Rheumatology nursing : a creative approach

561 Pages·2006·3.697 MB·English

by  Jacqueline Hill

Rheumatology
Nursing
A Creative Approach 2nd edition
Edited by
JACKIE HILL

Rheumatology Nursing

Rheumatology
Nursing
A Creative Approach 2nd edition
Edited by
JACKIE HILL
Copyright © 2006 Whurr Publishers Limited (a subsidiary of John Wiley & Sons Ltd)
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Library of Congress Cataloging-in-Publication Data
Rheumatology nursing : a creative approach / edited by Jackie Hill. – 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-470-01961-0
ISBN-10: 0-470-01961-1

1. Musculoskeletal system–Diseases–Nursing. 2. Arthritis–Nursing.
3. Rheumatism–Nursing. I. Hill, Jacqueline, 1946–
[DNLM: 1. Rheumatic Diseases–nursing. 2. Orthopedic Nursing–methods.
WY 157.6 R472 2006]
RC925.5.R48 2006
616.7′23 – dc22
2005029943
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
ISBN-13 978-0-470-01961-0
ISBN-10 0-470-01961-1
Typeset by SNP Best-set Typesetter Ltd., Hong Kong
Printed and bound in Great Britain by TJ International Ltd, Padstow, Cornwall
This book is printed on acid-free paper responsibly manufactured from sustainable forestry in
which at least two trees are planted for each one used for paper production.
Contents
SECTION 1 SETTING THE SCENE
This section provides an overview of the musculoskeletal system and the
immune system and describes how rheumatic conditions affect them. A
chapter is also devoted to the different investigations that are used to diagnose
and assess the patient. The central role of the nurse caring for the rheumatic
patient is discussed and the benefi ts of adopting a therapeutic rather than an
exclusively supportive framework is advocated. The expanding role of the
nurse within the speciality is explored, including the role of the consultant
nurse, nurse-led clinics and academic nursing roles.
1 The Principles, Practice and Evolution of Rheumatology
Nursing 3
Sarah Ryan and Jackie Hill
2 The Musculoskeletal System and the Rheumatic Diseases 25
Valerie Arthur and Jackie Hill
3 The Immune System and Rheumatic Disease 93
Susan Oliver
4 Biochemical, Haematological and Clinical Assessments in the
Rheumatic Diseases 123
Jackie Hill

SECTION 2 ADDRESSING THE PATIENT’S PROBLEMS
People who have rheumatic diseases encounter many physical, psychological
and social problems. This section will highlight the problems and this will
enable the nurse to address them systematically using effective methods of
intervention. A model based on patient problems is used as a framework to
provide a logical and structured approach to care.
5 The Psychological Aspects of Rheumatic Disease 151
Sarah Ryan
vi CONTENTS
6 The Effects of Rheumatic Disease on Body Image and
Sexuality 173
Jackie Hill
7 The Social Implications of Rheumatic Disease 193
Sarah Ryan
8 Pain and Stiffness 217
Jackie Hill
9 Fatigue and Sleep 245
Christine White
10 The Skin and Nutrition 271
Naomi Reay, Sally Smith and Jill Byrne
SECTION 3 THERAPEUTIC INTERVENTIONS
The multifaceted nature of rheumatic diseases requires a combination of
therapies. In addition to conventional treatments such as drug therapy and
surgery, this section includes complementary therapeutic interventions such
as aromatherapy and acupuncture. Continuing the theme of empowering and
working in partnership with the patient, this chapter is underpinned by a
chapter on patient education.
11 Multidisciplinary Team Care of the Rheumatic Patient 311
Pauline Fitzgerald
12 Medications in the Rheumatic Diseases 337
Jo White and Domini Bryer
13 Complementary Interventions 373
Anne Cawthorn and Peter Mackereth
14 Surgical Interve ntions 401
Maureen Cox
15 Patient Education 435
Jackie Hill
SECTION 4 PRIMARY AND PAEDIATRIC CARE
A person with a rheumatic disease is often cared for in both the primary and
secondary sector. This ‘shared care’ makes an important contribution to the
patient’s well-being but requires adequate support mechanisms to function
effi ciently. The factors necessary to implement effective shared-care schemes
CONTENTS vii
are discussed in detail. The fi nal chapter concerns children and young people.
Although children with rheumatic diseases share many of the problems faced
by adults, they and their families also confront many discrete additional
problems. The chapter on paediatric care provides a description of the clas-
sifi cation of Juvenile Idiopathic Arthritis and its treatments, and describes
the educational and psychological needs of this vulnerable group.
16 Seamless Primary and Secondary Care 461
Mandy Edwards
17 Paediatric Care 483
Gill Jackson
Index 519