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Askep Rheumatoid Artritis

Askep Rheumatoid Artritis

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Dipublikasikan oleh bayu interisti

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Published by: bayu interisti on Oct 18, 2010
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09/19/2014

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Presented by Ira Suarilah Medical Surgical Nursing Dept Airlangga Universitas

PREVIEW
• A Number of disease that cause:  Chronis pain  Stiffness or swelling around joints & Tendon Distinguished by:  Their chronicity  The appereance of local & systemic features of inflammation Commonest cause of inflammatory joint disease most typical features:  Symmetrical polyarthitis & tenosynovitis  Morning stiffnes  Elevation of ESR  Appereance of anti IgG (Rheumatoid factor) 3X >> woman Because of hormon: Estrogen

AMERICAN RHEUMATOID ASSOCIATION Rheumatoid Arthritis Criteria
• • Kaku pagi hari lebih dari 1 jam Terdapat arthritis pada 3 daerah  Minimal terdapat efusi pada 3 sendi secara bersamaan pada: – Proximal interphalangeal – Metacarpophalangeal – Metatarsophalangeal bilateral Arthritis pada persendian tangan Arthtritis simetris: - Proximal interphalangeal - Metacarpophalangeal - Metatarsophalangeal bilateral Nodul rheumatoid Rheumatoid factor at a level above the 95th percentile Penurunan kadar kalium Rheumatoid factor Perubahan gambaran anatomis X-ray  Erosi,dekalsifikasi tulang

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POSITIF Rheumatoid Arthritis  Terdapat 4 dari 7 kriteria di atas

1.Synovitis & joint swelling (painfull,swollen,tender) 2. Early joint destruction with periarticular erosions (bone was eroded) 3. Advanced joint destruction & deformity (capsular & tendon ruptur)

NURSING DIAGNOSIS
Physical mobility,impaired, related to
– Pain – Oedema – Limited range of motion of affected bone

Pain related to • Experience during invasive procedures/ • diagnostic test Injury risk related to • Immobility • Instability of skeleton

ASSESSMENT THERE’S NO CURE but CARE
1. Stop synovitis

– Bed rest – Gentle passive & active exercise  Prevent Postural deformities 2. Prevent deformity - Physioterapy - Postural training 3. History of muscle pain, tiredness, lost of weight & general lack of well being 4. Rehabilitate - Functional assessment - Social integration  Home Care - Psychological support
• • Rehabiliatsi: Merupakan tindakan untuk mengembalikan tingkat kemampuan klien dengan R.A

ASSESSMENT THERE’S NO CURE but CARE • • • • • • Mengurangi rasa nyeri Mencegah terjadinya kekakuan & keterbatasan gerak sendi Mencegah terjadinya atrofi & kelemahan otot Mencegah terjadinya deformitas Meningkatakan rs.nyaman & kepercayaan diri Mempertahankan kemandirian

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