Nursing Care Plan for Systemic Lupus Erythematosus
Systemic lupus erythematosus is a systemic autoimmune disease characterized by the presence of autoantibodies against the autoantigen, immune complex formation, and dysregulation of the immune system, causing damage to several organs. Episodic course of the disease (recurrent) are interspersed with periods of recovery. In each patient, inflammation of the tissues and organs will be different. Severity of illness ranging from mild illness to diseases that cause disability, depending on the number and types of antibodies that appear and the organs affected. Systemic lupus erythematosus disease course unpredictable and often ends in death. Systemic lupus erythematosus therefore be considered as a differential diagnosis when a child has a fever of unknown cause, arthralgia, anemia, nephritis, psychosis, and fatigue. The cause of systemic lupus erythematosus is unknown. Various factors considered to play a role in the dysregulation of the immune system. In girls, the onset of systemic lupus erythematosus is found in the age of 9-15 years.
Purpose: improvement in the level of comfort
Intervention:
- Perform a number of actions that provide comfort (heat / cold; massage, change position, rest; foam mattress, pillow buffer, splints; relaxation techniques, activities that distract).
- Give preparations of anti-inflammatory, analgesic as recommended.
- Adjust the treatment schedule to meet the needs of patients for pain management.
- Encourage the patient to express his feelings about the pain and chronic nature of the disease.
- Describe the pathophysiology of pain and help patients to realize that pain often took him to the method of unproven therapies.
- Assist in identifying pain a person's life that brings the patient to use a method that is unproven therapies.
- Perform an assessment of subjective changes in pain.
Fatigue related to an increase in disease activity, pain, depression.
Purpose: to include measures as part of the activities of life
everyday that needed to change.
Intervention:
1. Give an explanation of fatigue:
- The relationship between disease activity and fatigue.
- Explain actions to provide comfort.
- Develop and maintain a routine action to sleep. (warm water bath and relaxation techniques that facilitate sleep).
- Explaining the importance of rest to reduce systemic stress, articular and emotional.
- Explains how to use traditional techniques to save energy.
- Identify factors that lead to physical and emotional exhaustion.
3. Push the patients' adherence to treatment programs.
4. Refer and thrust conditioning program.
5. Encourage adequate nutrition, including sources of iron from food and supplements.
