Introduction
What is Arthritis? Arthritis is inflammation of a joint bringing such symptoms as chronic joint pain, stiffness, and swelling. The Arthritis Society states that approximately 4.6 million Canadians are currently living with arthritis; by 2036 this number will increase to 7.5 million (1 in 5). Health care costs and loss of productivity amount to $33 billion, by the year 2031 this number is expected to double. (The Arthritis Society, 2014). According to Aging in Contemporary Canada, arthritis and rheumatism is the most common chronic health problem of Canadian seniors affecting 47%. (Chappell, McDonald, & Stones, 2008, p. 221). With over 100 types of arthritis varying from mild to severe the most common age related form is osteoarthritis (OA) affecting 1 in 10 Canadians. Approximately 13% of Canadians suffer with OA. Joint damage from OA accounts for 80% of hip replacement surgery and over 90% of knee replacement surgeries. (The Arthritis Society, 2014). Severe cases of OA can restrict the ability to participate in activities and consequently affect a person’s quality of life. At this time there is no cure for OA without a joint replacement. Although OA can affect all ages the purpose of this paper is to focus on the impact this disorder has on the daily activities and functioning on the aging population. Discussion will also highlight the origin and manifestations of this disorder and will examine current and future treatment options available.
Origin
OA is a degenerative joint disorder affecting both men and women over age 60. In an osteoarthritic joint the cartilage between the two bones becomes thin and damaged resulting in a narrowing of the joint space and rubbing of the bones causing destruction.(Touchy & J...
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The myths of osteoarthritis debunked. (2012). Marketwire, Retrieved March 17th, from http://ezproxy.lib.ryerson.ca/login?url=http://search.proquest.com/docview/927727340?accountid=13631
Touhy, T. A., Jett, K. F., Ebersole, P., & Hess, P. A. (2010). Ebersole and Hess' gerontological nursing & healthy aging (3rd ed.). Bone and Joint Problems (pp. 285-287). St. Louis, Mo.: Mosby/Elsevier.
Walker, J. (2011). Management of Osteoarthritis. Nursing Older People, 23(9), 14-9. Retrieved March 17th, 2014 from http://ezproxy.lib.ryerson.ca/login?url=http://search.proquest.com/docview/90440549 0?accountid=13631
Touhy, T. A., Jett, K. F., Boscart, V., & McCleary, L. (october 2011). Ebersole and Hess Gerontological Nursing and Healthy Aging (1st canadian edition ed.). Retrieved from
Osgood-Schlatter Disease or syndrome (OSD) is an irritation of the patellar ligament at the tibial tuberosity (Dhar). Osgood-Schlatter Disease is claimed by some to not actually be a disease (Sims). But is rather a collection of symptoms that involve the tibial tubercle epiphysis (Sims). Osgood-Schlatter Disease affects as many as 1 in 5 adolescent athletes (Diseases and Conditions: Osgood-Schlatter Disease). Some other common names for this disease are Osteochondrosis, Tibial Aponphysitis, Tibial Tubercle Apophyseal Traction Injury, Morbus Osgood-
Osteogenesis Imperfecta (OI), also called fragile bone ailment or Lobstein disorder, is an inherent bone issue portrayed by weak bones that are inclined to break effortlessly with practically zero cause. A arrangement of various sorts of OI is regularly used to depict how seriously a man with OI is affected.OI is brought on by hereditary deformities that influence the body's capacity to make solid bones. In predominant established OI, a man has too little sort I collagen or a low quality of sort I collagen because of a transformation in one of the sort I collagen qualities which makes the bones
Fatigue, decreased mobility and impaired balance from the rheumatoid and osteoarthritis pain also increases the risk of falls (Stanmore et al., 2013). Age related changes such as sarcopenia causes muscle tone and strength to decrease, especially in the lower limbs and as a result, balance and gait become impaired (Culross, 2008). These factors significantly influence the risk of falls and also affect the ability to carry out daily activities therefore, with a physiotherapists assistance, the nurse could introduce a personalised exercise regime to enhance muscle tone and strength (Culross, 2008). According to Neuberger et al (1997), exercise lessens fatigue and improves muscle tone and balance in older people. Recommending an exercise programme for Mrs Jones that incorporates strength training exercises and aerobics, could potentially improve muscle tone and strength and as a result improve mobility, balance and lessen the risk of falls (Bird, Pittaway, Cuisick, Rattray & Ahuja, 2013). The nurse could also suggest safety precautions such as advising Mrs Jones to use a mobility aid (Gooberman-Hill & Ebrahim,
Osteoarthritis is the most common type of arthritis, it affects millions of people around the world. It is also known as Degenerative Joint Disease or Degenerative Arthritis or Wear & Tear Arthritis. Osteoarthritis occurs when the protective cartilage in the joints wear down over time. While osteoarthritis can affect any joint in your body, it more often is seen in the knees, hips, hands, neck, and lower back it worsens as you grow older and has no known cure.
Osteoarthritis (OA) is the most common form of arthritis, affecting more than 27 million Americans (LeMone, Burke, Bauldoff, 2011). It is caused when the cartilage in the joints breaks down, causing the bones of the joint to rub against one another. This causes pain, stiffness, and loss of motion in the joint. Osteoarthritis is most prevalent in those 65 and older, but can affect those of any age. In addition, African Americans and Hispanics report a higher incidence of arthritis than Caucasians (LeMone, Burke, Bauldoff, 2011). Although the cause is unknown, it is believed that the increasing age of the population, prevalence of obesity and injuries add to the progression of the condition. Osteoarthritis can affect any joint in the body; however, those of the hand, hip, and knee are often the most common. This condition may be asymptomatic, or may present symptoms including soreness, stiffness and pain. The symptoms are more common in the older population, those with limited activity levels, and those who are obese. Joint cartilage thins over time, causing an increased risk for symptoms in the elderly, and obesity puts extra pressure on the joints during activity. Osteoarthritis is commonly diagnosed with the use of a physical assessment along with results of radiology testing such as X-Ray and MRI.
Osteoporosis is a condition, in which bones are weak from deterioration, loss of bone mass, and quality-bone strength. Osteoporosis usually triggers postmenopausal women (women who have not had their period for a whole year), or older men and women. Some risks both older men and women endure when experiencing Osteoporosis are decrease of calcium and bone fractures. These symptoms or effects can all be caused by weight loss, smoking, age, ethnicity, genetics, medications, bone structure, and certain diseases that can later on contribute to Osteoporosis, such as rheumatoid arthritis. Osteoporosis may be prevented by going to drug therapy to stop alcoholism and smoking, a sufficient amount of calcium intake, and exercising; such as jogging, walking,
Osteoarthritis can be known as or sometimes called degenerative joint disease. Osteoarthritis (OA) is a disease that affects not only the old and sick, although 55 and older are most common to be affected, people of all ages may receive osteoarthritis (OA). Approximately 27 million Americans are sharing the same common chronic conditions of the joints.
Osteogenesis imperfecta (OI), also known as brittle bone disease, is a rare genetic disorder with the main characteristic being that the bones break very easily, usually for no apparent reason. The major cause of osteogenesis imperfecta is a mutation in the genes that produce collagen. Collagen is the main protein that works toward the production of connective tissue. Individuals with this disorder will produce less collagen than needed, which causes the bone development to be endangered. This could result in bone deformities. There are four types of osteogenesis imperfecta, and in all four types you will see bone fragility with multiple fractures and bone deformities.
Bibliography: Arthritis Foundation, Understanding Arthritis (1986); Kelley, William N., et al., eds., Textbook of Rheumatology, 2d ed., (1985); McCarty, Daniel F., ed., Arthritis and Allied Conditions, 11th ed. (1988); Moll, J. M. H., Rheumatology in Clinical Practice (1987).
Touhy, T. A., & Jett, K. (2012). Toward healthy aging: Human needs & nursing response (8th ed.). St. Louis, MO: Elsevier/Mosby.
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
The goal for nurses as a profession is not only to be “patient advocates” but also assist the patient to learn and gain the necessary skills to achieve the best level of functioning for the patient based on their current illness. In order to help a patient achieve their optimal level of functioning the nurse must work with the patient and the interdisciplinary team to create a collaborative plan that is logical for the patient. Through examining a musculoskeletal disorder case study #35 from Preusser (2008), one can create a critical pathway for the patient, S.P. a 75 year old female, with severe rheumatoid arthritis (RA) and admitted to the orthopedic ward for a hip fracture status post fall (p. 183). Since the patient’s needs is unique and complex the nurse must tailor a plan with the patient which will include “…assessments, consultations, treatments, lifestyle changes, disease education…” in order for the patient have the most appropriate evidence-based care and make informed decisions when it is necessary (Oliver, 2006, p. 28). The aim for the nurse caring for the S.P. is to help prepare the patient for an upcoming procedure and focus care to the patient by gathering necessary information about her while. Collaboration with the patient, family members, rehabilitation, medical and surgical team about the treatment plans can help us provide proper patient’s care by utilizing actions and interventions within the scope and standards of the nursing practice.
Kick, Ella. "Overview: Health Care and the Aging Population: What Are Today's Challenges?" The Online Journal of Issues in Nursing. N.p., n.d. Web.
As we grow older our bodies begin to degenerate, and stop working. There are many different kinds of diseases that we are subject to as we age, cancers, heart disease, Alzheimer’s disease, arthritis, and many others. All have a negative affect on our lives, making it difficult to function. Arthritis is the second leading chronic disease in the United States.