Primary Nursing Diagnosis

Alteration in comfort related to joint pain or peripheral nerve inflammation or dysfunction; pain (acute) related to inflammation

OUTCOMES. Comfort level; Pain control behavior; Pain level; Symptom severity

INTERVENTIONS. Analgesic administration; Anxiety reduction; Environmental management: Comfort; Pain management; Medication management; Teaching: Individual; Prescribed activity/exercise


Much of the therapy is pharmacologic. General supportive therapy includes adequate sleep and avoidance of fatigue because mild disease exacerbations may subside after several days of bedrest. A physical therapy program is important to maintain mobility and range of motion without allowing the patient to get overtired. If the kidneys are involved, renal dialysis or transplantation may be required.

584 Lupus Erythematosus

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