Osteoarthritis: A Concept Map of Chronic Illness Report

This report presents a concept map focused on osteoarthritis, a chronic illness affecting the elderly. The map details the pathophysiology of osteoarthritis, including the degradation of cartilage and bone. It outlines the patient's experience, including symptoms like pain, stiffness, and the formation of bone spurs, as well as the associated social and psychological impacts, such as social isolation and a decline in emotional well-being. The report further explores nursing interventions, including patient-centered treatment, medication management, and cognitive behavioral therapy. It also highlights the importance of physical therapy, such as stretching and resistance exercises, to improve joint movement and flexibility. The report references several sources to support its findings and provide a comprehensive understanding of the disease and its management.

Running head: CONCEPT MAP: CHRONIC ILLNESS: OSTEOARTHRITIS
CONCEPT MAP: CHRONIC ILLLNESS: OSTEOARTHRITIS
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Running head: CONCEPT MAP: CHRONIC ILLNESS: OSTEOARTHRITIS
Pathophysiology [1
Degeneration of
cartilage and collagen
fibers
Loss of bone volum
and thickness o
trabecular bone
Narrowing of joint spaces, synovial
fluid degeneration an increased
painful friction in joint movement
Signs and Symptoms of the patient
[2]
Patient experienced
flexibility during joint m
in the knees
Faced increased sensations of grating
sounds during movements and formation
of lumps and bone spurs around joints
Long term effects on likes and dislikes
of the patient [3]
Patient was unable to engage in social activities,
relationships and events, patient believed that he was a
liability to his family
Negative impacts on emotion
and emotional wellbeing, patie
Increased symptoms compelled patient to prefer social
isolation and loss of optimism concerning self capabilities
Nursing Interventions and
Patient centered Treatment
[4]
Medication administration: Analgesics,
NSAIDSs and Corticosteroids given to patient
To Reduce
Cognitive Behavioral
Therapy
To manage
Occupational Therapy:
Stretching and Mild
Resistance training
administered to patient
Long term Objective in Osteoarthritis: Increased bone
strength, stamina and prevention of falls risks in the
patient
Social health determinant: Social isolation since patient felt
he was a burden to his family
70 year old male diagnosed
with Osteoarthritis

Running head: CONCEPT MAP: CHRONIC ILLNESS: OSTEOARTHRITIS
References
1. Knapik JJ, Pope R, Orr R, Schram B. Osteoarthritis: Pathophysiology, Prevalence, Risk
Factors, and Exercise for Reducing Pain and Disability. Journal of special operations
medicine: a peer reviewed journal for SOF medical professionals. 2018;18(3):94-102.
2. Glyn-Jones S, Palmer AJ, Agricola R, Price AJ, Vincent TL, Weinans H, Carr AJ.
Osteoarthritis. The Lancet. 2015 Jul 25;386(9991):376-87.
3. Okely JA, Cooper C, Gale CR. Wellbeing and arthritis incidence: the survey of health,
ageing and retirement in Europe. Annals of Behavioral Medicine. 2016 Jan 14;50(3):419-
26.
4. Xiaohong HU, Wang S, Qiaoling LI. The effect of continuous nursing based on
transtheoretical model on elderly patients with knee osteoarthritis. Chinese Journal of
Practical Nursing. 2018 Jan 1;34(28):2166-70.