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학습 자료 둘러보기 →For a pediatric patient with juvenile idiopathic arthritis (JIA), morning stiffness lasting 2-3 hours results from the gelling phenomenon during sleep. The priority intervention is applying superficial moist heat, such as a warm bath or shower, immediately upon waking.
Heat application promotes vasodilation, which increases blood flow to affected joints. This helps clear accumulated inflammatory mediators, reduces synovial fluid viscosity, and relaxes periarticular muscle spasms, effectively decreasing stiffness and pain.
Do not use cold compresses for morning stiffness as they increase joint fluid viscosity and stiffness. Avoid complete bed rest during flare-ups, which worsens the gelling phenomenon. Pain medication should be administered on a scheduled basis, not PRN, to maintain consistent therapeutic levels.
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