Medical Surgical Nursing

(Tina Sui) #1

Chapter 54


Assessment and Management of Patients With Rheumatic Disorders


Rheumatic Diseases



  • ―Arthritis‖

  • More than 100 different disorders

  • Affect primary the joints, but also muscles, bone, ligament, tendons, cartilage

  • Classification

    • Monoarticular or polyarticular

    • Inflammatory or noninflammatory




Characteristic Degenerative Changes— ―Degradation‖


Joint space narrowing and osteophytes (bone spurs) are characteristic of degenerative


changes in joints.


Although the cause of degeneration of the articular cartilage is poorly understood, the


process is known to be metabolically active and therefore is more accurately called
―degradation.‖

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