- Tissue distension by accumulation of fluid / inflammatory process
- Joint destruction.
- Complaints of pain, discomfort, fatigue.
- Focusing on self / narrowing of focus
- Distraction behavior / response of autonomic
- Behavior is deliberate / protect
- Showed pain relief / control
- Looks relaxed, sleep / rest and participate in activities according to ability.
- Follow the program prescribed pharmacological
- Combining the skills of relaxation and entertainment activities in a pain control program.
Nursing Interventions - Pain (Acute / Chronic) for Rheumatoid Arthritis
1. Investigate complaints of pain, record the location and intensity (scale 0-10). Write down the factors that speed up, and signs of non-verbal pain.
Rational: To assist in determining the need for pain management and program effectiveness
2. Give the mat, small pillow. Elevate the bed linen as needed
Rational: a soft mattress, pillow that would prevent maintenance of proper body alignment, placing stress on the joints that hurt. Elevation of the bed linen reduce pressure on the inflamed joint / pain.
3. Place / monitor the use of pillows
Rational: Resting sore joints and maintain a neutral position. Use of the brace can reduce pain and can reduce damage to the joints
4. Encourage to frequently change positions. Helps to move in bed, prop joint pain above and below, avoid jerky movements.
Rational: To prevent the occurrence of general fatigue and joint stiffness. Stabilize joints, reduce the movement / joint pain.
5. Instruct the patient to a warm bath or shower at the time of waking and / or at bedtime. Provide a warm washcloth to compress the joints are sore several times a day. Monitor the temperature of the water compresses, baths, and so forth.
Rational: The heat increases muscle relaxation, and mobility, reduce pain and stiffness in the morning release. Sensitivity to heat can be removed and dermal wounds can be healed.
6. Give a gentle massage
Rationale: Increase relaxation / reducing pain.
7. Encourage the use of stress management techniques, such as progressive relaxation, therapeutic touch, biofeed back, visualization, imagination guidelines, self hypnosis, and breath control.
Rationale: Increase relaxation, gives a sense of control and may increase the coping abilities
8. Engage in entertainment activities appropriate to individual situations.
Rational: To focus attention again, provide stimulation, and increased self-confidence and feeling healthy.
9. Give the drug before the activity / planned exercise as directed.
Rationale: Increase relaxation, reduce muscle tension / spasm, making it easy to participate in therapy.
10. Collaboration: Give medicines as directed.
Rational: As an anti-inflammatory and mild analgesic effect in reducing stiffness and improve mobility.
11. Give ice-cold compress if needed
Rational: The cold can relieve pain and swelling during the acute period.