reply candace Rheumatoid arthritis (RA) is an autoimmune disease in which the bodys own immune system attacks the joints on both sides of the body including the hands, wrist and knees. Early stages of RA include: Joint pain, tenderness, swelling or stiffness for 6 weeks or longer Morning stiffness for 30 minutes or longer More than one joint is affected Small joints ( wrists, certain joints of the hands and feet) are affected The same joints on both side of the body are affected The history would include complaints of the above systems along with deformities of the affected areas depending on the severity. Rheumatoid nodules are commonly observed over the olecranon process or other extensor surfaces of the limbs and may be tender (Dunphy, Winland-Brown, Porter, & Thomas, 2015). The patient may present with a low grade fever. A thorough history of other systems is elicited because of the involvement of other extra-articular organ systems. Physical exam would include inspection and palpation of the joints on both sides of the body. Passive and active range of motion may be limited due to the swelling and tenderness to the affected area. The initial diagnostic test is the presence of Rheumatoid factor (RF) in the blood. This test alone is not diagnostic and specific test such as circulating anti-CCP autoantibodies. Other test include a ESR, CRP, CBC, platelet count and joint fluid analysis. Studies for a more progressive diagnosis include ANA and comprehensive autoantibody panel. Management of RA progresses from conservative interventions to aggressive symptom management. Initial management would include heat/cold applications, exercise, rest, OT/PT, assistive devices, splints, and weight loss. Subsequent management for a more progressive version of the disease include drug therapies such as NSAIDs, analgesics, corticosteroids and DMARDs.Patient education focuses on medication therapy and control of pain and inflammation. Both primary and secondary medication nonadherence may be affected by low levels of health literacy and patient education (Joplin, Zwan, Joshua, & Wong, 2015). Emotional, spiritual and social education is advised due to disability and pain. References Joplin, S., Zwan, R., Joshua, F., & Wong, P. (2015). Medication adherence in patients with rheumatoid arthritis: the effect of patient education, health literacy, and musculoskeletal ultrasound. BioMed Research International, 2015, 10. Dunphy, L., Brown, J., Porter, B., & Thomas, D. (2015). Primary Care: The Art and Science of Advanced Practice Nursing. Philadelphia: F.A. Davis Company. reply vivian Rheumatoid arthritis is a condition that is chronic and consists of inflammation to different joints. RA in the hands is very common. This condition is related to an autoimmune response where the patients immune system ends up attacking its own body tissues. This condition can be very painful and requires certain testing for diagnoses and treatment (Mayo Clinic, 2018). I would get a health history on this patient to determine if she has RA and what she has done for treatment of it. If this patient has a flare up then this patient most likely is educated and familiar with her condition. Risk factors for this condition include being female, age 40-60, having a family history of RA, smoking or other environment exposures like asbestos, and being obese (Mayo Clinic, 2018). Some testing for this patient would include a blood test looking for elevated erythrocyte sedimentation rate or C-reactive protein. Imaging could be helpful to see how this condition is progressing for the patient. Medication to help include NSAIDs, steroids, antirheumatic drugs, and biological agents. The goal is to decrease inflammation and slow the progression of the disease. Physical therapy is also an option to help the patient maintain joint flexibility (Mayo Clinic, 2018). For patient education, it could be helpful to make sure the patient has signs to be aware of a flare up starting. It can be easier to prevent flare ups than treat them. Some signs of a flare up include an increased stiffness to the joints, entire body pain, swelling that may cause shoes not to fit, a change in fatigue that is intense, and even flu-like symptoms. Some foods or medications could be the cause of a flare up and this is something for the patient to be aware of (Healthline, 2019). Reference Healthline. (2019). Signs of rheumatoid arthritis exacerbations and how to prevent them. Retrieved from https://www.healthline.com/health/rheumatoid-arthritis-exacerbations Mayo Clinic. (2018). Rheumatoid arthritis. Retrieved from https://www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648 (Links to an external site.)Links to an external site.
Why Choose Us
Top Quality and Well-Researched Papers
An important research paper due imminently? We have your back! Simply request help from an expert whose expertise is verified. We employ Bachelor's, Master's, and Ph.D. graduates with years of expertise in the industry of professional writing. Before they begin writing for us, we verify their credentials and conduct assessments to ensure they can consistently provide the highest quality content. Before submission, your research article will also be examined by the quality control team.
Professional and Experienced Academic Writers
We firmly believe that all of our clients deserve to excel in both their academic careers and, in the future, their professional life, and we are glad to assist them in achieving that goal. We have curated a team of subject-oriented academic writers who have been carefully selected to ensure that we deliver the best quality papers you can expect from a professional writer. Writing essays, completing extensive research, and performing complex calculations are all areas of expertise for every one of our specialists. They have a lot of experience in their industries. They are capable of completing any writing assignment within the allotted time limit. They enjoy what they do and are always striving to better their knowledge and abilities in research and writing. Contact us to hire our academic help services at the drop of a hat.
Free Unlimited Revisions
Our primary goal is to ensure our customers are delighted; therefore, we endeavor to offer an excellent service. Essaywriter4me's revision policy allows customers to receive free changes within ten days of the due date. You can request a free revision of your order if you believe we made a mistake. Log in to your personal account.
Prompt Delivery and 100% Money-Back-Guarantee
Are you having trouble completing your MBA project case studies and assignments? Due to a lack of time, are you unable to research? In need of a company that provides high-quality custom writing services at reasonable prices? Contact Essaywriter4me and get Take the help of a professional assignment help writer. The length, difficulty, and deadline all factor into how much time it takes to prepare and polish an essay. Completing technical assignments sometimes takes longer than expected. On the other hand, our writers and supervisors will do everything in their power to meet your deadlines. We can produce a finished article within four hours without sacrificing quality.
Original & Confidential
We check online first. Second, we examine our database of completed orders to ensure that you always receive original content. Every assignment is written from scratch by Essaywriter4me writers and double-checked with our plagiarism detection software. We never send pre-written essays or papers that include copied content. This originality report is available upon request, providing you full trust in the quality of our writing. We guarantee that all information provided or shared with us will remain confidential since we never share it with a third party. You are not concerned about what will happen to the data. PayPal and the bank protect your funds, so there is no risk of fraud or deception. Students love us due to our stringent confidentiality policies. Whatever occurs here is strictly confidential between you and us.
Customer Support 24/7
We have a team of dedicated customer care representatives eager to help you with the best-suited assignment help services, each of which is tailored to each client's unique needs. You can contact them via email, phone, or live chat if you need help with a particular subject. At Essaywriter4me, you'll have access to an expert 24 hours a day, seven days a week! Our expert writers are also available around the clock, no matter the time of the day or night. Choose between scheduling a tutoring session or getting immediate help when you need it most. We always have experts available to work around your schedule, no matter what time of day!
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
Hire an assignment writing expert to get a well-written project before the deadline. Request "write my essay" today. Our academic writers have worked in this field for years; they are familiar with the most common formatting standards. These include but are not limited to MLA, APA, Harvard, and Chicago/Turabian formats.
Our writers are chosen from a pool of qualified candidates, with just the top two percent gaining employment with our paper writing service. This implies that every writer you hire will be eager to discuss your needs and construct a flawless paper that leaves you entirely satisfied. Start by placing an order, or contact customer service for additional information about our experts.
Admission and Business Papers
Applying to college or university requires much effort and accountability. Every applicant should persuade the admissions committee with their reasons for pursuing a degree in a particular program. Please familiarize yourself with why an application essay writing service is an excellent choice for you.
Our admission essay writing service will help you effectively present yourself. It is hard to find legit online expert college application essay writers. At our service, we offer high-quality cooperation based on extensive experience and a strict confidentiality policy. The price per page varies depending on the writer's experience and the urgency of the job. Therefore, you can request, "Please write my application essay," and find the best available writer.
Editing and Proofreading
We are an award-winning group of talented editors and reviewers serving over 10 thousand clients in 100 countries. Exclusively for professors, lecturers, post-doctoral researchers, research students, and commercial clients, Essaywriter4me offers professional academic proofreading and English language editing services. Our objective is to address the increasing demand for English-language services among academics and business people worldwide.
We specialize in academic proofreading and English language editing for authors of dissertations, Doctoral dissertations, journal articles, books, journal articles, essays, and other professional documents, such as research projects, in the Social Sciences, the Sciences, and the Humanities.
If you believe your paper needs some modification, you can request a review. Our specialist writers are familiar with all academic formats, including MLA, APA, CSE, and Chicago. We collaborate to improve your writing. If you didn't start your paper the night before, you've come to the proper place. Our academic revision service is available 24/7. Simply place your order now.