Academic literature on the topic 'Osteoarthritis – Nursing'

Book Summary: Serves the needs of advanced practice nurses because it’s written by nurse practitioners for nurse practitioners, in collaboration with a physician. Organizes content around the Circle of Caring framework for nursing-based knowledge and holistic care. Explores complementary and alternative treatments for each disorder. Covers the broadest range of human disease and disorders using a systems-based approach, presenting both common complaints and common problems to help students narrow down the possible differentials to the most likely diagnosis. Considers interactions of pharmaceuticals with alternative medications and nutraceuticals. Features coverage of pathophysiology and diagnostic reasoning as well as up-to-date guidance on laboratory and diagnostic tests. Emphasizes evidence-based practice with information on evidence levels and more references to primary studies. Integrates discussions of health policy and primary care throughout the text.

Over 26 million U.S. citizens have a form of arthritis; osteoarthritis (OA) is the most common form. Self-efficacy (SE) is defined as a psychological construct which identifies an individual's confidence when performing a behavior. SE is deemed a vital judge of self-management (SM) in those with OA. The purpose of this evidence-based practice, quality improvement project was to improve SE in OA patients. The identified gap in nursing practice was the lack of SE in OA patients. The project question asked whether a toolkit with information regarding SE in OA can improve SE of management of disease-associated symptoms in adults with OA as evidenced by improved Arthritis Self-Efficacy Scale (ASES) scores pre- to post-program. Concepts and theory used to inform the doctoral project were SE, pain, SM and OA, and Bandura's theory of SE. The sources of evidence were obtained from a variety of peer-reviewed journals related to OA management, and the outcome was measured using the ASES. Thirty-five participants (16 males and 19 females) with a mean age of 62 from a physical medicine and rehabilitation clinic in San Antonio, Texas participated in the project. The National Institute of Arthritis and Musculoskeletal and Skin Disorders 2015 Handout on Health: OA was used as the SE OA toolkit. Mean scores from pre- and post-program were tabulated and compared to determine the outcome. Results showed improved ASES levels by 11.84%. Implications for nursing practice and positive social change include the enhancement of SE levels, which can improve compliance in SM by use of a toolkit and further as policy implementation for OA patients to improve SE and SM abilities.

Introduction: Chronic joint (CJ) pain is the foremost osteoarthritis (OA) symptom that affects older African Americans’ (AAs) functional ability. Every effort should be made to reduce the development of high-impact chronic pain. One way to effectively do this is for older AAs to consistently engage in self-management utilizing the recommended OA treatments. Recommended behaviors include land-based exercise, water-based exercise, strength (muscle and endurance) training and stretching, self-management education, analgesic medications, thermal (warm/cool) modalities, and use of assistive and/or orthotic devices. However, evidence suggests these core behaviors of chronic pain self-management are not optimally utilized in older AAs. Methods: A convergent, parallel mixed-methods study explored patterns, preferences, and predictors of stage of engagement (pre-contemplation, preparation, or action) in recommended OA and CJ self-management behaviors. One hundred ten AAs aged 50 and older from communities in north Louisiana completed quantitative surveys, and a subset of 18 participated in audio-recorded qualitative interviews. Using SPSS, multinomial and binomial regression were used to build predictive models to determine which contextual and cognitive factors predict stage of engagement in each recommended and complementary OA self-management behaviors. A qualitative descriptive approach underscored a conventional content analysis of qualitative data. Results: Older AAs were “dealin’ with it [pain]” in a variety of ways, and their experience of having OA and CJ pain was based on their ability and willingness to bear the pain, understand the nature of OA pain, and experience life with daily pain. These dimensions of dealin’ with pain acted as a catalyst for engagement in complementary and recommended behaviors. In addition, participants’ and providers’ cultural receptivity may limit or enable engagement in certain recommended evidence-based OA behaviors. Specifically, each recommended OA self-management behavior was associated with different predictors of engagement. Confidence to manage pain was a predictor for land-based exercise, while there were no factors associated with water-based exercise. The most reasonable explanation for this finding of lack of participation in water-based exercise is likely due to inability to swim and lack of access to a personal or community pool. Engagement in strength training was significantly associated with confidence, knowledge of strength training recommendation, motivation, pain interference, and spirituality. For self-management education, only knowledge of self-management education recommendation was a predictor. Most AA older adults were unaware that this was recommended or didn’t have access to a self-management program; subsequently the majority had never participated in such but were in the preparation stage. Predictors for medication use included confidence, knowledge, and pain interference. Almost all AAs were using either over-the-counter or prescribed medications. Use of thermal modalities was predicted by pain interference. Lastly, using assistive and/or orthotic devices was significantly associated with employment status, OA pain severity, pain interference, and perceived social support. Assistive and/or orthotic device use was evenly split between users and non-users. Pain interference emerged as the most salient factor predicting stage of engagement in any of the recommended behaviors. Depending on the specific behaviors, pain interference prevented or motivated engagement. Conclusion: OA and CJ pain is a significant symptom in older AAs. This study’s mixed method approach uncovered what older AAs do to manage pain. More specifically, these results illuminate the daily patterns and preferences for self-management. We identified specific barriers and motivators that influence engagement in OA self-management behaviors, and determined the most relevant predictors for each stage of engagement. In addition, we were able to develop a model of OA and CJ pain self-management based on the predictors.

Knee osteoarthritis (OA) is a common chronic disease that leads to knee pain, stiffness and limited physical function. A multi-faceted treatment composed of medication management, exercise, health education, and weight control is identified as effective for the reduction of knee pain and increased physical function. This quasi-experimental study undertaken in rural Thailand had an interrupted time-series design and examined whether a multi-faceted intervention delivered by nurse practitioners resulted in improved health status regarding knee OA symptom, quality of life and satisfaction with nursing care and reduced medication usage compared to standard treatment. There were 108 participants (58 experimental, 58 control) who completed the study. The multi-faceted intervention included education, group exercise, weight loss, and medication management delivered over aI2-week period. Four time points were used across the study (weeks 1 and 4 pre-intervention and 16 and 20 post-intervention) to collect data including the Western Ontario and McMaster Universities Arthritis Index (WOMAC), Self-Form 36 (SF-36), Leeds Satisfaction Questionnaires (LSQ) and medication usage diary. Analysis of variance and non-parametric analyses were used to examine differences across time and t-tests and mean change differences were used to examine the group differences pre- and post- intervention. The experimental group reported significant mean change increase in LSQ score and a mean change decrease in medication usage than the control group post-intervention. This supported the hypotheses that the multi-faceted intervention delivered by nurse practitioners would result in greater satisfaction with nursing care and a reduction in medication usage than standard treatment among patients with knee OA. There were no significant mean change differences in the WOMAC and SF-36 scores between the groups. However, both groups reported improvement in WOMAC and SF-36 scores so it is probable that both treatments helped to maintain health status and quality of life.

SUMMARY Joint damages make a big part of orthopedic pathology and rheumatic diseases. One of the most often rheumatic diseases is osteoarthritis. Osteoarthritis is a difficult and widespread joint disease requiring special public health care attention and healing expenses and it has caused especially great interest of scientists in the world. Exercise therapy is an important part of complex treatment of osteoarthritis. However, information about exercise therapy frequency, duration, intensity and different exercises influence upon functional possibilities is still limited. Research purpose. To determine exercise therapy influence upon functional activity of patients with leg joints osteoarthritis. Goals. 1) To evaluate strength exercise therapy effect on clinical and functional data of patients with leg joint osteoarthritis. 2) To evaluate balance exercise therapy impact upon clinical and functional data of patients with leg joints osteoarthritis. 3) To compare strength and balance exercise therapy influence upon clinical and functional data of patients with leg joints osteoarthritis. 4) To determine pain intensity and functional data interrelation of patients with leg joints osteoarthritis. Research methods and organisation. Patients with leg joint osteoarthritis volunteered to participate in research. The participants were divided into two groups, each consisting of 15 persons. The two groups were homogenous by main data: sex, age, height, weight, diseases duration... [to full text]

Osteoarthritis (OA) is a debilitating chronic illness that can prevent older adults from accomplishing their activities of daily living or ambulate without pain. The project's purpose was to develop and disseminate multidisciplinary educational practice guidelines to nurses for use in older homebound male Veteran's Administration OA patients to improve home-based pain management and self-care preventative strategies. Orem's theory of self-care management constituted the theoretical framework. The design was a quality improvement project and involved formation of 6 panels of interdisciplinary teams who reviewed the American Society of Anesthesiologist (ASA) and Osteoarthritis Research Society International (OARSI) guidelines. The ASA and OARSI guideline components were evaluated via a scoring sheet for pain control and self-management effectiveness for the OA patient. The panels assessed these treatment plans in terms of suitability, tolerance, and patient adherence for inclusion into the educational program. The panel members independently reviewed both sets of guidelines and then convened as a group to share their scores and reach a consensus on these guidelines, in the patient population served. Agreement of 85% among the panel members was needed for inclusion into the practice guideline. Based on the scoring results the panel concluded that the ASA and OARSI guidelines would likely improve pain control, functional ability, and psychological well-being essential to lifestyle modifications and OA symptoms management education program. The social impact of developing nursing practice guidelines for the self-management of OA pain in home-based settings will be manifested in better patient lifestyle and behavior modification leading to better symptom management.

Darbo aktualumas: Osteoartritas (OA) senstančioje visuomenėje darosi vis svarbesnė problema. Daugumai žmonių OA – tai sindromas, kurį sudaro sąnarių skausmo, sustingimo ir dėl to prastėjančių funkcijų simptomai ir kuris daro didelę įtaką gyvenimo kokybei (Conaghan & Sharma, 2009). Sergantiems osteoartritu ligoniams pažeidžiamos daugelis gyvenimo sričių: apsitarnavimas, namų ruoša, darbas, laisvalaikis, judėjimas, miegas (Thorstenson, 2007; Sunden et al. ,2007). Siekiant sumažinti skausmą bei pagerinti funkciją pacientams, sergantiems kelių sąnarių osteoartritu, analizavome, kaip skirtingos kineziterapijos programos veikia pacientų skausmą, pusiausvyrą ir šlaunies raumenų jėgą. Tyrimo objektas: skausmo, pusiausvyros ir raumenų jėgos pokyčiai, taikant skirtingas kineziterapijos programas – kineziterapiją vandenyje bei kelių sąnarių mobilizaciją ir kineziterapiją salėje bei TENS. Tyrimo tikslas: Nustatyti skirtingų kineziterapijos programų efektyvumą ligoniams, sergantiems kelio sąnario osteoartritu. Tyrimo uždaviniai: 1. Nustatyti klinikinio rodiklio – kelių sąnarių skausmo stiprumo – kaitą, taikant skirtingas kineziterapijos programas; 2. Nustatyti funkcinių rodiklių: statinės ir dinaminės pusiausvyros bei blauzdą tiesiančių raumenų jėgos kaitą, taikant skirtingas kineziterapijos programas; 3. Nustatyti, kuri kineziterapijos programa veiksmingesnė, mažinant skausmą ir didinant funkciją – pusiausvyrą bei blauzdą tiesiančių raumenų jėgą. Tyrimo hipotezė: Manome, kad taikydami... [toliau žr. visą tekstą]<br>Problem of study: Osteoarthritis (OA), in an aging society is becoming increasingly important problem. OA, for the majority of people - is a syndrome consisting of joint pain, stiffness and function because of deteriorating symptoms and who have a significant impact on the quality of life (Conaghan & Sharma, 2009). Patients ill with osteoarthritis are vulnerable to many disabilities in different areas of life: self-service, household chores, work, leisure, movement, sleep (Thorstenson, 2007; Sunden e al. 2007). In order to reduce pain and improve function in patients with knee osteoarthritis, we examined how different physical therapy programes are affecting the pain, balance and strength of the thigh muscles of the patients.. Object of study: changes in pain, balance and muscle strength while applying different physical therapy programs - physical therapy in water, knee joint mobilization, physical therapy room and TENS. Aim of study: to determine the effectiveness of various physical therapy programs for patients with knee osteoarthritis. Goals of study: 1. Establish a clinical indicator – change in the intensity of knee pain with different physical therapy programs; 2. Identify the functional characteristics: static and dynamic balance and change in force of the extensor muscles of the thigh, with different physical therapy programs; 3. To establish which physical therapy program is more effective in reducing pain and improving function - balance and power of the extensor... [to full text]

Tyrimo problema: sergant kelio sąnario osteoartritu atsiranda skausmas, apsunkinama kasdieninė veikla, trinka pusiausvyra, padidėja griuvimo rizika. Siekiant pagerinti pusiausvyrą ir sumažinti griuvimų riziką, analizavome kaip įvairios kineziterapijos programos veikia pagyvenusių žmonių, sergančių kelio sąnario osteoartritu, šlaunies raumenų jėgą, statinę ir dinaminę pusiausvyrą bei skausmą. Tyrimo objektas: pusiausvyros, raumenų jėgos ir skausmo pokyčiai taikant skirtingas kineziterapijos programas. Tyrimo tikslas: nustatyti skirtingų kineziterapijos programų poveikį ligoniams sergantiems kelio sąnario osteoartritu. Tyrimo uždaviniai: 1. Nustatyti pusiausvyros kaitą taikant sąnarių mobilizaciją, TENS ir fizinius pratimus. 2. Nustatyti šlaunies raumenų jėgos kaitą taikant sąnarių mobilizaciją, TENS ir fizinius pratimus. 3. Nustatyti pusiausvyros kaitą taikant tik TENS ir fizinius pratimus. 4. Nustatyti šlaunies raumenų jėgos kaitą taikant tik TENS ir fizinius pratimus. 5. Įvertinti skirtingų kineziterapijos programų efektyvumą. Tyrimo hipotezė: manome, kad didžiausią teigiamą poveikį pusiausvyros, šlaunies raumenų jėgos ir skausmo kaitai turi ankstyvas sąnarių mobilizacijos, TENS bei fizinių pratimų taikymas. Taikant minėtus metodus atskirai, poveikis pusiausvyrai, šlaunies raumenų jėgai ir skausmui turėtų būti mažesnis arba visai nepasireikšti. Tyrimo metodai ir organizavimas: tyrimas atliktas VšĮ Kauno slaugos ligoninėje 2005-2007 metais. Tyrime dalyvavo asmenys, sergantys... [toliau žr. visą tekstą]<br>Problem of study: osteoarthritis of knee joint causes pain, aggravates everyday activities, disconcerts balance, and increases the risk of fall. Aiming to improve balance and to decrease the risk of falls, we analyzed how various programs of physiotherapy influence the strength of thigh muscles, static and dynamic balance, and pain of elderly with knee osteoarthritis. Object of study: changes of balance, muscle strength and pain after application of various programs of physiotherapy. Aim of study: to determine the impact of various physiotherapy programs to the patients with knee osteoarthritis. Goals of study: 1. To determine the change in balance, when the joint mobilization, TENS and physical exercises are applied. 2. To determine the change in the thigh muscles strength, when the joint mobilization, TENS and physical exercises are applied. 3. To determine the change in balance, when TENS and physical exercises alone are applied. 4. To determine the range of thigh muscles strength, when TENS and physical exercises alone are applied. 5. To evaluate effectiveness of various physiotherapy programs Hypothesis of study: we believe that the biggest positive impact on the change of balance, strength of thigh muscles and pain has the combination of early joint mobilization, TENS and physical exercises. While applying all those methods separately, the impact on the change of balance, strength of thigh muscles and pain is lesser or even doesn’t emerge. Methods and organization of... [to full text]