Chronic Illness
Illness lasting longer than 3 months
What is the definition of chronic illness?
The most effective way for patients to prevent pneumonia and atelectasis
Incentive Spirometer
Complications of TKA ( total knee arthroplasty)
Assess Capillary refill on extremity !!!!
DVT
Respiratory failure related to over sedation
Anticipated labs for Gout
Uric acid
Creatine
Alkaline Phosphate
All will be increased
Teaching regarding heat application
For chronic or subacute inflammation, arthritis or osteoporosis
20-30 minutes every 1-2 hours while awake
Use a pad between the heat source to prevent burning
Diabetes, Heart Disease, Chronic Depression, Osteoporosis
What are chronic illnesses?
Coping strategies for stroke patients
What is support groups or talking with a fellow stroke patient
The limb of a patient is crooked and shortened after a fall- what are the next steps?
What is Call the MD
Number one priority for post op patients
What is airway or respiratory
All autoimmune disorder patients have this !
IMMUNOCOMPRIMISED
MORE SECEPTIBLE TO INFECTION
Dysfunction of an organ or body system
What a person is called with an impairment?
Device used after a total knee replacement
CPM = Continuous Passive Movement
MUST BE MEDICATED BEFORE USING DEVICE
Apparatus is driven by a motor and requires no effort from the patient
Used intermittently
Will have specific orders on how to use. Encouraged joint mobility.
Silent disease, no early signs or symptoms
What is osteoporosis?
Risk factors include : age, chronic disease, medications, long term Calcium and D deficiency, smoking, alcohol and drug use, caffeine and sedentary lifestyle
What are risk factors for osteoporosis
Inflammatory disease caused by the autoimmune system to an external trigger
What is rheumatoid arthritis?
A person that has condition that impacts activities like walking, talking, reading or learning
What is a person with a disability?
Caused by high uric acid levels
What is gout?
How to preserve the limb after an traumatic amputation
What is wrap in damp cloth, bag it
DO NOT FREEZE THE LIMB OR SUBMERGE IN COLD WATER
Nursing interventions for treating phantom pain
Treat the pain
Stump stocking
Tens unit
Responses will vary
An example of a person with a handicap
Responses will vary
Breakdown in cartilage in synovial joints, bone, joint capsule, surrounding tissues and synovial fluid
What is osteoarthritis?
No longer appropriate to use. Now used to describe an obstacle inhibiting a patients progression
What is the term handicap?
Nursing implications for Biphosphates
Drink 8 oz of water
Sit up- 30 to 60 minutes after administration
Empty stomach
Observe for hypercalcemia: Parasthesia, twitching, colic, larygnspasm
Disease Modifying Antirheumatic Drugs - side effects
What is Liver Toxicity? Yellow eyes and abdominal pain with ascites
What is IMMUNOCOMPRIMISED!