Are Your CNAs in the Know About Arthritis?

In the United States, arthritis affects more than 46- Accidental injuries-such as a dislocated joint, a bad
million people. By the year 2030, as the "babysprain or a fracture-can lead to arthritis.
boomers" get older, this number is expected to climb- Sports-related injuries can cause arthritis.
to 60 million! With numbers like that, it's a safe bet thatLifestyle
your nursing assistants provide care to clients with- Poor nutrition may be a factor in the development of
arthritis. But, do your CNAs know that arthritis is not aarthritis.
normal part of aging and what they can do to help- Years of poor posture or lack of exercise can
clients who suffer from arthritis? Here is somecontribute to arthritis.
information to help get a discussion going about arthritisBecause arthritis affects so many people, it's likely that
at your next CNA inservice meeting.at least half of your clients are affected by the
The Aches & Pains of Arthritisdisease. They are forced to learn how to manage
"Oh, my aching joints!" You've probably heard many oftheir everyday lives while dealing with this painful,
your clients make that complaint. In fact, you may havechronic condition. So, what's the good news? You can
said it yourself!help!
Aching joints are one of the main symptoms ofA Dozen Tips for Helping Clients Manage Arthritis
arthritis. (This makes sense since the word "arthritis"1. Keep in mind that if you hear popping, clicking or
comes from two Greek words that mean "joint" andbanging noises when your clients move their joints,
"inflammation".) But, did you know that...?they may have osteoarthritis. And, if you hear a sound
- There are over 100 different types of arthritis. Somelike crinkling plastic wrap when they move their joints,
forms of the disease are mild and some can be verythey may have rheumatoid arthritis.
serious.2. Remember that some days are better than others
- Some types of arthritis affect the whole body-notfor people with arthritis. Don't be surprised if your
just the joints.clients can function pretty well one day and need lots
- Most forms of arthritis are chronic...meaning that thereof help the next.
is no cure and they last a lifetime.3. Check the fit of your clients' shoes. Remember that
- Half of the people over age 65 report symptoms ofpeople's feet can change size as they age. If shoes
arthritis.are too small, they will put pressure on sensitive joints.
Isn't Arthritis Just Part of Getting Older?If shoes are too large, they put your client at risk for
You might be thinking that arthritis is just a normal partfalling.
of aging. So, what's the big deal? Shouldn't we all just4. Remind your clients to change position frequently.
expect to have aching joints as we get older?This includes the position of their jaw, neck, hands,
Well...some forms of arthritis do come from wear andshoulders, arms, hips, legs, back and feet. Encourage
tear on the joints. And, the older we get, the more ourthem to stretch any area that feels tense or stiff.
joints tend to wear down. However, there are a5. Keep in mind that people with arthritis may find it
couple of important points to remember about arthritis:easier to climb stairs one at a time, leading with their
- Nearly two out of every three people with arthritisstronger leg.
are younger than age 65.6. Remind your clients to use the strongest joint
- Some elderly people never develop arthritis.possible to complete a task. For example, rather than
- There are many young adults who are diagnosedopen a door with their arthritic hand, they can push it
with arthritis. In fact, over 8 million Americans under theopen with a shoulder instead.
age of 44 have arthritis.7. Encourage your clients with arthritis to sit in chairs
- Some forms of arthritis appear to be caused bywith arms so they can push on the arms when getting
viruses, bacteria or genetic defects-rather than byup.
wear and tear on aging joints.8. Be sure to balance periods of exercise and activity
- Most people over 60 show signs of arthritis on theirwith periods of rest.
X-rays, but many of them have no symptoms of the9. Remember that some of your clients may have
disease.specially made splints to help keep their joints in the
What Causes Arthritis?correct position and reduce pain. Your clients may
The exact causes of arthritis remain a mystery.need help putting on and taking off these splints.
However, there seems to be three main factors that10. Remind your clients to use proper posture. This
play a role in the development of arthritis. Thesehelps prevent additional joint damage. (And, keep in
include:mind that slouching actually requires more energy than
Genetic Factorssitting up straight!)
- There seems to be a genetic link for developing11. Encourage your clients to use any self-help devices
osteoarthritis, especially in the joints of the hands.they may have to help them bathe, dress or eat. If
Some people are born with defective cartilage whichthey don't know how to use a particular assistive
tends to break down easily.device, let your supervisor know.
Accidents, Injuries & Illness12. Be sure to let your supervisor know if a client has
- Some types of arthritis may be due to bacterialpain, stiffness or swelling in or around a joint.
infections.For a more comprehensive review of arthritis, consider
- People with diabetes have a higher risk of developingpresenting the inservice, Understanding Arthritis to your
some forms of arthritis.nursing assistants.