A clinic nurse plans care for a newly diagnosed osteoarthritis client. Which of the following items should this client be provided with educational materials? Select all that apply

Question

A) Splints to protect and rest the involved joint
B) Use of heat and cold when appropriate for muscle spasms and pain
C) How to use a cane or walker if hip/knees joints are involved
D) High dose of daily glucosamine and chondroitin
E) Narcotics to help control nighttime pain

Answer 1

Ans: A, B, C
Feedback:
Physical measures are aimed at improving the supporting structures of the joint and strengthening opposing muscle groups involved in cushioning weight-bearing forces. This includes a balance of rest and exercise, use of splints to protect and rest the joint, use of heat and cold to relieve pain and muscle spasm, and adjusting the activities of daily living. The involved joint should not be further abused, and steps should be taken to protect and rest it. These include weight reduction (when weight-bearing surfaces are involved) and the use of a cane or walker if the hips and knees are involved.
A recent multicenter trial funded by the National Institutes of Health found that glucosamine and chondroitin (alone or in combination) were no better than placebo in reducing pain in the total group of persons with knee pain. Narcotics are usually not the pain medication of choice for OA.