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Nursing Care Plan for Systemic Lupus Erythematosus

Nursing Diagnosis and Interventions for SLE

Systemic lupus erythematosus (SLE) is an autoimmune disease. SLE is eight times more common in women than men. Up to 10% of people with lupus isolated to the skin will develop the systemic form of lupus (SLE). SLE is characterized by the production of unusual antibodies in the blood. The cause(s) of SLE is (are) unknown, however, heredity, viruses, ultraviolet light, and drugs all may play some role.

Signs and Symptoms

1. Musculoskeletal System
Arthralgia, arthritis (synovitis), joint swelling, tenderness and pain when moving, stiffness in the morning.

2. Integumentary System
Acute lesions on the skin which comprises a butterfly-shaped rash that is transverse bridge of the nose and cheeks.
Oral ulcers on the buccal mucosa or hard palate.

3. Cardiac Systems
Pericarditis is a cardiac manifestation.

4. Respiratory System
Pleurisy or pleural effusion.

5. Vascular System
Inflammation in the terminal arterioles that causes lesions papuler, erythematous and purpuric on tip toes, hands, elbows and forearm extensor surface or lateral side of the hand and continued necrosis.

6. Urinary System
Renal glomerulus are usually affected.

7. Nervous System
The spectrum of disorders of the central nervous system is very broad and covers all forms of neurological disease, frequent depression and psychosis.


Possibility of Nursing Diagnosis
  1. Pain (acute / chronic)
  2. Fatigue
  3. Impaired skin integrity
  4. Impaired physical mobility
  5. Impaired body image
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