NCP Pain (Acute / Chronic) related to Systemic Lupus Erythematosus
Systemic lupus erythematosus is a systemic autoimmune disease (or autoimmune connective tissue disease) that can affect any part of the body. As occurs in other autoimmune diseases, the immune system attacks the body's cells and tissue, resulting in inflammation and tissue damage. It is both a type II and a type III hypersensitivity reaction in which bound antibody-antigen pairs (immune complexes) precipitate and cause a further immune response.
SLE most often harms the heart, joints, skin, lungs, blood vessels, liver, kidneys, and nervous system. The course of the disease is unpredictable, with periods of illness (called flares) alternating with remissions. The disease occurs nine times more often in women than in men, especially in women in child-bearing years ages 15 to 35, and is also more common in those of non-European descent.
SLE is one of several diseases known as "the great imitators" because it often mimics or is mistaken for other illnesses. SLE is a classical item in differential diagnosis, because SLE symptoms vary widely and come and go unpredictably. Diagnosis can thus be elusive, with some people suffering unexplained symptoms of untreated SLE for years.
Common initial and chronic complaints include fever, malaise, joint pains, myalgias, fatigue, and temporary loss of cognitive abilities. Because they are so often seen with other diseases, these signs and symptoms are not part of the diagnostic criteria for SLE. When occurring in conjunction with other signs and symptoms (see below), however, they are considered suggestive.
Nursing Diagnosis : Pain (Acute / Chronic) related to inflammation and tissue damage.
Goal:
Improvement in comfort level
Interventions :
SLE most often harms the heart, joints, skin, lungs, blood vessels, liver, kidneys, and nervous system. The course of the disease is unpredictable, with periods of illness (called flares) alternating with remissions. The disease occurs nine times more often in women than in men, especially in women in child-bearing years ages 15 to 35, and is also more common in those of non-European descent.
SLE is one of several diseases known as "the great imitators" because it often mimics or is mistaken for other illnesses. SLE is a classical item in differential diagnosis, because SLE symptoms vary widely and come and go unpredictably. Diagnosis can thus be elusive, with some people suffering unexplained symptoms of untreated SLE for years.
Common initial and chronic complaints include fever, malaise, joint pains, myalgias, fatigue, and temporary loss of cognitive abilities. Because they are so often seen with other diseases, these signs and symptoms are not part of the diagnostic criteria for SLE. When occurring in conjunction with other signs and symptoms (see below), however, they are considered suggestive.
Nursing Diagnosis : Pain (Acute / Chronic) related to inflammation and tissue damage.
Goal:
Improvement in comfort level
Interventions :
- Implement actions to provide comfort (warm compresses, massage, change of position, rest, foam mattress, pillow support, splint, relaxation techniques, activities that divert attention).
- Give anti-inflammatory preparations, analgesics as recommended.
- Customize your treatment schedule to meet the needs of patients on pain management.
- Encourage the patient to express his feelings about the nature of chronic pain and illness.
- Describe the pathophysiology of pain and help patients to realize that pain is often brought to methods of therapy that has not been proven beneficial.
- Assist in identifying the painful life of a person who brings the patient to use a method that has not proven beneficial therapies.
- Perform an assessment of subjective changes in pain.
