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Related Concept Videos

Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Autoimmune Disorders01:29

Autoimmune Disorders

Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune system...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...

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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Rheumatoid arthritis: coping with disability.

Tara L Barker1, Theresa L Puckett

  • 1Department of Rheumatologic and Immunologic Diseases, Cleveland Clinic Foundation, Cleveland, OH, USA. barkert2@ccf.org

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
|March 24, 2010
PubMed
Summary
This summary is machine-generated.

This article explores rheumatoid arthritis (RA) disability components using Nagi's Model and WHO ICF. Nurses can enhance patient-centered care by addressing physical and psychosocial needs for better outcomes.

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Area of Science:

  • Rheumatology and Rehabilitation Medicine
  • Nursing Science and Practice

Background:

  • Rheumatoid arthritis (RA) significantly impacts patients' physical and psychosocial well-being, leading to varying degrees of disability.
  • Existing models of disability require expansion to fully encompass the multifaceted nature of RA's impact on individuals.
  • Nurses play a crucial role in managing the holistic care of RA patients, addressing both functional limitations and coping mechanisms.

Purpose of the Study:

  • To elucidate the components of disability associated with rheumatoid arthritis (RA).
  • To integrate Nagi's Model of Disability and the WHO's International Classification of Functioning, Disability, and Health (ICF) for a comprehensive understanding of RA-related disability.
  • To outline strategies for nurses to support patients in physical functional therapy and psychosocial coping with chronic RA.

Main Methods:

  • Conceptual expansion of Nagi's Model of Disability.
  • Application of the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) framework.
  • Review of nursing interventions for physical and psychosocial aspects of RA management.

Main Results:

  • Disability in RA manifests across physical and psychosocial domains, necessitating a holistic approach.
  • Nurses can enhance patient-centered care by offering choices in physical therapy and psychosocial support.
  • Identifying primary disability influencers allows for targeted resource allocation and multidisciplinary team involvement.

Conclusions:

  • A comprehensive understanding of RA disability, integrating established models, is essential for effective nursing care.
  • Nurses are pivotal in facilitating patient adaptation and improving outcomes through tailored interventions and continuous care plan adjustments.
  • Empowering patients with choices in therapy and coping strategies promotes better management of chronic RA and its associated disabilities.