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Management 1
Nursing Care
Management
Osteoarthritis and Role of Nurse
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Nursing Care
Management 2
Table of Content:
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Introduction .3
Pathophysiology ..3
Nursing Care Management 5
Community Resources ...6
Evidence based knowledge / article summary..8
Conclusion.12
References13
1- Introduction:
This paper illustrates the Nursing Care Management of a patient suffering from a
disease called Osteoarthritis - OA. It is a generic form of arthritis disease that affects millions of
people around the world, majorly consists of older individuals who face it due to wearing down
of their protective cartilage that is present on the bone end.(Mayoclinic.org, 2015). This study
includes information sourced from there different nursing care management articles.
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2- Pathophysiology:
OA - Osteoarthritis is also identified as degenerative joint disease or degenerative
arthritis or osteoarthrosis. It is a group of mechanical abnormalities involving degradation
of joints in human beings that includes articular cartilage and sub-chondral bone. It develops
slowly over many years as this cartilage continues to wear down and forces more painful boneon-bone rubbing. Osteoarthritis is usually confined to the
joints, more specifically joints in hands, knees, hips, and
spine. This disease gradually becomes worse as theirno
cure for it existed at the moment in our world.
It is generally stated that if a person remains active,
maintains a healthy weight and followother treatments, this
can help in slowing down the progression of this disease
and help improve pain and joint function.(Arthritis.org, 2015)A combination of individual
persons age, his genetics, the joint injuries, joint overuse, obesity (BMI), hormones, and
weakness in muscles can be addressed as to play an important role in this disease and are the
contributing risk factors in growing this disease within human body. Osteoarthritis symptoms
develop slowly and gradually and worsen over a long time period. This includes,
Pain: Hurting of Joint during or after movement.
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Community Resources:
Healthcare,can be defined as the diagnosis of disease, its treatment, and its prevention
or any other physical and mental deficiency in human beings. Health care is provided by
practitioners in many different health professions such as, dentistry, or midwifery (obstetrics), or
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medicine, or nursing, or pharmacy etc.(WHO.int, 2015)this can be stated as the work done in
providing primary, secondary, and tertiary care, as well as in public health sector. Nowadays the
delivery of modern health care depends on groups of trained professionals and paraprofessionals
coming together as interdisciplinary teams and nursing staff is one of them. Others that can be
included in this sector are medicine, physiotherapy, dentistry, midwifery, and community health
workers etc. that provide systematicpersonal and population-based preventive and rehabilitative
care services.
While the definitions of the different types of health care that depends on the different
cultures, geo-political scenario, organizational and their disciplinaryviews, there appears to be
some consensus that primary care constitutes the first element of a continuing health care
process, which may include provision of secondary and tertiary levels of care.Healthcare exists
either in public or private sectors. The Care Management Department at NYU Langone Medical
Center New Yorkenables and encourages high-quality, effective, and educational approach to
service delivery in the community of New York. The hospitals nursing care is considered one of
the best in the city of New York. The team engaged here works daily tasks in professional
manner. The nursing staff is responsible forbalancing an empathic behavior towards patient and
family interaction with the knowledge of healthcare. They also serve as individuals who can
change and adapt continually to improve the process of care management that is beneficial for
patients. The hospital encourages staff involvement in improving, educating, and developing
high standards of care and treatment. The hospital has a Care Management Department that is
structured with a model that confirms responsiveness as per need of the Medical Center and the
clinical utilization and discharge needs of patients. The key to success in nursing management is
the availability of highperforming and integrated team of Nurse Care Managers. Further efforts
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are ongoing for the addition of team building techniques with leadership skills and commitment
towards a shared vision statement. (Nursing.med.nyu.edu, 2015).
Hospital for Special Surgery New
York provides best care and highly advanced
technology to perform arthroscopic surgery
for osteoarthritis of the knee. They have
highly skilled and considerate nursing staff
that works for the treatment and caring of
patients.(Hospital for Special Surgery, 2015). Nursing staff at HSS hospital works for all aspects
for patients for example from educating patients about their illness conditions and procedures, to
assistHSSsurgeons in conducting most advanced hi-tech surgical procedures, with a round-theclock physical clinic, and emotional, and educational support system for patients and their
families. Nursing staff here are the talented professionals who are chosen to bring their superior
training, creativity, vision, and skills to hospital as they are committed to delivering the worlds
best patient care. (Hss.edu, 2015)
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establish the patient diagnosis. Educating patients about this disease, risk
management for medicines and other activities such as physiotherapy etc.
care coordination between patient and health care professionals such as
physicians or doctors. And other compliance plans that includes proper
medicine use by patients, weight loss techniques and exercise to control this
disease.
It is expected that a projected increase in osteoarthritis may be prevalent in US in near
future hence the role of nursing staff becomes more critical. They must be trained and
professionally sound to assist patients in need. An acute shortage of these practitioners exists in
US as there are roughly 500 nurse members of the Association of Rheumatology Health
Professionals, a division of the ACR, and 415 physicians were in rheumatology training in 2009.
Nurses assist in diagnosing and assessing the disease functional and its psychosocial
impacts.They help to provide medication and painmanagement, they monitor disease progress,
and share disease information with patients, and coordinate care with other providers (physical,
occupational, and psychosocial therapists. Their understanding of the clinical expressions and the
diagnostic criteria for osteoarthritis provide the footing for these activities.
Studies reveal that in primary care settings illustrate that nurses are
key assessors of and coordinators in managing their osteoarthritis patients
care. There are programs and protocols designed specifically for OA that
define screening tools for uniformly collecting patient data, they provide
models for treatment, and promote the integration of interventions among
various health care providers. Self-report instruments such as,the Western
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diverse races and ethnicity. Most drug therapies gave mild-to-moderate pain relief; their longterm safety and efficacy and their effects in diverse populations (particularly older adults) remain
undetermined.
A third article here under consideration is, Osteoarthritis: The
Patient's Experiencewritten by Joy Jacobson published in AJN, American
Journal of Nursing in theirMarch 2012 issue Volume 112, Issue 3 on p S12.
Here the writer has described a patient Kathy Geller life experience that is
about her having a chronic Osteoarthritis illness.(Jacobson, 2012).This article
sharethe life experience of Kathy Geller who is an exercise therapist and has
lived her past 13 years of life with osteoarthritis disease. The writer
mentioned about what she discussed about the financial and emotional costs
of the disease.
As she turned 63 she had her intra-articular injections in both of her
hips;she takes periodic cortisone injections in various other joints and
injections of hyaluronic acid in both knees for improving her quality of life.
She had used many different drugs that are non-steroidal anti-inflammatory,
visited orthopedists and rheumatologists with worn knee and wrist braces,
and had customized orthotics made. She had also go through physical
therapy, occupational therapy, and had many operations: such as joint
arthro-plasty and tendon transfer on both thumbs, shoulder surgery, surgery
on her right wrist because of a triangular fibrocartilage complex and on her
left foot to repair a shredded anterior tibialis tendon. She had taken epidural
injections for severe low-back pain. The pain forced her to curtail her work
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life substantially. She finally describes that, Stroke gets front-page news,
but people don't die of osteoarthritis all at once. Your life is whittled away.
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Conclusion:
Nurse plays a navigator role in patients care management as he / she help patients
how
people
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References
References
Antonelli, M., & Starz, T. (2012).Assessing for Risk and Progression of
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http://www.who.int/topics/health_systems/en/
Zhang, W., Doherty, M., Peat, G., Bierma-Zeinstra, M., Arden, N., &Bresnihan, B. et al.
(2009).EULAR evidence-based recommendations for the diagnosis of knee
osteoarthritis.Annals Of The Rheumatic Diseases, 69(3), 483-489.
doi:10.1136/ard.2009.113100