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What is Osteoarthritis? (aka degenerative joint disease)
Is it a normal part of aging?
- Progressive deterioration of joint cartilage with formation of new bone (bone spurs: b/c rubbing together of bones) in
- joint spaces.
What is the "etiology" of OA?
Primary & Secondary
- trauma, repetitive motions, joint
- inflammation; skeletal deformities.
What are "risk factors" for OA?
- obesity: excess fat has a metabolic affect on development.
- gender: females decrease in estrogen; increase in growth hormone.
- strenuous exercise or inactivity
What are the s/sx of OA?
Is inflammation localized?
Are there any systemic sx?
Joint Pain: 1+ joints, worsens w/ ACTIVITY, may be referred, or parasthesia w/ pain.
Joint Stiffness: 1+ joints, ROM changes, worsens w/ INACTIVITY.
NO systemic sx
What is a synovial analysis looking for?
Biochemical marker within synovial fluid.
Nursing assessments for OA. What does OLDCART stand for?
- Onset, Location, Duration,
- Characteristics, Aggravating
- factors, Relieving factors, Timing.
What is the first line drug used
What is used when inflammation is present?
NSAIDs when inflammation present.
What are some "non-pharm" interventions?
(think of modifiable RFs)
What are some OTC meds?
- Wt management if obese
- Heat & cold therapy (manage pain/reduce stiff)
- Nutritional & herbal supplements
- Complementary therapies (massage, acupuncture, yoga)
Chondroitin and Glucosomine.
What foods (nightshade foods) should Pts w/ OA avoid?
potatoes, tomatoes, peppers, eggplants.
What is the joint replaced w/ (partial/total) and what is the procedure called?
*Done as last resort
Partial and Total joint replacement are replaced with an artificial joint. The procedure is called: arthroplasty.