Impaired Mobility Related to Osteoarthritis
Ashley B. Douglass, Aspen Loukas, Abbie Massingill, Ashley Montee, and Madajah Simmons
Amarillo College
Introduction Osteoarthritis is a non-inflammatory, degenerative disease of the joints. It is the most common rheumatic disorder in older adults and results in degeneration of the protective cartilage over time. This disease is characterized by chronic pain, stiffness and functional impairment. The joints most commonly affected are those that are weight bearing; including the hips, knees and spine. This disorder is asymmetrical and localized to a specific joint. Therefore, functional impairment and quality of life are primary concerns. While there is no definitive cure for this
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Management of osteoarthritis includes; diet and weight loss, joint rest and avoidance of joint overuse, low-impact exercises, use of heat and orthotic devices, and pharmacologic therapy. The most modifiable risk factor is also the main reason for noncompliance; weight. In formulating the plan of care, the nurse must realize that weight loss is physically and psychologically tiring for a patient. The nurse must be non-judgmental, empathetic, and provide support and encouragement. Non-compliance with weight loss will lead to safety issues when the patient becomes functionally …show more content…
The ideal team includes: a physical therapist, dietitian, occupational therapist, rheumatologist, personal trainer, nurse educator, and a social worker. A physical therapist would provide the patient with range of motion exercises to improve muscle strength, recommend therapeutic modalities, as well as recommend activities that will help decrease pressure on the affected joints. Because weight loss is crucial to managing and preventing further progression, it is important to incorporate a dietitian and personal trainer. Dietitians are beneficial for creating personalized meal plans and suggesting nutritious foods that will help aid in weight reduction, while personal trainers create exercise regimens that are specific to the patients’ disease process. In addition, an occupational therapist will assist the patient in performing tasks without causing further pain or discomfort. Education on joint protection techniques include; using proper body mechanics when lifting, distributing pressure to other joints, and the importance of using orthotic devices. A rheumatologist would also need to be included for their specialization in rheumatic disorders. Lastly, a nurse educator and social worker would be beneficial. A nurse educator would help educate the patient on the disease and treatment plan, while a social worker would help assist the patient in dealing with social challenges caused
Osteoarthritis (OA) is the most common joint disorder. It occurs when cartilage begins to break down or be worn away and the bone rubs together. As a result bony spurs and inflammation of the joint(s) occurs. Surrounding ligaments and muscles may also weaken or stiffen. Major risk factors are: genetics, excess weight, joint injuries, jobs that involve more than an hour of joint stressing activities like kneeling, and sports that involve direct impact on the joints, twisting, or throwing. Bleeding disorders, disorders that blood supply near joints, and other types of arthritis can cause osteoarthritis. Symptoms typically begin while one is middle aged and almost everyone shows some symptoms of OA by age 70. This is important to note because OA is seemingly inevitable for everybody. OA is not curable and typically gets worse with time, but the symptoms can be managed. Strength in weight bearing joints, the hip, the knee, and the ankle, is particularly important for prevention. Also important are not overusing joints and maintaining a normal body weight.
Patients are taught to avoid stressing joints, to use warm baths to relieve stiffness, and to use a
Osteoarthritis, or degenerative joint disease, is a form of arthritis characterized by the breakdown of cartilage within joints. Cartilage serves to provide cushion at the ends of bones, and when the cushion is not sufficient, as in osteoarthritis, the bones rub together. As a result, osteoarthritis sufferers are constantly plagued by stiff, swollen, and inflamed joints (http://www.arthritis.org/answers/diseasecenter/oa.asp). It is a relatively common condition, with an estimated 20 million American sufferers, most of whom are elderly (http://webmd.lycos.com/content/article/1668.50297). Traditional treatments include Tylenol, aspirin, or other non-steroidal anti-inflammatory drugs
Osteoarthritis, the most common type of arthritis, is most prevalent in older patients. Osteoarthritis is a degenerative bone disease due to the gradual loss of cartilage. A primary type of osteoarthritis is hip arthritis where it is caused by joint injury, increasing age, and being overweight (“Hip Osteoarthritis,” n.d.). However, osteoarthritis can also be caused by immature joints, inherited defects in cartilage, and extra stress on a patient’s joints (Hip Osteoarthritis,” n.d.). As a result, hip arthritis becomes a huge detriment in patient’s social, emotional, physical lifestyles. In order to treat hip arthritis, doctors choose from a variety of non-drug treatments, medications, and surgeries. Uniquely, I was inspired to research about the treatments of hip arthritis because my very own brother was pronounced with hip arthritis a few years back. Therefore, his determination to battle this disease encouraged me to investigate about the treatment of hip arthritis.
As stated earlier, the patient admitting challenge was right total knee replacement related to history of osteoarthritis as evidenced by unrelieved pain. Osteoarthritis (OA) is a disease that “results from cartilage damage that triggers a metabolic response at the level of the chondrocytes” (Lewis, Dirksen, Heitkemper, Barry, Goldsworthy & Goodridge, 2011, p. 1881). As it progress, it causes the cartilage to become “dull, yellow, and granular” instead of being “smooth, white, translucent” (Lewis et al., 2011; Gulanick & Myers, 2014, p. 1881).As a result, it eventually becomes softer, less elastic, and less capable to resist wear during heavy use. Moreover, as the “central cartilage becomes thinner, cartilage and bony growth increases at the joint margins … that results to uneven distribution of stress across the joint” that contributes to a decrease in motion. (Lewis et al., 2011; Gulanick & Myers, 2014, p. 1882). According to this patient, OA has been giving her pain for about two years that lead her to the decision of having the knee replacement.
Osteoarthritis, also known as degenerative joint disease, is an endemic condition that affects 20 million people in the United States alone. Osteoarthritis is the most common type of arthritis and is defined as a gradual process of destruction and degeneration or wearing away of the joint cartilage which typically occurs in the older individual age 50 and over (http://emedicine.medscape.com/article/330487-overview#a0101). . Although this diease is well known for its association with the natural aging process, it is also prevalent in athletes. Specifically, osteoarthritis of the knee has been said to be the most commonly affected area as a majpr weight bearing joint and is a growing epidemic in relation to sports injuries in the young adult. http://www.webmd.com/osteoarthritis/guide/ostearthritis-of-the-knee-degenerative-arthritis-of-the-knee. According to, (Vincent), among upper and lower reported extremity sites, the most common region for osteoarthritis to manifest is p’in the medial compartment of the knee. The risk of knee osteoarthritis from knee joint injury is high; approximately 50% of individuals with an ACL or meniscus tear develop knee osteoarthritis [10-15]. A long-term prospective study indicated a relative risk for knee osteoarthritis of approximately 5 for any previous injury of the knee [13]. As cited in, _____, Thelin and colleagues determined that injury of the knee joint was associated with all knee OA in a
Osteoarthritis is a degenerative joint disease. It’s where flexible tissues in the end of the bones wear down. It mostly occurs in knees, hips, lower back, fingers, and the neck. In Osteoarthritis, the cartilage in the bone breaks down which causes pain, swelling, and problems in moving the joint. When it worsens over time, one can get spurs, where bones break down and develop growths. Even though this can occur in anyone, ones who are over the age of 65 will most likely get Osteoarthritis. Some risk factors will include the increasing of age, obesity, genes, weak joint muscles, previous joint injury, and the overuse of the joint in the body. Some related signs/symptoms can be swelling around a joint, stiff joint, and/or having a clicking sound
This study has a number of limitations. The respondents that took part in the study were not asked if they were familiar with any of the existing clinical practice guidelines for the management of knee OA or whether their choice of treatment was influenced by any of the existing clinical practice guidelines for knee OA. Particularly since most of these guidelines are accessible and are within the public domain. For instance, within the field of rheumatology, a number of clinical practice guidelines are in existence [2, 12-17] and most of these guidelines are continually been reviewed and updated in the light of new findings emerging from research on the effectiveness of various modalities and approaches to the management of knee OA. The evaluation
One of the most common knee injuries for older people is osteoporosis which occurs when the bones start to deteriorate. To sustain prevention of knee osteoporosis, Allyn Bove explained how exercising frequently will strengthen the bones of your body and will keep the muscles surrounding the knee stronger. However if knee osteoporosis occurs, he “found that either exercise therapy or manual therapy was superior to usual care for individuals with hip or knee OA [osteoporosis]” (Bove). In another study conducted by Stephen Allison, he saw that physical therapy improved in motion, gait speed, and mobility after four to six weeks of physical therapy (Deyle). The trials conducted by Bove and Deyle are a few examples of how exercise within physical therapy improves knee
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.
Osteoarthritis is a type of arthritis that occurs flexible tissue at the end of bones wears down. However us cannot be cured , there are some treatments that may help. This may last for years or even your lifetime. The wearing down of the protective tissue at the end of bones occurs gradually and worsens over time. There is joint pains in the neck , hand , lower part of the back , knee or hips ( most commonly ). Medications , physical therapy and sometimes surgery can help reduce the pain and maintain joint movement. For the diagnoses they may be expected after medical history and medical examination. Or even in joint aspiration. Doctors numbs the area , inserts the needle into the joint to withdraw the fluid. When inserting the needle were
In this report, I am going to talk about the change of daily living that happen when you have a physical condition for each of the four body systems, I will also include the mental health, psychological, environmental factors.
Arthritis currently affects 52.5 million people in the US, requiring someone to start a campaign designed to make a difference in the amount of reported symptoms in the population of people suffering from this painful inflammation of joints. The CDC took the initiative and came up with a slogan, “Take charge. Be in control of your arthritis.” This message implies that the power of overcoming the pain and obstacles associated with arthritis is in the hands of the person who is having the manifestations associated with the illness. On their website (http://www.cdc.gov/arthritis/basics/key.htm), the CDC offers many managable manually-oriented tasks designed to reduce symptoms that accompany arthritis such as proper dieting, physical activities, and programs involving self-management education.
Arthritis is a term that describes the different conditions that wear down the joints and the surrounding tissue in the body. These conditions usually involve pain, swelling, redness, stiffness and discomfort within the joints. Arthritis is the most common chronic condition in the older adult (Huguet, Kaplan, McFarland & Newsom, 2003). It takes a big toll on those older than 65, affecting 47% of that population (Gignac et al., 2008). Although arthritis can sometimes be inevitable when entering old age, there is one big way to prevent and maintain the effects of it. Physical activity throughout the person’s life is critical in maintaining and keeping joints healthy and usable. Exercise is crucial to the human body to keep it in its healthiest form and to regulate its use even as our lives slow down. In a study in Preventative Medicine, 42.4% of older adults reported arthritis, and among that, 39.3% admitted to an inactive lifestyle, thus exemplifying the correlation between the two (Huguet et al., 2003). Some key benefits of physical activity include: joint flexibility; strengthened surrounding muscles; stronger bones and cartilage; improved balance; and reduced pain.