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Nursing Management of Patient with Systemic Lupus Erythematosus

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Systemic Lupus Erythematous (SLE) is a chronic, multisystem, inflammatory, autoimmune disorder characterised by formation of autoantibodies directed against self-antigens and immune-complex formation resulting in damage to essentially any organ. Clinical Manifestations : Assessment and Diagnostic Findings : Diagnosis of lupus is difficult because sign and symptoms vary considerably from person to person. Signs and symptoms lupus may vary over time and overlap with those of many other disorders. No one test can diagnose lupus. The combination of blood and urine tests, sign and symptoms and physical examination findings leads to the diagnosis .  Laboratory and imaging tests include : 1. Complete Blood count  2. Erythrocyte sedimentation rate  3. Kidney and liver assessment 4. Antinuclear antibody ( ANA ) test 5. Chest X-ray  6. Echocardiogram 7. Urinalysis The American College of Rheumatology has established criteria fo...
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Nursing Management of Trigeminal Neuralgia

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        Nursing Management  Fig. Patient having pain due to trigeminal neuralgia  1. Nursing Assessment : Detailed history and physical examination : it should include detailed patient history , medical past   history , chief complaints of sudden unilateral , severe , stabbing , paroxysmal and recurrent pain. Physical examination of ear , mouth , teeth and temporal mandibular joint. Look thoroughly for SWEET criteria.  Assessment of nutritional status and dehydration Assess patient's anxiety and depression  2. Nursing Diagnosis and Interventions : a) Chronic pain related to activation of trigger zones along the nerve pathways .  Assess current pain management strategies and effectiveness .It is done for measuring the      effectiveness of new pain strategies.   Assess patient's knowledge of specific trigger activities for pain.This is done to identify factors that can be manipula...
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Understanding Trigeminal Neuralgia

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               Trigeminal Neuralgia  Anatomy of trigeminal nerve         The trigeminal nerve is the largest of 12 cranial nerves. Its main function is transmitting sensory information to the skin, sinuses and mucous membranes in the face. It also stimulates movement in the jaw muscles.        The trigemnial nerve has three different divisions. Each division has different functions .  Opthalmic division :  The opthalmic division conveys sensory information from the : scalp forehead upper parts of the sinuses upper eyelid and associated mucous membranes  cornea of the eye bridge of the nose                                 Maxillary division : Like the opthalmic division, the maxillary division of trigemnial nerve has a sensory component. It transmits sensory information fr...
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