillows will prevent the maintenance of proper body alignment, putting stress on the joints that hurt. Elevation bed linen lowering the pressure in the inflamed joints / pain.
3. Place / monitor the use of pillows, sandbags, rolls trokhanter, splint, brace.
Rational: Resting sore joints and maintain a neutral position. The use of the brace can reduce pain and to reduce damage to the joints.
4. Push to frequently change positions. Help the patient to move in bed, prop sore joints above and below, avoid jerking movements.
Rationale: Prevent general fatigue and joint stiffness. Stabilize the joint, reduce motion / joint pain.
5. Instruct the patient to a warm bath or shower waking and / or at bedtime. Provide a warm washcloth to compress the sore joints several times a day. Monitor the temperature of the water compresses, baths, and so on.
Rational: Heat enhance muscle relaxation and mobility, decrease pain and stiffness in the morning release.
Sensitivity to heat can be removed and dermal wounds can be healed.
6. Give a gentle massage.
Rationale: Increase relaxation / relieves pain.
7. Encourage the use of stress management techniques, such as progressive relaxation, therapeutic touch, biofeed back, visualization, imagination guidance, self hypnosis, and breath control.
Rationale: Increase relaxation, provides a sense of control and may improve coping abilities.
8. Engage in recreational activities appropriate to the individual situation.
Rational: Refocus attention, stimulate, and improve self-confidence and feeling healthy.
9. Give medications before activity / exercise planned as directed.
Rationale: Increase realaksasi, reduce muscle tension / spasm, easy to participate in therapy.
10. Collaboration: Give medication as directed (eg, acetyl salicylic acid)
Rationale: As an anti-inflammatory and mild analgesic effect in reducing stiffness and improve mobility.
11. Give ice cold compress if needed.
Rationale: The cold can relieve pain and swelling during the acute period.
