2. Please enjoy the show…….. By : Ashlee Kolkow

3. What is RA? Most serious form of arthritis, leading to severe crippling Autoimmune disorder Chronic inflammation of the synovial membrane of the diarthrodial joints May affect major organ systems ( lungs,heart,blood vessels,muscles,eyes,skin)

4. *RA*

5. Clinical Manifestations Involves a immune reaction that will not shut off due to failure in the immune system Resulting in damage to the affected tissue possibly leading to gross deformity and loss of function Characterized by periods of remission and exacerbation

6. Assessment Subjective Malaise Muscle weakness Loss of appetite Generalized Objective Edema on joints Tenderness Subcutaneous nodules Limiting ROM Fever

8. Diagnostic Tests No single definitive test for RA Diagnosis based on patient history and findings during physical exam. Four classic symptoms 1.Morning stiffness 2.Joint pain 3.Muscle weakness 4.Fatigue

9. Treatment Anti-inflammatory drug - Indocin Pain relief - Celebrex Prolonging join function - Physical therapy. Traction, and splints

10. Continued……….. Advances in cell and molecular biology had influences the current treatment of RA. Disease-modifying antirheumatoid medications target an enzyme known as tumor necrosis factor (TNF). It’s a proinflammatory substance that is produced by the synovial cells and other cells of the body and produces signs and symptoms of inflammation.

11. Nursing Interventions/Patient Teaching Rest, Rest, Rest Sleeping 8-10 hrs a night with 2-hr naps during daytime Light exercise 2 or 3 times daily Heat application helps relax and soothe muscles. Allow patient to perform ADLs

12. Prognosis Stage I represents early effect Stage IV, the terminal category, includes marked joint deformity, extensive muscle atrophy, soft tissue lesions, bone and cartilage destruction, and fibrous or bony ankylosis

13. THE END