Ankylosis spondilitis is such a stresful disease. It develops progressively and all of joints can be affected. Knowing ankylosis spondilitis nursing is a must for those who have this disease or nurses. Here are some ankylosis spondilitis nursing care for those who are a health care workers (nurses) or you as a common people.
Ankylosis Spondylitis is a chronic and progressive disease. Ankylosis Spondilitis disease involves joints in all part of the body. The joints are sacroiliac, apophyseal, and costovertebral. Ankylosis spondilitis develops slowly. It is from lower spine into upper spine. Bone and cartilage deterioration cause fibroses tissue and end with backbone and peripheral joint fusion.
- The specific etiology is unknown
- Family history
- Histocompatibility antigen (HLA-B27) is 90% positive for this disease
- Immune system that circulates and shows immunology activity
Sign and Symptoms
Sign and symptoms for this disease develop unpredictable; this Ankylosis Spondylitis can develop to remission, exacerbation, or stay in there where the stadium it is
- Intermittent back pain. It is usually felt in morning or a period where no activities (first symptoms)
- Numb and limited movement in lumbar vertebra
- Pain and limited chest expansion in costovertebral joint
- Peripheral arthritis that involves shoulder, hip, and knee
- Kyphosis. It is caused by old process and body respond to maintain the body posture.
- Vertebra range of motion deformities
- Pain in inflammation area
- Pain in tendon insertion (entensitis). Achilles and patellar tendon are involved
- Fatigue, fever, mild anorexia, severe anorexia with low body weight, acute unilateral anterior uveitis, aortic insufficiency and cardiomegaly, pulmonary fibrosis like tuberculosis
- Neurology complication like cauda equine syndrome and paralysis, which can appear after fracture in cervical vertebra or C1-C2 subluxation.
Symptoms, family history, and high HLA-B27 shows Ankylosis Spondylitis. The diagnosis certainty needs x-ray like:
- Margin blur in joint for the first stadium
- Bilateral sacroiliac involvement
- Sclerosis with superficial erosion
- Vertebra develop to square form
- Bamboo back bone if patient has complete ankylosis
Ankylosis Spondilitis Treatment
There is no accurate treatment that can stop the development of Ankylosis Spondylitis. The treatment focuses on deformity prevention
Non-inflammatory analgetic like indomethacin and sulfasalazine are prescribed to control the pain and inflammation
Severe hip involvement needs hip replacement in operation procedure
Back bone involvement needs vertebra wedge osteotomy to divide and repositioned it.
Ankylosis Spondilitis Nursing care
Ankylosis spondilitis is kind of disease where it can be handled with right care. Here are some steps or ankylosis spondilitis nursing care for you. You can use these steps, or you may refer to nursing diagnosis.
- Ankylosis Spondylitis can be painful or paralyzing. The nurses’ responsibilities are to make patient comfortable and to help the patient mobilities.
- Always remember that the patient’s limited ROM will need extra help.
- Give the patient support and belief toward therapy
- Local warm compress on painful area and massage can release the pain. Assess the mobility and uncomfortable level of patient
- Teach and help patient to do activity daily living to maintain the body functions and body strength. Remind the patient to maintain the right body posture
- If the treatment involves surgery, do post-operative nursing care
Ankylosis Spondilitis Nursing Care can minimize the deformity of backbone
- To minimize the back bone deformity suggest patient to:
- Avoid physical activity that press the back bone like lifting weight things
- Stand up right, sit right in a chair, and not to bend down on the table
- Sleep on non-soft mattress with face downward position and put pillow below neck or knee
- Avoid to walk, stand up, sit, and drive in long period of time
- Do stretching and breathing exercise routinely
- Swim routinely
- Measure the body height to know the kyphosis symptoms every 4 months
- Use a body weight support
- Consul with health practitioner if the patient has an occupation that always sit or stand up in long period of time
- Contact local arthritis institute to take social support.