Health Teaching Plan Name of Student: Rene John Francisco Year and Section: 4A Group Number: 2

Criteria: Objectives- 25%

Date and Time of Visit: December 12, 2012 (Wednesday); 9:30 AM I. Baseline Data Clients Name: Cynthia Paclauna Sex: Female Address: Purok Violeta II, Brgy. Done Jorge, Central Ma-ao, Bago City II. Assessment of the Client

Contents and Delivery- 40 % Teaching Strategies- 15% Evaluation- 20% _ 100%

Mrs. Cynthia Paclauna is a 64 years old housewife who lives with her husband Charlie Paclauna, 71 years old, who is a retired lay minister of their church Immaculada Concepcion in Bago City due to his condition. She has five children, three boys and 2 girls which already resides out of their residence. Ive started my assessment by asking questions about how they are feeling for today? and is there any health problem existing? Mrs. Cynthia replied that she experienced pain on her knees which aggravates sometimes when doing activities such as household chores. She consulted a doctor about few months ago and diagnosed that she might be experiencing Rayuma (Rheumatoid Arthritis). Ive asked her if she had any medications and said only mild analgesics she take when bouts of pain. She really wanted to know more about the said ailment especially on what to do to alleviate the pain she experienced. Upon gathering the said assessment, Ive decided to do a health teaching about rheumatoid arthritis. Not only that she said that the she might be experiencing such because of the diagnosis of the doctor but also the readiness to learn more about the disease pattern and treatment was also considered. III. Behavioral Objectives Content Outline Teaching Strategies Interactive lecture with visual images and demonstrations a. Definition 1. By sharing facts and information about how rheumatoid arthritis b. Rheumatoid Arthritis becomes a burden to versus other types of ones life. arthritis 2. Differentiate 2. By citing examples that trigger the c. Etiology and clinical occurrence of the 2. Rheumatoid Arthritis from other types of Evaluation After 45 minutes of health teaching, the client was be able to: 1.

After 45 minutes of I. Rheumatoid Arthritis health teaching, the client will be able to: 1. is. Define what

Rheumatoid Arthritis

arthritis.

manifestations

disease and its complications if it worsens.

d. Complications 3. Enumerate the e. Available treatment f. 3. By showing pictures what it looks like to a person with rheumatoid Non-pharmacologic arthritis. management 4. By briefly explain the g. Preventive Measures topic by using images and portraits. 4. 3. available treatment and management in bouts of pain due to Rheumatoid Arthritis. 4. State the

importance of compliance to treatment and management to lessen complications. 5. Display a

5. By encouraging cooperation and active participation during the discussion.

5.

positive behavior in the course of the health teaching.

IV. Content Summary a. Definition Rheumatoid arthritis (RA) is a form of arthritis that causes pain, swelling, stiffness and loss of function in your joints (Medline, 2012). A systemic, autoimmune condition that causes the body to attack its own soft-tissues and joints. Rheumatoid arthritis most commonly affects the joints of the hands and feet, but can also cause elbow, shoulder, and neck problems. Joint swelling is often quite pronounced in rheumatoid arthritis (Cluett, 2008). b. Rheumatoid Arthritis versus other types of arthritis Osteoarthritis is a condition that is caused by the combination of several factors. While it is often called 'wear-and-tear' arthritis, this condition is due to more than just wearing away of the joint surface. Osteoarthritis is the most common type of arthritis. It usually causes pain and limited motion, and is most common in the knee joint and hip joint. Gouty arthritis is a condition that is caused by the accumulation of crystals made of urate within the

joint. The urate crystals are formed by an unusual breakdown of a normal body substance. Accumulations of

urate within a joint causes gouty arthritis. The most commonly affected joints are the big toe and the knee. Fortunately, gouty arthritis has effective treatments. Juvenile rheumatoid arthritis, or JRA, is another auto-immune condition, but it tends to affect children

and adolescents. There is a broad spectrum of JRA, with some patients having just one joint involved, and others having many problems. The most commonly involved joint in JRA is the knee. c. Etiology and clinical manifestations The cause of rheumatoid arthritis is not known. Many factors are involved in the abnormal activity of the immune system that characterizes rheumatoid arthritis. These factors include genetics (heredity), hormones (explaining why the disease is more common in women than men) it often starts between ages 25 and 55, and possibly infection by a bacterium or virus. Other environmental factors known to increase the risk for developing rheumatoid arthritis include tobacco smoking. d. Complications > Osteoporosis. Rheumatoid arthritis itself, along with some medications used for rheumatoid arthritis, can increase your risk of osteoporosis a condition that weakens your bones and makes them more prone to fracture. > Heart problems. Rheumatoid arthritis can increase your risk of hardened and blocked arteries, as well as inflammation of the sac that encloses your heart. > Lung disease. People with rheumatoid arthritis have an increased risk of inflammation and scarring of the lung tissues, which can lead to progressive shortness of breath. e. Available treatment Medications can reduce inflammation in your joints in order to relieve pain and prevent or slow joint damage. NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation. Like Aspirin, Celecoxib, and Ibuprofen. Side effects may include ringing in your ears, stomach irritation, heart problems and liver and kidney damage. Disease-modifying antirheumatic drugs (DMARDs). These drugs can slow the progression of rheumatoid arthritis and save the joints and other tissues from permanent damage. Common DMARDs include methotrexate (Trexall), leflunomide (Arava), hydroxychloroquine (Plaquenil), sulfasalazine (Azulfidine) and minocycline (Dynacin, Minocin, others). Side effects vary but may include liver damage, bone marrow suppression and severe lung infections. Therapy Your doctor may send you to a therapist who can teach you exercises to help keep your joints flexible. The therapist may also suggest new ways to do daily tasks, which will be easier on your joints. For example, if your fingers are sore, you may want to pick up an object using your forearms. Surgery

If medications fail to prevent or slow joint damage, you and your doctor may consider surgery to repair

damaged joints. Surgery may help restore your ability to use your joint. f. Non-pharmacologic management Exercise regularly Gentle exercise can help strengthen the muscles around your joints, and it can help fight fatigue you might

feel. Check with your doctor before you start exercising. If you're just getting started, begin by taking a walk. Avoid exercising tender, injured or severely inflamed joints. Apply heat or cold Heat can help ease your pain and relax tense, painful muscles. Cold may dull the sensation of pain. Cold

also has a numbing effect and decreases muscle spasms. Relax Find ways to cope with pain by reducing stress in your life. Techniques such as guided imagery, deep

breathing and muscle relaxation can all be used to control pain. g. Preventive Measures There is now known prevention of the disease. It focuses more on the lifestyle of a person such as cessation of smoking and avoids overwork of the affected body part. Avoid stress! Take time to have adequate relaxation and rest to regain energy. Eat nutritious foods and avoid high cholesterol diet such as pork and meat. V. Sources - Client (Mrs. Cynthia Paclauna) - Roth, L.S. (2010). Mosbys Nursing Drug Reference, 23. USA: Mosby, Inc. - Singh, I. (2005). Anatomy and Physiology for Nurses. New Delhi: Jaypee Brothers Medical Publishers LTD. - Cluett, J. (2008, December 22). Orthopedics. Retrieved October 4, 2012, from About.com: http://orthopedics.about.com/od/arthritis/f/arthritis.htm - Medline. (2012, March 5). Rheumatoid Arthritis. Retrieved October 4, 2012, from Medline Plus: http://www.nlm.nih.gov/medlineplus/rheumatoidarthritis.html

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