Osteoarthritis Nursing

Osteoarthritis
Etiology
Risk Factors
Epidemiology
Diagnostics
Potential Complications
Management
Most common joint disease, 32 million Americans effected
X- Ray, MRI, Bone Scan
Non Pharmacological interventions
Chondrolysis
Katrina Jacobson, RN- BSN Thomas Edison State University
References
Norris, T. L. (2019). Porth’s pathophysiology: Concepts of altered health states (10th ed.). Lippincott Williams & Wilkins
Osteoarthritis Fact Sheet. (2019) Centers for Disease Control and Prevention. https://www.cdc.gov/arthritis/basics/osteoarthritis.htm.
Analgesics & Anti-inflammatory Drugs
Osteonecrosis
Daily stress to weight-bearing joints
Lozada, C.J., (2020) Osteoarthritis MedScape Professional. https://emedicine.medscape.com/article/330487-overview
Age, 85% of patients are >70 years old
Previous trauma to joint
Obesity
Race, lower among Chinese patients, slightly higher in Europeans
Gender, more common in females over age 55, more common in males 45 and younger
Genetic Component (MCF2L gene)
50% of patients effected are 65 and older
Arthrocentesis with synovial fluid culture to identify infection, inflammatory arthritis, or crystal arthropathy
Heat and Cold
Physical and Occupational Therapy
Exercise and Weight loss
NSAIDS
Intra-articular injections
Patient Education
Supplements
Tumeric
Glucosamine
Chondrotin
Naproxen
Platelet rich plasma
Sodium hyaluronate
Corticosteriod
Diclofinec
Ibuprofen
Clinical Manifestations
Can be sudden or insidious
Aching pain worsening with movement
Sub Topic
Slowly progressive disorder effecting articular cartilage of weight bearing joints causing joint narrowing subchondral bone thickening and ultimately pain.
Stress fractures
Infection or Bleeding in the joint
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