Evidence-Based Practice Nursing Interventions for Systemic Lupus Erythematosus in Middle-Aged Women

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Introduction Pain. Fatigue. Rashes. Depression. These are a few of the manifestations associated with systemic lupus erythematosus, an autoimmune disease that affects millions of people worldwide with eighty percent of them being women ages 15-45 (Tretheway, 2004). Systemic lupus erythematosus is a disease where the body literally attacks itself. For reasons that are not known, the body loses the ability to recognize cells or tissues as self and treats them as foreign, triggering a defensive immune response (Ignatavicius, 2010). According to Ignatavicius (2010), autoimmune disorders occur with more frequency among Caucasian women compared with women of other ethnicities, but in systemic lupus erythematosus that is not the case. SLE is more likely to occur in women of dark-colored skin especially those of African American, Hispanic, Asian, and Native-American ethnicities. With women being the dominant gender that acquire systemic lupus erythematosus, it is important to specifically address what interventions should be taken to help these patients alleviate stress and provide quality care so that they can have the best quality of life. Literature Review As stated by Wheeler (2010), systemic lupus erythematosus is a disorder that requires skill and knowledge to treat. Since SLE is unpredictable and can target a specific organ or multiple body systems at once, it is very important as a nurse to be aware of what interventions should be taken as applied to that specific body system. Wheeler focuses on describing the complexity of the disorder and how difficult it can be for a nurse to treat a patient with systemic lupus erythematosus if they are not familiar with the etiology, symptoms and interventions of the disorder. In the art... ... middle of paper ... ...ce-based guide to planning care (9th Ed.). St. Louis, MO: Mosby Elsevier Danoff-Burg, S., & Friedberg, F. (2009). Unmet needs of patients with systemic lupus erythematosus. Behavioral Medicine, 35(1), 5-13. Retrieved November 2, 2011, from the CINAHL database Ignatavicius, D.D. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th Ed.). St. Louis, MO: Mosby Elsevier Preventive care for patients with lupus could be improved. (2011). Agency for Healthcare Research and Quality, Research Activities, (371), 14. Tretheway, P. (2004). Systemic lupus erythematosus. Dimensions Of Critical Care Nursing, 23(3), 111-115. Retrieved November 2, 2011, from the CINAHL database Wheeler, T. (2010). Systemic lupus erythematosis: the basics of nursing care. British Journal of Nursing (BJN), 19(4), 249-253. Retrieved November 2, 2011, from the CINAHL database.

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