*NURSING > CASE STUDY > RNSG 2573 Health Care Concepts 3_2020 | Immunity Concept Systemic Lupus Erythematosus (SLE) Exemplar (All)

RNSG 2573 Health Care Concepts 3_2020 | Immunity Concept Systemic Lupus Erythematosus (SLE) Exemplar

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RNSG 2573 Health Care Concepts 3 Immunity Concept Systemic Lupus Erythematosus (SLE) ExemplarKey Points for SLE • Systemic lupus erythematosus is: – a chronic autoimmune disorder – charac... terized by remissions and exacerbations (flares)Key Points for SLE • Exact etiology is unknown • Production of autoantibodies leads to inflammation and connective tissue damage in one or more body systemsKey Points for SLE Body Systems Most Often Affected Renal MS CNS CV Hematological GI IntegumentaryKey Points for SLE • Targeted body systems determine clinical manifestations of disease • Some common clinical manifestations are: – Extreme fatigue – Fever – Peripheral and periorbital edema – Painful and/or swollen joints – Headache, confusion and memory loss – Chest pain and shortness of breath – Raynaud’s phenomenon – Butterfly rash across cheeks and nose – Hair loss – Mouth and nose ulcersKey Points for SLE • There is no specific diagnostic test • The body system(s) involved determines types of tests orderedKey Points for SLE • Clinical management includes: – Recognition and avoidance of disease flares – Prevention of infection – Nutritional therapy – Physical therapy – Stress reduction – Avoidance of UV light – Pharmacologic interventionKey Points for SLE • Leading causes of death include: – Pneumonia and septicemia – Renal and/or CNS involvementSLE Exemplar Correlation to Immunity Concept • Compromised antecedent – Functional inflammatory response • Attribute deficit – Recognition of self/recognition of foreign proteins • Negative consequences – Chronic inflammatory response – Tissue damage to skin, joints, and/or other body organs - - - - - - - - - - - - - - - - - - - - - - - - - - -- Clinical Management for SLE • Nursing Interventions – Secondary prevention • Assessment for clinical manifestations of infection and other complications of SLE • Patient education: – Tests to monitor disease course and treatment – Identify complications of disease – Tertiary prevention • Patient education – Nutritional therapy – Physical therapy – Stress reduction techniques – Support group interventionClinical Management for SLE • Collaborative Interventions – Pharmacologic • Aspirin • NSAIDS • Antimalarial drugs • Corticosteriods • Immunosuppressive agents – Nonpharmacologic--dialysis – Surgical—kidney transplantationApplication of Nursing Process for SLE 1. In the large classroom group, students should identify the priority nursing diagnoses for Mrs. Davis in the case study. 2. The large classroom group should then be divided into small groups (5-6) and assigned a priority nursing diagnosis for Mrs. Davis. 3. Each small group will formulate a nursing care plan, including expected outcomes and nursing and collaborative interventions, for each of the priority nursing diagnoses identified for Mrs. Davis. 4. To conclude, each small group will then share their nursing care plan for Mrs. Davis with the large classroom group [Show More]

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