Nursing care of juvenile rheumatoid arthritis.doc

 PAGE \* MERGEFORMAT 7 Nursing care of juvenile rheumatoid arthritis [Keywords:] rheumatoid arthritis care Juvenile rheumatoid arthritis (JRA in children during a common connective tissue disease, mostly occurs in children under the age of 16, to unexplained chronic synovitis as the main feature, including the onset Still disease, allergic Asia sepsis. often with acute onset, fever, articular symptoms, violations of minority joint, the main damage large joints, no swelling of bone changes in the spindle, iridocyclitis prone to eye, the course can be persistent for several years , often alternating with acute exacerbation and remission. our hospital in June 2005 to June 2006 were treated 24 cases of children with JRA, nursing now reported as follows. [Nursing] 1. Nursing Observation (1) to observe closely monitor temperature changes in body temperature, pay attention to hot type. Observe whether the fever, fatigue, loss of appetite, muscle aches, fever associated symptoms observed, if not rash, joint pain and other symptoms. (2) observe whether the observed skin rash, skin rash color, shape and distribution. Records the time the rash appears and regression, and regression of the observed rash appears the relationship between time and heat. (3) observed arthritis joint damage observed the situation, the number of involved joints, is symmetrical, attention is more or less articulated joints, large joints or small joint involvement, whether the involved joints pain, swelling, thermal sense, morning stiffness, movement disorders and deformities such as performance. observe the performance of joint involvement, such as when the affected joints Zhi Zhi, showed typical fusiform swelling, involving the performance of the temporomandibular joint trismus time, children can be v. earache, involving the cervical spine can cause neck pain and limited mobility, hip joint involvement can cause necrosis of the femoral head and hip movement dis