Caring for a patient with rheumatoid arthritis during the exacerbation phase of the disease

Abstract

Introduction: Rheumatoid arthritis (RA) is a chronic, inflammatory autoimmune disease characterized by pain, swelling, morning stiffness and progressive loss of joint function due to deformation. Caring for a patient with RA requires an interdisciplinary approach that includes doctors, nurses, physiotherapists, psychologists and social workers, and the patient's family/legal guardians.

Aim of the study: The aim of the study was: To identify care and therapeutic problems in a patient with rheumatoid arthritis. Establishing an individual nursing care plan for a patient with rheumatoid arthritis. Assessment of actions taken for the benefit of the patient and his environment.

Method material: The study involved a 69-year-old patient with rheumatoid arthritis diagnosed for 5 years, who was hospitalized at the Department of Internal Diseases, Gastroenterology, Endocrinology and Diabetology, Cardinal Stefan Wyszynski Provincial Hospital in Łomża.

Results: The disease can have a significant impact on the life of the patient and his caregivers, which is why psychological support is important. Patients with RA may experience pain, fatigue, limited mobility, and emotional problems. Psychological support and nursing care can help the patient cope with the disease and its consequences.

Conclusions: The nurse is a key person in the care of a patient with RA. Responsible for assessing the patient's health condition, monitoring treatment, educating the patient and his family, and providing psychological support. The nurse should have the knowledge and skills necessary to properly care for a patient with RA. She should be trained in the diagnosis and treatment of RA, rehabilitation and physiotherapy, patient education and psychological support. The nurse should cooperate with a doctor, a rehabilitator, a psychologist and a social worker in order to provide the patient with comprehensive care.