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Copy of Juvenile Rheumatoid Arthritis

CNA 7/12

Sondae Stevens

on 31 December 2012

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Transcript of Copy of Juvenile Rheumatoid Arthritis

Juvenile Rheumatoid Arthritis:
what you need to know What is JRA?
Juvenile arthritis can be found in children as young as 2 years old JRA is a disease characterized by a malfunction in the immune system that causes it to attack the body, specifically the joints. That sounds pretty terrible...but there are common symptoms you can look for. Symptoms include:
fever easily mistaken for growing pains or result of strenuous activity, but timing is everything... stiffness is usually worst in the morning or after waking up from a nap but may improve throughout the day

small children may have difficulty performing newly learned skills, like holding a spoon or pencil swelling or reddened skin around an inflamed joint

child may complain that the affected joint feels hot

this swelling is not like that of an acute injury sustained on the playground frequent fevers, unaccompanied by symptoms of cold or flu type illnesses

these fevers may come on suddenly and disappear after a short time Ok, so how is juvenile arthritis treated? "kids on methotrexate, etanercept, and prednisone improved 70 percent in four months, compared with 44 percent of patients on methotrexate alone" well, recent studies suggest that aggressive treatment early increases chance of remission
this means putting the child on a medication cocktail, which might give some parents cause for pause...but... anti-inflammatory and pain medications might be prescribed initially, but overall, aggressive treatment is most effective, and reduces the likelihood of permanent joint damage How do I care for someone with JRA as a Nurse? JRA is painful, so it's important to be gentle when assisting someone with this disease Encourage moderate exercise. helps keep joints from getting stiff do range of motion if necessary use hot or cold compresses to help ease swelling, stiffness, and general pain in joints just be knowledgeable, observant, and empathetic and your patients will look like this:
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