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Nursing Management of Rheumatoid Arthritis (RA)

Nursing Management of Rheumatoid Arthritis (RA)

The main objective of Nursing Management program are as follows:
  • To relieve pain and inflammation
  • To maintain joint function and the maximum ability of the patient
  • To prevent and or correct deformity that occurs in joints
  • Maintaining independence so as not to depend on others.

There are several ways the management to achieve the goals mentioned above, namely:

The first step of this management program is to provide adequate education about the disease to patients, families and anyone associated with the patient. Education will include understanding the pathophysiology (disease course), the causes and estimated journey (prognosis) of the disease, all components of program management including complex drug regimens, sources of help to overcome this illness and effective method of management provided by health teams . This educational process must be done continuously.

It is important because rheumatic usually accompanied by severe fatigue. Although fatigue may arise every day, but there are times when patients feel better or heavier. Patients should be divided into several time a day time activity which was followed by a period of rest.

Physical Exercise
Specific exercises can be useful in maintaining joint function. This exercise includes active and passive movement on all the joints are sore, at least twice a day. Drugs for pain relief should be given before starting the exercise. Hot compresses on the sore and swollen joints may reduce pain. Paraffin bath with temperature can be regulated and shower with hot and cold temperatures can be done at home. Exercise and termoterapi is best regulated by the health workers who have received specialized training, such as a physical therapist or occupational therapist. Excessive exercise can damage the supporting structure of the joints that are already weakened by the disease.

Diet / Nutrition
Rheumatic Patients do not require a special diet. There are a number of ways with a variety of diets that vary, but all of them unsubstantiated. The general principle for obtaining a balanced diet is important.

Administration of drugs is an important part of all rheumatic disease management programs. Drugs used to reduce pain, relieve inflammation and to try to change the course of the disease.

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