Mapa mental
Simone
Mind map: Simone living with JIA
Conteúdo do mapa
Simone
General Info
- Plays netball
- Swelling and redness
- Increased in the past 6 months
- After game
- Swelling and redness
- Swims
- 9 yr old
- HAQ 5/24
- Not great for age
- HAQ 5/24
- Pain in knees, wrists, and hand.
- Diagnosed Juvenile Idiopathic Arthritis
- X ray
- Osteopenia
- Pauciarticular
- Pathophysiology of JIA
- Body can't distinguish between healthy tissue and bad tissue
- Increased inflammatory response
- Cell proliferation
- Synovial membrane mass
- Soften and weaken cartilage
- Erodes cartilage
- Erodes joint
- Laxity of ligaments and capsule
- Erodes joint
- Erodes cartilage
- Increased articular pressure
- Surrounding soft tissue fibrosis and contracture
- Pannus
- Stiffening of joint cavity if uncontrolled
- Thickens
- Soften and weaken cartilage
- Synovial membrane mass
- increased synovial fluid (effusion)
- Increase in pressure
- Cell proliferation
- Increased cytokines
- Increased inflammatory response
- Not sure what causes it
- Form of RA
- JIA effects growth
- Body can't distinguish between healthy tissue and bad tissue
- Diagnosis
- 3 types
- Poly
- More than 5 joints
- Pauci
- Best prognosis
- 4 joints or less in first 6 months
- Spontaneous recovery
- Systemic
- Fever, rash
- Poly
- If lasts for more than 6 weeks
- 3 types
- Diff Diagnosis
- Osgood Schaltter's
- Avulsion of quad tendon
- NOT
- Prominent tib tuberosity
- X ray
- No tight quads/hammys
- Haemophilia
- Blood doesn't clot
- NOT
- No nose bleeds
- Need to be vary due to medication
- Bechets Disease
- Autoimmune
- NOT
- Painful mouth sores
- Inflamed eyes
- Skin lesions
- Kawasaki
- NOT
- Neck swollen
- Swollen
- No fever
- NOT
- Systemic Lupus
- NOT
- Skin rashes
- Fatigue
- Fever, no cause
- Chest pain
- Generally ill
- Abnormal heart rythms
- NOT
- Osgood Schaltter's
- Medical Management
- Steroid Injections
- Bad for bones
- Common after NSAIDs
- Immobilize post injection
- Not after wrist
- Good for knee
- Biological Therapy
- Infection
- Blocks activity of cytokines
- and other cells involved in immune response
- Surgery
- Wrist uncommon
- TKA
- Bones already deformed and weak
- Not great outcome in kids
- THA
- Improved function and pain relief
- Surgery is challenging due to poor bone quality
- Hip affected in 1/3 of JIA
- Steroid Injections
- Physio Management
- Acute
- Manage pain
- Rest
- Avoid excessive fatigue
- Exercise doesn't progress disease
- Ice packs
- Heat packs at night
- PROM involvement
- Kids enjoy AROM
- Isometric
- Load management
- Chronic
- Fitness levels often low
- Retrain gait
- Maintenance
- Exercise program
- Hydro
- Land
- Cycling
- Psychological?
- Acute
- X ray
- Diagnosed Juvenile Idiopathic Arthritis
- Medication
- Methotrexate
- Strict guidelines
- Needs to be constantly monitored
- Used to combat cancer
- 1 per week
- Best 3 days post
- Affects kidneys
- Needs to be constantly monitored
- Inhibits replication of cells in the body
- Inhibits DNA synthesis
- Stops folic acid production
- Taken in conjunction with folic acid
- Helps reproduce good cells
- Reduces production of cells that attack joints
- Taken in conjunction with folic acid
- Strict guidelines
- NSAIDs
- Naprosyn
- Large variety
- Methotrexate
- Plays netball
Living with JIA for a 9 yr old
- Cycling with friends
- Relay swimming teams
- Dances
- Doesn't want a splint or stand out