1 / 12

A Brief Look at Juvenile Rheumatoid Arthritis Will Oliver, BSN, RN Lubbock Christian University

A Brief Look at Juvenile Rheumatoid Arthritis Will Oliver, BSN, RN Lubbock Christian University NUR 5200 Introduction to Graduate Studies Advanced Practice Presentation Submitted to Daniel Hatch, DNP, APRN, FNP-BC Bev Byers, EdD , RN, LMT, LMTI July 24, 2014 .

zorita-craig
Download Presentation

A Brief Look at Juvenile Rheumatoid Arthritis Will Oliver, BSN, RN Lubbock Christian University

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. A Brief Look at Juvenile Rheumatoid Arthritis Will Oliver, BSN, RN Lubbock Christian University NUR 5200 Introduction to Graduate Studies Advanced Practice Presentation Submitted to Daniel Hatch, DNP, APRN, FNP-BC Bev Byers, EdD, RN, LMT, LMTI July 24, 2014 

  2. Juvenile Rheumatoid Arthritis • Adolescents and children, age 16 and younger(“Childhood arthritis,” 2013) • Joint inflammation and stiffness lasting 6 weeks or longer (“Childhood arthritis,” 2013) • Pediatric nursing implications

  3. Pathophysiology • Malfunction of the immune system • Following infectious disease or other unknown triggers • Inflammatory factors attack synovial membrane • Unchecked inflammation can cause joint damage (Abramson, 2013)

  4. Pathophysiology (“Childhood arthritis,” 2013) • Three classifications: • Oligoarticular - 50% • Polyarticular – 40% • Systemic - 10% • Criteria: • Number of joints affected • Symptoms • Potential presence of antibodies

  5. Subjective Patient Presentation • limping • morning stiffness • favoring one or more limbs • inactivity • lingering fever • noticeable joint inflammation • difficulty with fine motor skills (Abramson, 2013)

  6. Objective Patient Presentation • Thorough observation (Abramson, 2013) • May have presence of antibodies (“Childhood arthritis,” 2013) • Presence of elevated CRP and ESR (“Childhood arthritis,” 2013) http://www.webmd.com/rheumatoid-arthritis/ss/slideshow-ra-overview

  7. Diagnosis • Joint inflammation 6 weeks – 3 months • Age 16 and under • Imaging • Rule out other childhood diseases (Abramson, 2013)

  8. Pharmacological Intervention (Prince, Otten, van Suijlekom-Smit, 2011, Diagram 1, p. 98)

  9. Non-Pharmacologic Intervention • Initiating a multidisciplinary team to include regular check-ups (Prince et al., 2011) http://www.cbc.ca/news/canada/hamilton/news/report-helps-healthcare-workers-spot-fabricated-illness-in-kids-1.1304273 =http://www.knoxnews.com/news/2012/dec/01/teen-turns-her-energy-toward-fighting-juvenile/ http://my.clevelandclinic.org/childrens-hospital/specialties-services/departments-centers/rheumatology/default.aspx

  10. Patient Education and Counseling • Early intervention • Correct diagnosis • Effective treatment • Multidisciplinary approach • Psychological well-being • Child • Parent • (Vuorimaa et al., 2009)

  11. Conclusion http://thecertainonesmagazine.com/juvenile-arthritis-awareness-month/

  12. References Abramson, MD, L. S. (2013). Arthritis in children. Retrieved from http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Arthritis_in_Children/ Childhood arthritis. (2013). Retrieved from http://www.cdc.gov/arthritis/basics/childhood.htm Reynolds, G. (2012). Presentation Zen: Simple ideas on presentation design and delivery (2nd ed.). Berkley, CA: New Riders. Prince, F. H. M., Otten, M. H., & van Suijlkom, L. W. A. (2011). Diagnosis and management of juvenile idiopathic arthritis. British Medical Journal (Overseas & Retired Doctors Edition), 342(7788), 95-102. doi:10.1136/bmj.c6434 Singh, G. (1994). Childhood health assessment questionnaire. Retrieved from http://www.rheumatology.org/Search.aspx?SearchText=CHAQ Vuorimma, H., Tamm, K., Honkanen, V., Konmulainen, E., Konttinen, Y. T., & Santavirta, N. (2009). Parents and children as agents of disease management in Juvenile Idiopathic Arthritis. Child: Care, Health & Development, 35(4), 578-85. doi:http://dx.doi.org/10.1111/j.1365-2214.2009.00981.x

More Related