Raoul Dufy: Corticosteroid Treatment Of RA

Based on the progress report dated 03/02/16 by Dr. Ozaeta, the patient has had a right knee corticosteroid injection one week ago. She had to take a Norco yesterday for right knee pain. She saw Dr. Cantrell, who requested 8 additional physical therapy sessions. She has low back discomfort, notable when sitting. She takes nortriptyline and an antihypertensive.

When comparing this patient to a healthy patient it is obvious that she has some mobility issues and some pain. Mrs. Johnson’s RA has taken a toll on the body and joints. Her ankles showed signs of swelling. She cannot sit for too long, otherwise her legs will start to fall asleep and she will have a lot of trouble standing up. Mrs. Johnson has a great attitude and manages to get around fine. She moves slow and stiff but gets where she needs to go.

This concept lends itself to a very specific visual of their disease attacking their joints and medication helping to protect them. While this was a compelling visualization, especially for men, it is not directly attached to the idea of irreversible joint damage. Further, the core of the concept—fighting a war against a disease— was not specific to RA/PsA and could apply to other

RA is a progressive disease and while ideally, we could get the patient to go into remission; it is important to make sure that as a care provider we have a plan in mind. The plan that I would keep in mind for this patient would be working on an assistance program for Humira. Often times these programs are available for patient after having failed methotrexate or other non-biologics. I could have the patient speak to an insurance specialist to see if there a better choice in insurance plans. If I am able to get this patient approved for a biologic I would start the patient on this kind of medication. While this is usually a lengthy process I would start the patient on a second DMARD like hydroxychloroquine. This medication can take 2-6 months to start to work though (California Department of Health Care Services, n.d.). I would also keep in mind that a burst of corticosteroid or opioids could be used to try to get the patient over a flare

In February 1862, Webster becomes ill from inflammatory rheumatism, which is an illness where the joints are inflamed for a long period of time, which made him be able to travel and deliver his information out to

Symptoms of the disease we now know as lupus were first described in the Middle Ages, though physicians of the time did not know the cause of the disease. French physician Pierre Cazenave was the first person to give a detailed description of the disease in 1833, though it was only a description of the face lesions that can be caused by the disease (Mallavarapu). Lupus was not classified as an auto-immune disease till the late 1940s when it was determined how the disease destroyed tissue and cause inflammation (St. Thomas Lupus Trust).

Rheumatoid Arthritis has been subject of numerous studies and researches in the look for a better understanding of how it effects the individuals diagnosed with it. There is a higher incident of females diagnosed with RA than male as well as a relationship with genetic and environmental factors involved. Around one percent of the world population is affected by RA; therefore, diverse studies have been performed to understand how the lives of the diagnosed patients can be impacted by the disease. For example, how RA affects the mobility, safety and activities of daily living in general as well as the development of interventions to better approach RA. On

There are various drugs to treat RA and can be divided into four different classes. These classes are nonsteroidal

"Rheumatoid joint inflammation is an interminable infection set apart by irritation of the joints, frequently influencing the hand joints and both sides of the body in the meantime" (Royal Australian College of General Practitioners, 2009).

Pierre-Auguste Renoir was one of the major painters of the late 19th and early 20th centuries, and he suffered from Rheumatoid Arthritis for much of his adult life. He first developed symptoms of the disease around the age of 50, and continued to paint in spite of developing the characteristic signs and impairment of Rheumatoid. Surprisingly, his paintings appeared not to lose their quality, even in the last 20 years of his life, when he was crippled by the disease. According to Kowalski and Chung, he applied a wide variety of coping mechanisms and used his ingenuity to come up with different ways to continue painting even as his infirmities became more disabling.

Discriminatory Hamlet Sexism is a social disease. Like any disease, sexism ponders in the air, anticipating a chance to strike down and feel a moment of controlling empowerment. Sexism has a languishing yet orderly existence within society, and has only escalated over the years. In the play Hamlet, Prince of Denmark, by Shakespeare, the role of sexism is robustly encountered.

Rheumatoid arthritis can occur in all races and ethnic groups. Although the disease often begins in middle age and

Tigers are a fascinating, and endangered, animal. They develop fast, and go off on their own when they’re mature. Tigers live in various climates, and eat various things as well. They are very strong, and have amazing energy. Not only are they magnificent to watch, but there are many interesting, and not well known, facts about them.

Arthritis is a joint disorder, which affects one or several joints in the body. The condition has more than one hundred types of diseases with osteoarthritis being the most common. Osteoarthritis results from joint infection, or age. Patients that suffer from arthritis complain about pain in the joints. In most cases, the pain remains constant in the affected joint. It is worth noting, “The pain from arthritis is due to inflammation that occurs around the joint, damage to the joint from disease, daily wear and tear of joint, muscle strains caused by forceful movements against stiff painful joints and fatigue” (Reid, Shengelia & Parker, 2012, p. 40). However, joint pain could result from various diseases, and in such

Psychology revolves around the concept of a person's knowledge and understanding. In this case, knowledge is divided into two sections: personal and shared. Personal knowledge is a form of indescribable thoughts which consists of experiences, sense perception, and a combination of emotions. Yet through a medium, some of these thoughts can be shared amongst people, which is known as shared knowledge. Psychologists attempt to interpret an individual's personal knowledge and convert it into a form of shared knowledge. They portray the key traits of “the knower” as they analyze personal knowledge which they receive and spread. Human psychology is significantly influenced by stereotypes and environment, such as gender constructs, surrounding lifestyles, and belief systems.