Nursing Diagnosis for Rheumatoid Arthritis (RA)

Nursing Diagnosis for Rheumatoid Arthritis (RA)

Rheumatoid Arthritis (RA) is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints. The process produces an inflammatory response of the synovium (synovitis) secondary to hyperplasia of synovial cells, excess synovial fluid, and the development of pannus in the synovium. The pathology of the disease process often leads to the destruction of articular cartilage and ankylosis of the joints. Rheumatoid arthritis can also produce diffuse inflammation in the lungs, pericardium, pleura, and sclera, and also nodular lesions, most common in subcutaneous tissue. Although the cause of rheumatoid arthritis is unknown, autoimmunity plays a pivotal role in both its chronicity and progression, and RA is considered a systemic autoimmune disease.



Nursing Diagnosis for Rheumatoid Arthritis (RA)

1. Acute Pain / Chronic related to distention of tissue by the accumulation of fluid / inflammation, joint destruction.
2. Impaired physical mobility related to skeletal deformities, pain, decreased muscle strength.
3. Disturbed body image related to changes in the ability to perform common tasks, increased use of energy, mobility imbalance.
4. Self-care deficit: bathing / hygiene related musculoskeletal damage, decreased strength, endurance, pain when moving, depression.
5. The need of learning about the disease, prognosis, and treatment associated with a lack of exposure / recall, misinterpretation of information.
   

Source : http://nursing-diagnosis-nanda.blogspot.com/2011/04/nursing-diagnosis-for-rheumatoid.html