Nursing Care Plan for Rheumatoid Arthritis
Nursing Diagnosis: Impaired Home Maintenance Management
Rheumatoid arthritis (RA) is a long-term disease that leads to inflammation of the joints and surrounding tissues. It can also affect other organs.
Rheumatoid arthritis (RA) is a form of arthritis that causes pain, swelling, stiffness and loss of function in your joints. It can affect any joint but is common in the wrist and fingers. More women than men get rheumatoid arthritis. It often starts between ages 25 and 55. You might have the disease for only a short time, or symptoms might come and go. The severe form can last a lifetime.
While rheumatoid arthritis primarily affects joints, problems involving other organs of the body are known to occur. Extra-articular ("outside the joints") manifestations other than anemia (which is very common) are clinically evident in about 15–25% of individuals with rheumatoid arthritis. It can be difficult to determine whether disease manifestations are directly caused by the rheumatoid process itself, or from side effects of the medications commonly used to treat it – for example, lung fibrosis from methotrexate or osteoporosis from corticosteroids.
Nursing Diagnosis: Impaired Home Maintenance Management
Risk factors include:
- The process of long-term degenerative diseases, inadequate support systems.
The expected outcomes / evaluation criteria, patients will:
- Maintaining security environment which fosters growth.
- Demonstrate the use of effective resources and appropriate.
Nursing Interventions Impaired Home Maintenance Management NCP Rheumatoid Arthritis
1. Assess the level of physical function.
Rationale: Identifying the help / support needed.
2. Environmental evaluation to assess the ability to care for themselves.
Rationale: Determining the possible arrangements of the existing / home reshuffle to meet individual needs.
3. Determine the financial resources to meet the needs of individual situations. Identify support systems available to the patient, ie, divide the household chores among the family members.
Rationale: To ensure that the needs will be met on an ongoing basis.
4. Identifying the necessary equipment, eg lift, elevated toilet seats.
Rationale: Provides the opportunity to get the equipment before going home.
5. Collaboration: Coordinate evaluation at home by occupational therapists.
Rationale: Useful to identify equipment, ways to modify tasks to modify tasks to maintain independence.
6. Collaboration: Identify community resources, eg: domestic maid service if any.
Rationale: Provides ease of switching on / support continuity in the home situation.
