Nurse care plan dx osteoarthritis

QUESTION

Nurse care plan dx osteoarthritis
Disorder: OSTEOARTHRITIS
Nursing diagnosis including subjective data and objective data, the patient goals need 1 short term goal within 8 hours, and 1 long term goal within 48hours. There needs to be 5
nursing interventions along with 5 rationales. The patient outcomes should include 5 outcomes, labs, and patient teaching.

NURSE NOTES:

Scenario: John presents with complaints of persistent joint pain in both knees, making it difficult for him to walk and perform daily activities.
Objective/Subiective Data:
• Objective: John appears to have limited range of motion in his knees, favoring the left side while walking. He rates his pain as 8/10 on the pain scale.
• Subjective: John reports that the pain has been progressively worsening over the past six months, impacting his ability to participate in social activities and exercise.
Vitals:
• Blood pressure: 130/80 mmHg
• Heart rate: 76 bpm
• Respiratory rate: 16 breaths per minute
• Temperature: 98.6°F
Assessment:
• Osteoarthritis of both knees
• Impaired mobility related to joint pain and limited range of motion
Interventions:
1. Administer acetaminophen
1000mg orally as ordered for pain relief.
2. Apply a cold compress to both knees for 15 minutes to reduce inflammation.
3. Provide a cane to assist with weight-bearing and improve stability during ambulation.
Evaluation:
• After interventions, evaluate
John’s pain level to determine the effectiveness of pain management strategies.
• Assess his ability to walk with the cane and if it improves his mobility and stability.
Education:
1. Educate John about the importance of regular low-impact exercises, such as swimming or cclina, to strenathen muscles
2. Instruct John on the proper use of heat and cold therapy at home for pain management.
3. Provide information on weight management and the benefits of maintaining a healthy weight to reduce stress on the joints.

ANSWER

Nursing Diagnosis

Impaired Mobility related to joint pain and limited range of motion in both knees as evidenced by subjective reports of worsening pain over the past six months, difficulty walking, favoring the left side, and limited range of motion.

Goals

Short-term goal (within 8 hours): The patient will report a decrease in pain intensity from 8/10 to 5/10 on the pain scale.
Long-term goal (within 48 hours): The patient will demonstrate improved mobility by walking with less discomfort and without favoring the left side.

Interventions and Rationales

1. Administer acetaminophen 1000mg orally as ordered for pain relief.
Rationale: Acetaminophen is a non-opioid analgesic that helps reduce pain and inflammation associated with osteoarthritis, thereby improving mobility and comfort.

2. Apply a cold compress to both knees for 15 minutes to reduce inflammation.
Rationale: Cold therapy helps constrict blood vessels, decrease swelling, and alleviate pain, promoting improved mobility and joint function.

3. Provide a cane to assist with weight-bearing and improve stability during ambulation.
Rationale: A cane helps redistribute weight, reduces stress on the knees, and provides stability while walking, facilitating improved mobility and reducing the risk of falls.

4. Evaluate pain level after interventions to determine effectiveness of pain management strategies.
Rationale: Regular pain assessment allows for timely adjustments in pain management interventions, ensuring optimal relief and improved mobility.

5. Assess the patient’s ability to walk with the cane and evaluate if it improves mobility and stability.
Rationale: Monitoring the patient’s use of the cane helps determine if it is effectively supporting weight-bearing, improving balance, and enhancing overall mobility.

Patient Outcomes, Labs, and Patient Teaching

Patient Outcomes:

The patient will demonstrate improved ability to perform activities of daily living with reduced pain and increased mobility.
The patient will verbalize understanding of pain management strategies and implement them appropriately.

Labs: Laboratory tests may be ordered to assess the progression and severity of osteoarthritis, such as:

Joint fluid analysis to evaluate for inflammation or infection.
X-rays or magnetic resonance imaging (MRI) to assess the degree of joint damage and identify any structural abnormalities.

Patient Teaching

Educate the patient about the importance of regular low-impact exercises, such as swimming or cycling, to strengthen muscles surrounding the affected joints and improve mobility.
Instruct the patient on the proper use of heat and cold therapy at home for pain management, emphasizing the application of heat before activity and cold therapy afterward to reduce inflammation.
Provide information on weight management and the benefits of maintaining a healthy weight to reduce stress on the joints, which can alleviate pain and improve mobility.

By implementing these interventions, monitoring the patient’s progress, and providing education, the nursing care plan aims to alleviate pain, improve mobility, and enhance the patient’s overall quality of life while managing osteoarthritis.