(^272) Medical-Surgical Nursing Demystified
TREATMENT
Initial treatment is usually with over-the-counter medications. The patients re-
spond well to these medications. There is no underlying inflammatory disorder, so
the medications can be used on an as-needed basis. Many of the patients are older
and will be on other medications, so it is important that you check for medication
interactions.
- Administer NSAID (nonsteroidal anti-inflammatory drug)—for any local
inflammation from irritation at the joint area due to osteophytes or bone spur
formation:- ibuprofen, naproxen
- diclofenac, diflunisal, etodolac, fenoprofen, flurbiprofen, indomethacin,
ketoprofen, ketorolac, meloxicam, nabumetone, oxaprozin, piroxicam, sal-
salate,sulindac, tolmetin
- Administer acetaminophen for pain relief.
- Glucosamine and chondroitin sulfate for relief of pain and stiffness.
- Capsaicin cream topically.
- Intra-articular injections of corticosteroid up to 3 or 4 times in a year.
- Intra-articular injections of:
- hyaluronate sodium; series of 3 to 5 injections
- hyaluron; series of 3 injections
- hylan GF 20; series of 3 injections
- Exercise to maintain joint mobility and muscle tone.
- Walking aid for stability.
NURSING DIAGNOSES
- Pain
- Activity intolerance
- Impaired mobility
NURSING INTERVENTION
- Monitor pain to adequately treat pain, as needs may change.
- Diet modification for weight loss for overweight patients to decrease excess
stress on weight-bearing joints.