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PREVIEW
A Number of disease that cause: Chronis pain Stiffness or swelling around joints & Tendon Distinguished by: Their chronicity The appereance of local & systemic features of inflammation Commonest cause of inflammatory joint disease most typical features: Symmetrical polyarthitis & tenosynovitis Morning stiffnes Elevation of ESR Appereance of anti IgG (Rheumatoid factor) 3X >> woman Because of hormon: Estrogen
1.Synovitis & joint swelling (painfull,swollen,tender) 2. Early joint destruction with periarticular erosions (bone was eroded) 3. Advanced joint destruction & deformity (capsular & tendon ruptur)
NURSING DIAGNOSIS
Physical mobility,impaired, related to
Pain Oedema Limited range of motion of affected bone
Pain related to Experience during invasive procedures/ diagnostic test Injury risk related to Immobility Instability of skeleton
Bed rest Gentle passive & active exercise Prevent Postural deformities 2. Prevent deformity - Physioterapy - Postural training 3. History of muscle pain, tiredness, lost of weight & general lack of well being 4. Rehabilitate - Functional assessment - Social integration Home Care - Psychological support
Rehabiliatsi: Merupakan tindakan untuk mengembalikan tingkat kemampuan klien dengan R.A
ASSESSMENT THERES NO CURE but CARE Mengurangi rasa nyeri Mencegah terjadinya kekakuan & keterbatasan gerak sendi Mencegah terjadinya atrofi & kelemahan otot Mencegah terjadinya deformitas Meningkatakan rs.nyaman & kepercayaan diri Mempertahankan kemandirian