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Osteoarthritis Concept map
Medical Surgical (American Career College)
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lOMoARcPSD|8457625
symptoms are aching pain with
joint movement and stiffness,
with limitation of mobility.
Joints may be deformed, and
nodules may be present.
Goal was met within 3 months
of set goal;
Patient has controlled pain by
therapeutic therapy such as
swimming and exercising body
to avoid muscle spasm;
patient has also taken
medications to alleviate pain
alongside therapy
Osteoarthritis
noninflammatory degenerative joint
disease characterized by breakdown of
cartilage in synovial joints.
Joint pain- knee pain
Liver and kidney failure
Chronic pain related to muscle
spasms as evidenced by
reports of pain, spasm, tingling,
numbness
Client will report structure
pain control at a level less
than 3-4 on a scale of 0-10 in
less than 3 months
Pathophysiology
People with osteoarthritis seem to
produce less collagen to strengthen
cartilage and cover and protect joints in
the body.
Glucosamine and chondroitin have been shown in a
research study to decrease the pain of moderate to
severe osteoarthritis in some people.
Yoga and massage can help to control and relieve the
pain of osteoarthritis. Capsaicin cream, or ointment
made from cayenne red pepper, blocks pain locally
when applied topically to the inflamed joint. It can
be used four times a day. It is available over the
counter or by prescription.
Injections of hyaluronic acid (HA) (Euflexxa,
Orthovisc, Synvisc, Supartz, and Hyalgan) into the
joint can act as a lubricant and decrease pain and
improve function for some patients with mild to
moderate osteoarthritis.
Elevated WBC count with less than 25%
neutrophils and the presence of
cartilage cells
Radiography studies
MRI
Arthroscopy
Synovial fluid examination
Bone scans
teaching the patient to balance exercise and rest. Gentle exercise is very important in
maintaining joint mobility. Walking, knitting, and swimming all help improve mobility and
decrease pain. The patient should avoid placing stress on affected joints. Suggest the
use of assistive devices to open containers and perform other household functions.
Instruct in moist heat application, and encourage the patient to maintain weight within
normal limits. Weight reduction decreases joint stress. Imagery, relaxation, and diversion
are helpful to reduce pain. Quadriceps strengthening exercises may relieve pain and
disability of the knee
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