Rheumatoid arthritis is an autoimmune disease that can cause chronic inflammation of the joints and other areas of the body. Autoimmune diseases are illnesses that occur when the body's tissues are mistakenly attacked by their own immune system. The immune system contains a complex organization of cells and antibodies designed normally to "seek and destroy" invaders of the body, particularly infections.
Rheumatoid arthritis can affect many areas of the body. These effects all result from the general process of inflammation, leading to a wide variety of symptoms of rheumatoid arthritis:
- Fatigue
- Malaise (feeling ill)
- Loss of appetite, which can lead to weight loss
- Muscle aches
Nursing Diagnosis and Interventions for Rheumatoid Arthritis
Long-term goal: After the intervention for 3 x 24 hours, it is hoped, acute pain on the client is reduced / lost.
Short-term goal: After a 1 x 45 minutes, the client is expected to be able to:
1. Knowing the problems of rheumatoid arthritis.
a. Mention the definition of rheumatoid arthritis.
Standard
- Rheumatoid arthritis is a chronic infectious disease of unknown cause, characterized by destruction and joint disorders that cause joint deformation.
Intervention:
- Assess the client's knowledge about rheumatoid arthritis.
- Discuss with the client about rheumatoid arthritis.
b. Mention the causes of rheumatoid arthritis
Standard
The cause of rheumatoid arthritis is:
- the process of aging
- descent
- injury
- infection of bone
- obesity
Intervention:
- Assess the client's knowledge about the causes of rheumatoid arthritis.
- Discuss with the client about the causes of rheumatoid arthritis.
c. Mention the signs and symptoms of rheumatoid arthritis
Standard
Signs and symptoms of rheumatoid arthritis are:
- joint pain and stiffness
- tingling in the feet / hands
- swollen joints, limited mobility
- joints reads
- weight loss
- decreased appetite
- fever
Intervention
- Assess the client's knowledge about the signs and symptoms of rheumatoid arthritis
- Discuss with the client about the signs and symptoms of rheumatoid arthritis
2. Taking the right decision to take care of the client, with:
a. Knowing the result of the disease rheumatoid arthritis
Standard
- Clients can mention the effect of the disease is the inability of active rheumatoid arthritis.
Intervention
- Assess the client's knowledge about the effects of information from rheumatoid arthritis.
- Motivation to repeat, due to continued from rheumatoid arthritis.
- Clients can mention the effect of the disease rheumatoid arthritis, is the inability to move.
b Decided to treat clients with rheumatoid arthritis.
Standard
- The client decided to treat himself with rheumatoid arthritis.
Intervention
- The motivation to treat himself with rheumatoid arthritis.
3. After a 1 x 45-minute meeting, the client able to treat himself with rheumatoid arthritis.
a. Mention how to cope with rheumatoid arthritis.
Standard
- The client decided to treat himself with rheumatoid arthritis.
Intervention:
- Assess the client's knowledge about self-care.
Standard
Clients can mention how to care for themselves, namely:
- accustom themselves to train active and passive movements.
- warm compresses on the sore and swollen joints.
- regular exercise
- do not work too hard
- foods high in protein, vitamin C and iron
- adjusting diet
Intervention :
- Discuss with the client about self-care.
4. After meeting 1x30 minutes, meeting client is able to modify the environment to himself
a. Maintaining a conducive environment.
Standard
Conducive environment for clients with rheumatoid arthritis are:
- a clean environment
- a safe environment
- comfortable environment
Intervention:
- Assess the client's knowledge about the environment is clean, safe and comfortable.
- Motivation clients to maintain a clean safe environment condition and comfortable.
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