Introductory Something that humans all have in common, is aging. Every single one of us ages and as we age a lot of us get to have a friend along the way. That friend is aching pain. This aching pain can stem from a certain disease, named osteoarthritis. Osteoarthritis is “the most common rheumatic disease, primarily affecting the articular cartilage and the subchondral bone of a synovial joint, eventually resulting in joint failure.” (Fransen, 2015) Chances are that someone close to you has osteoarthritis as it is a very prevalent chronic disease. Living with a chronic disease does not bring much joy and preventative measures can be taken to avoid the pain or interventions can be used to make the pain bearable. Some interventions that …show more content…
Exercise is something that can easily be taught to patients and nurses have the prime opportunity to educate patients that are at risk or have osteoarthritis before they need a joint replacement surgery. Mobility is a huge part of each individual’s life and joints play a crucial role in one’s mobility. When a joint’s function decreases a person’s mobility, many other things are at risk to decrease as well such as skin integrity and the cardiovascular system. As a nurse, it is important to treat patients holistically and when one part is not functioning, such as the joint, it is our job to bring function back to improve one’s health overall.
Methods
Many of the studies reviewed followed similar methods to collecting data related to exercise and knee osteoarthritis. There were many systematic reviews that supported this PICO question and determined whether land-based therapeutic exercise is beneficial for people with knee osteoarthritis in terms of reduced joint pain or improved physical function and quality of life. All of the studies had searched various databases, which included, MEDLINE, EMBASE, The Cochrane Central Register of Controlled Trials (CENTRAL), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Physiotherapy Evidence Database (PEDro), Google scholar and OpenGrey. Randomized control trials were put to use and
After sustaining a knee injury that required for surgical intervention while in high school, I struggled with recurring ailments throughout my intercollegiate career. It was not until my father, who is an Osteopathic physician, was performing manipulation on me did we begin to diagnose the potential causes. The issue was muscle imbalance and limited flexibility in certain areas of my body that was shifting majority of my weight onto my knees while performing certain movements. This went unnoticed by physicians because while performing examinations the scope was concentrated on the immediate areas around my knee. With the knowledge I obtained through manipulation I have been able to treat my knee ailments by strengthening and lengthening muscles throughout my body. Having this experience helped solidify that if I am to be the physician I aspire to be, it is imperative to be trained in this form of medicine.
1. The researchers found a significant difference between the two groups (control and treatment) for change in mobility of the women with osteoarthritis (OA) over 12 weeks with the results of F(1, 22) = 9.619, p = 0.005. Discuss each aspect of these results.
The author undertook an electronic search were used to collect the literature. Three electronic databases were used; Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and PsychInfo. These three databases were chosen as they are often used by nurses, allied health professionals, researchers, students and nurse educators to research their subject area (Aveyard, 2014).
Acupuncture can be used to treat osteoarthritis. It is based on an idea that there are channels throughout the body called “meridians” and that these allow the transport of an energy known as “Qi.” (NHS. 2012. Acupuncture.) Generally, acupuncture involves the insertion of needles at specific points along the body - these are known as “acupoints.” This insertion is thought to lead to the movement of Qi throughout the body, which causes biomedical changes that result in the “promotion of physical and emotional well-being” through the release of endorphins. (British Acupuncture Council. 2011. Acupuncture and Osteoarthritis.) Inserting needles at specific acupoints to treat osteoarthritis sends a message to the brain that assists in the reduction of “sensitivity to pain and stress.” (British Acupuncture Council. 2011. Acupuncture and Osteoarthritis.) This reduction in pain can allow for a better range of movement, thus function.
* Osteopathy is also said to help relieve pain that individuals experience for a number of different reasons, this is done by improving mobility and reducing inflammation by using gentle, manual osteopathic techniques. (Hoddesdon osteopathic & sports injury clinic , 2016)
The American Physical Therapy Associations (APTA) vision statement sets a standard of quality care that should apply to every health care facility where physical therapy is practiced. In my opinion, when the APTA mentions improving the human experience, it is an attempt to encompass an enhancement in people’s ability to freely participate in the activities of their choice. Ultimately, the decisions that a person choose determines his career growth and relationship between him and the clients (Porter and Teisberg, 2006). From personal experience, losing the ability to take part in these activities can have a detrimental effect on one’s overall quality of life. In March of 2014, I was diagnosed with osteochritis dissecans on my left knee and
The goal for nurses as a profession is not only to be “patient advocates” but also assist the patient to learn and gain the necessary skills to achieve the best level of functioning for the patient based on their current illness. In order to help a patient achieve their optimal level of functioning the nurse must work with the patient and the interdisciplinary team to create a collaborative plan that is logical for the patient. Through examining a musculoskeletal disorder case study #35 from Preusser (2008), one can create a critical pathway for the patient, S.P. a 75 year old female, with severe rheumatoid arthritis (RA) and admitted to the orthopedic ward for a hip fracture status post fall (p. 183). Since the patient’s needs is unique
For the literature review an electronic search was undertaken of articles published in English using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed and Cochrane databases from 2009 to 2013 were searched for medical subject heading terms, both individual terms and combination of the following
I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.
This article tells us what the advantages of exercising are. “Physical activity is essential to optimizing both physical and mental health and can play a vital role in the management of arthritis” (Bartlett) This type of physical activity helps the joints move more easily and helps enlarge the muscles. Another main point is that doctors of arthritic patients can motivate them to start exercising their joints and muscles. These patients trust their doctors to give them the right information and listen to them and do what they tell them to do rather than listening to non-professionals. Moreover, arthritic patients should be mentally ready to do physical activity. They need to be ready to exercise and be confident. Exercising not only helps with
General exercise programs should be encouraged. The primary components of such programs should be training in balance, flexibility, endurance, and strengthening. (Reid, 2015) If necessary, a physiotherapist can be recommended to reinforce the education program, including coaching on fall risk, body mechanics, and balance training. (Reid, 2015) Another exercise program that has merit are Tai Chi and Yoga. Although there is very little research on both Tai Chi and Yoga in relation to chronic pain, there is some evidence to suggest that both can be utilized in pain reduction and is significant. Tai Chi and yoga are feasible for the older adult population and in the same study that found that Tai Chi and yoga significantly reduced pain also found that there were no reports of adverse effects or safety issues caused by practicing Tai Chi or
A lot of physiotherapists have restrictions in accessing high level evidence (as there is limited access to databases of clinical trials archives and reviews or even lack of awareness of these databases), which made them believe that there is no much evidences about physiotherapy interventions (Bithell 2000). There is a study which, found variations between disciplines’ use of online evidence and identified ease of access and time taken to locate the online evidence as barriers to evidence-based practice after interviewing Australian health professionals including some physiotherapists (Gosling et al. 2003).
Osteoarthritis is the most common joint disorder, and more than half of all Americans who are older than 65 have been diagnosed with osteoarthritis. However, recent US data has revealed knee osteoarthritis does not discriminate age, and there is growing evidence that osteoarthritis affects individuals at a young age. The annual cost of osteoarthritis due to treatment and loss of productivity in the US is estimated to be more than 65 billion dollars.1 With no cure currently available for osteoarthritis, current treatments focus on management of symptoms. The primary goals of therapy include improved joint function, pain relief, and increased joint stability. Although the exact cause of osteoarthritis is unknown, many risk factors have been identified including increased age, female gender, obesity, and trauma.2 Within these risk factors, the etiology of osteoarthritis has been divided into anatomy, body mass, and gender.
OA is a musculoskeletal disease that causes chronic joint pain and reduced physical functioning (Laba, brien, Fransen, & jan, 2013). Osteoarthritis (OA) is a non-inflammatory disorder of synovial joints that results in loss of hyaline cartilage and remodeling of surrounding bone. OA is the single most common joint disease, with an estimated prevalence of 60% in men and 70% in women later in life after the age of 65 years, affecting an estimated 40 million people in the United States (Goodman & Fuller, 2009). Women are more commonly affected after the age of 55, almost everyone has some symptoms by the age of 70 (Tan, Zahara, Colburn & Hawkins, 2013, p.78). Osteoarthritis can be described radiological, clinical, or subjective.
In the United States, arthritis has become the second most common disorder, in the past years. Moreover, the condition affects more than 34 million Caucasians, 4.6 million African-Americans and nearly 3.1 million Hispanics with women being the most affected (Helmick, 2008). 28.3% of people suffering from arthritis are women whereas 18.2% are men (Helmick, 2008). By the year 2030, it is predicted that the number of patients with arthritis will double if prevalence rates remain the same. Apart from being cost-intensive, Osteoarthritis (OA) affects nearly twenty seven million Americans, which effectively limits their work (Reid, Shengelia & Parker, 2012). The statistics show that Caucasians are the most affected and the Hispanics to be the less affected from Caucasians, Hispanics, and African Americans. It also shows how women also have greater possibilities of getting arthritis than man ever did.