VI. Nursing Diagnosis
• Acute pain
• Chronic pain
• Impaired physical mobility
• Activity intolerance
• Bathing/hygiene self-care deficit
VII. Nursing Management
Provide nonpharmacologic comfort measures.
- Apply warm compress or diathermy to sore joints.
-Massage surrounding muscles, not over inflamed joints.
-Promote adequate rest and reduction of stress.
-Maintain nonjudgmental attitude and respect the client’s right to choose any alternative treatment for pain relief.
• Position the client to prevent flexion deformity using a foot board, splints, sandbags, wedges, or pillows as needed. Remove splints routinely, if used, to exercise joints.
• Plan activities that promote optimal function and independence.
• Refer the client to physical and occupational therapy, as indicated. A physical therapist may prescribe and implement modified weight-bearing exercises within the client’s tolerance level. An occupational therapist may help with self-management strategies.
• Prepare the client for surgical treatment.
• Administer prescribed medications, which may include analgesics and nonsteroidal anti-inflammatory drugs such as COX-2 inhibitors.