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Running head: OUTLINE OF THE PROJECT 1
Outline of the Project
NAME OF STUDENT
Rasmussen College
Author Note
This paper is being submitted on DATE, for Professor Joanne Maida’s NUR1172 Nutritional Principles in Nursing course.
Outline of the Project
Identification of Alteration in Health
A. Definition of disease Rheumatoid Arthritis –
Role nutrition plays in the prevention of Rheumatoid Arthritis
The impact on diet and health in its prevention
Foods that prevent this disease
Etiology/Progression
Categorized as an autoimmune disease; no prevention discovered.
Caused by own immune system mistakenly attacking its own body’s tissue, specifically the joints.
Symptoms may be due to genes, hormones, and environmental factors.
Progression
Symptoms
Tender, warm, swollen joints
Joint stiffness
Fatigue and fever
Weight loss
Loss of appetite
Can affect other organs and body systems
Eyes, mouth, skin, lungs, blood vessels and blood
Complications
Increases risk of developing other diseases
Osteoporosis
Rheumatoid nodules
Dry eyes and mouth
Infections
Abnormal body composition
Carpal tunnel syndrome
Heart problems
Lung disease
Lymphoma
Treatment
A. Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Relieve pain and reduce inflammation
Steroids
Reduce inflammation and pain and slow joint damage
Disease-modifying anti-rheumatic drugs (DMARDs)
Slow the progression of RA and save the joints and other tissues from permanent damage.
Biologic agents
Target parts of the immune system that trigger inflammation that causes joint and tissue damage.
Therapy
Exercise
Helps keep joints flexible
Heat and cold therapies
Heat treatments, such as heat pads or warm baths, sooth stiff joints and tired muscles.
Cold is best for acute pain. It can numb painful areas and reduce inflammation.
Surgery
Synovectomy
Removes the inflamed synovium (lining of the joint)
Tendon repair
Repairs tendons around your joints
Joint fusion
Surgically fusing a joint to stabilize or realign a joint and for pain relief
Total joint replacement
Removes damaged parts of joints and inserts a prosthesis
Recommended Diet
Anti-inflammatory diets and healthy eating
Foods rich in antioxidants that can help control and reduce inflammation
Fish, vegetables, fruits, olive oil
Eliminate or significantly reduce processed and fast foods that fuel inflammation
Supplements help with pain and morning stiffness
Turmeric and Omega-3 fish oil
Nursing Assessment/Interventions
History and physical exam
Lab work tests
Extra-articular changes
D Relieving pain and discomfort
1. Comfort measures
Medication
Anti-inflammatory diet
Education
1.Facilitating self-care
2. Establish goals
Teaching points
Continuing care
VIII Adherence
1. Identify any barriers in regards to nutrition
a. Low income
b. Side effects from medications
c. Psycho-social factors that can impact
References
Belleza, M. (2017, February 23). Rheumatoid arthritis. Retrieved from https://nurseslabs.com/rheumatoid-arthritis/
Rheumatoid arthritis. (n.d.). Retrieved from http://www.arthritis.org/about- arthritis/types/rheumatoid-arthritis/
Rheumatoid arthritis. (2017, August 09). Retrieved from https://www.mayoclinic.org/diseases- conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648
What is rheumatoid arthritis? (n.d.). Retrieved from https://www.webmd.com/rheumatoid- arthritis/rheumatoid-arthritis-basics#1