Risk Factors
increased age obesity trauma to joints due to
repetitive use
Dx
No Dx lab test rule out other Dx MRI /
CT X-Ray (may show osteophytes or subchondrial cysts)
Sx
pain & stiffness dec. ROM mild
synovitis crepitus new bone growth in hands
(Herberden's & Bouchard's nodes)
Tx - Non-Pharm
aids & equipment OT referral exercise,
weight loss manual therapy pain mgmt
Meds
Tylenol, NSAIDS corticosteroid topical
capsaicin glucosamine chondroitin
antibiotics injection into joint
Surgical Tx
osteotomy arthrodesis total hip
arthroplasty total knee arthroplasty
Nursing Interventions
pain mgmt promote rest, activity, exercise w/
balance weight control if obese apply heat
NDx
Acute / Chronic Pain Impaired Physical Mobility
Self-Care Deficit Disturbed Body Image
Knowledge Deficit