Case Study: Rheumatoid Arthritis
INTERVIEW Mr. Skeeter Buck Medical record number: 123-45-678 Service date: September 8, 2011 DOB: August 8, 1975
Skeeter Buck is a 36 yr. old Caucasian male being seen for some testing before starting an exercise program to help improve exercise tolerance, muscle strength and range of motion in joints.
Medical History
Skeeter Buck has had 4 years of joint pain with some very severe occasions. He complains of stiffness in his wrists, hands, knees, and feet. The stiffness seems to last anywhere from 30 minutes to 2 hours in the morning. When his joints are sore he is very unstable and feels as though he has no balance. The joint pain does not occur on a regular basis but when it does, he tends
…show more content…
People with rheumatoid arthritis have impaired exercise tolerance. The disease affects flexibility, biomechanical efficiency, muscle strength, endurance, and speed, which contributes to functional limitations. There are three levels of classifying rheumatoid arthritis disease stages:
1. Acute: reversible signs and symptoms in the joint related to synovitis
2. Chronic: stable but irreversible structural damage brought on by the disease process
3. Chronic with acute exacerbation of joint symptoms: increased pain and decreased range of motion and function often related to overuse or superimposed injury. (3)
Figure:(12)
Signs and Symptoms of Concern
(13)You should see your doctor if you experience any of the following symptoms for more than two weeks:
Feel unusual pain and stiffness in your joints
Pain and stiffness in the morning lasting more than 30-60 minutes before you feel any relief
Feel more fatigued than normal
Lack of hunger leading to weight loss
Importance of Exercise for Rheumatoid Arthritis Patients Although people with rheumatoid arthritis may be hesitant to exercise due to pain they experience within their joints, current evidence suggests that a significant amount of disability related to the condition occurs from lack of fitness. By not exercising, muscle strength and endurance begins to deteriorate. This weakens the joint and contributes to accelerating the speed or arthritis. By not exercising you are also putting
The patient is a 72 year old female. She has been experiencing progressively worse pain and stiffness in her joints. She is reports that she is having decreased range of motion, redness, and swelling in her joints. She is reports symptoms occur in the same joints on both sides of her body. She is also reporting the symptoms are worse when she first wakes up in the morning.
Joint pain is truth be told a typical condition with seriousness running from gentle to very extreme.
Over the past two years I have taken 2 trips with the Utah 4-h. One of the trips was to Denver Colorado for a national competition from winning with my team at state in the consumer bowl. Just recently I went Washington D.C. for a Maker Summit which targets teaching teenagers and the STEM program. On these trips I missed multiple days of school. From doing this I experienced setbacks in my classes and risked failing a few important classes at the end of the term. This became an issue that I needed to solve quick. The end of the term was weeks away and the mounds of homework became mountains. I made a plan of action and broke down the piles of homework and worked hard to manage my time and complete all the assignments. Doing this brought many
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
According to the Denise Grady, the minority groups have often been overlooked when it comes to clinical trials for diseases like cancer, it is because the most number of people who receive the experimental treatment are often white and to find a black American being considered for such treatment is rare. Mr. Jones who the advances in immunotherapy have saved his life is viewed as an outlier since he has received this treatment despite being African American. According to Grady, the first study on this disparity showed in 582 patients with lung cancer, 92% of those enlisted for the experimental drugs were whites, 3% were African-American, 3% were Asian, and the rest were the other groups. While
Loss of motion can be devastating if your career relies heavily on the use of your hands. Sports and activities often become more difficult and less enjoyable as arthritis progresses.
Rheumatoid arthritis is a chronic syndrome that is characterized by inflammation of the peripheral joints, but it may also involve the lungs, heart, blood vessels, and eyes. The prevalence of this autoimmune disease is between 0.3% to 1.5% of the population in the United States (Feinberg, pp 815). It affects women two to three times more often than men, and the onset of RA is usually between 25 and 50 years of age, but it can occur at any age (Reed, pp 584). RA can be diagnosed by establishing the presence of persistent joint pain, swelling in a symmetric distribution, and prolonged morning stiffness. RA usually affects multiple joints, such as the hands, wrists, knees, elbows, feet, shoulders, hips, and small
The type of joint that is chronically affected is the synovial joint. The bones that are at a synovial joint are covered by articular cartilage; which reduces friction and absorbs shock. The space between the articulating bones is
“Joint pain, stiffness, and limited range of motion”. This is what occurs as a result of a chronic joint disease called Osteoarthritis (Arthritis). Osteoarthritis, or OA, is a common joint disease that can impact anyone. It is characterized by the decomposition of cartilage, changes in the bone structure, decline in quality of tendons and ligaments, and inflammation of the joint lining
The vivid description of how the adolescents were treated in the dorms enrages me since these young people are so innocent. They have been running from the evil oppressors their entire lives. They have seen their friends and family die and have watched themselves slowly die, also. I could never live after leaving my loved ones to die. I would be way, way, way too grief-stricken. However, I realize that they are forced to leave them behind in order to fend for themselves. I can not comprehend how Benson is still mentally sane after witnessing such terrible tragedies over and over again, day in and day out. How can one remain sane if they are constantly running from death? I believe that the event at the dorm along with having to constantly travel
Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. While inflammation of the tissue around the joints and inflammatory arthritis are characteristic features of rheumatoid arthritis, the disease can also cause inflammation and injury in other organs in the
uvenile idiopathic arthritis (JIA) is a diverse group of autoimmune-mediated, inflammatory joint disorders (Hashkes, 2005 & Spiegel, 2015). JIA is defined as chronic arthritis without any known cause, lasting longer than 6 weeks and onset of symptoms before 16 years of age (ILAR 2001 & Spiegel, 2015). JIA is the most common rheumatic disease in children and adolescents with 1 incidence per 1000 and at least 6000 Australians affected by the condition (Armon, 2014). The International League of Association divides JIA into seven categories of arthritis (ILAR 2001). These categories are based on clinical features recorded during the first 6 months of the disease (Weiss, 2005). Specific subgroups are oligoarticular (persistent or extended), poly-articular
The primary effect of Rheumatoid Arthritis is inflammation, fatigue and daily pain. An older person experiencing pain can become fatigued and can have difficulties with daily activities. They may experience some sort of limping or they may change how they move in order to limit or avoid the pain of stiff joints. Often one of the hardest things to understand about arthritis is its unpredictable nature. For example , an individual can have days or even years without any manifestations or they can experience severe exacerbations from one day to the next. Whether you see evidence of the disease or not, it’s important to understand that the pain is genuine and the limitations are real. The elderly person might go through different emotions
People who have arthritis often avoid exercise for fear of pain or injury or not wanting to make a lifestyle change.
The most common symptom of arthritis is joint pain. However, joint pain may result from other illnesses, and this means that people experiencing joint pain have to consult a medical professional for differential diagnosis. Joint stiffness and swelling are also common in people with the disease. The most common symptom reported is a constant pain that occurs around a given joint. Moreover, other types of arthritis such as osteoarthritis and rheumatoid arthritis that can also affect other body organs and cause other symptoms