Evidence-Based Practice Nursing Interventions for Systemic Lupus Erythematosus in Middle-Aged Women

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Introduction Pain. Fatigue. Rashes. Depression. These are a few of the manifestations associated with systemic lupus erythematosus, an autoimmune disease that affects millions of people worldwide with eighty percent of them being women ages 15-45 (Tretheway, 2004). Systemic lupus erythematosus is a disease where the body literally attacks itself. For reasons that are not known, the body loses the ability to recognize cells or tissues as self and treats them as foreign, triggering a defensive immune response (Ignatavicius, 2010). According to Ignatavicius (2010), autoimmune disorders occur with more frequency among Caucasian women compared with women of other ethnicities, but in systemic lupus erythematosus that is not the case. SLE is…show more content…
Listening to the patient and their needs is the most important part of putting together and plan to accurately treat systemic lupus erythematosus. Most of the patients that participated in the research felt that they had unmet needs when it came to fatigue, dealing with pain, stress, problems sleeping, feeling worse after physical activity, fear about the progression of SLE, and anxiety (Danoff-Burg, 2009). The article by the Agency for Healthcare Research and Quality [AHRQ] (2010) focuses on how preventative care for patients with lupus could be improved. It reviews a study that compares cancer surveillance and immunizations against influenza in three groups: persons with lupus, the general population and persons with other chronic conditions besides lupus. AHRQ (2010) found, “patients with lupus who were younger or less educated were less likely to get preventative services.” As a member of the health care team is an obligation to make sure SLE patients are aware of the risks they run if they are not taking preventative measures. Furthermore, it is necessary to evaluate the reasons why the patients are not getting the appropriate preventative measures and if there are any obstacles that can be worked around or modified so proper care is received. Tretheway (2004) is an overview of systemic lupus erythematosus. Tretheway focused

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