Chapter 10
Osteoarthritis Case Study Answers
1. Based on Mary’s symptoms, what are the potential differential diagnoses to consider besides osteoarthritis?
Potential differential diagnoses may include rheumatoid arthritis, gout, lupus, fibromyalgia, or other inflammatory joint diseases.
2. How would you assess Mary’s pain level, and what pain assessment tools could be utilized?
Pain levels can be assessed using a numeric rating scale (0-10), visual analog scale (VAS), or verbal descriptor scale. Additionally, tools like the McGill Pain Questionnaire or Brief Pain Inventory may provide more comprehensive pain assessment.
3. What risk factors for osteoarthritis does Mary possess, and how do they contribute to her condition?
Mary’s risk factors may include obesity, age, previous joint injury, and genetics. These factors contribute to the degeneration of cartilage and subsequent development of osteoarthritis.
4. What additional assessments would you conduct to further evaluate the extent of Mary’s osteoarthritis?
Additional assessments may include imaging studies such as X-rays or MRI scans to evaluate joint damage, as well as blood tests to rule out other forms of arthritis.
5. How would you prioritize Mary’s nursing diagnoses, and why?
The priority nursing diagnosis is impaired physical mobility because it addresses Mary’s immediate problem of joint pain and stiffness, which significantly impacts her ability to perform daily activities.
6. What education would you provide to Mary regarding her osteoarthritis diagnosis and management?
Education would include information about osteoarthritis, its causes, symptoms, and treatment options. Mary would also learn about joint protection techniques, medication management, exercise programs, and weight management strategies.
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