Perioperative Nursing Management of Patients With Rheumatoid Arthritis Undergoing Total Joint Arthroplasty.

Rheumatoid arthritis (RA) is a chronic autoimmune disorder that causes joint inflammation, pain, and potential disability. Patients with RA have unique needs when undergoing total joint arthroplasty (TJA). Careful and comprehensive evaluation and management includes physical assessment, patient history, and knowledge about the medication regimen in the setting of elective TJA. Nursing care is critical to patients with RA in the perioperative period. Nursing interventions can improve patient outcomes and reduce potential risks related to the RA and the surgical procedure. Registered nurses must be knowledgeable about the pathophysiology and pharmacological management of patients with RA to provide appropriate nursing care.