READ THE CASE PRESENTATION AND ANSWER THE QUESTIONS THAT FOLLOW. THE CASE STUDY RUBRIC WILL BE USED TO ASSESS YOUR WORK. THE CASE STUDY RUBRIC LISTS THE CRITERIA FOR EACH QUESTION (REQUIRED RESOURCES, WORD COUNTS AND CITATION REQUIREMENTS).
Jocelyn. is a 48-year old female who presents to your family practice. About six months ago she noticed that her hands were stiff in the morning. She is a hair stylist and attributed it to putting in longer hours due to prom season. The stiffness is now lasting close to noon. She is also having difficulty standing for long periods due to foot and ankle pain. Jocelyn started taking ibuprofen 800 mg 3 times daily, which initially helped take the edge off, but it’s no longer effective for pain or stiffness. She has been feeling extremely tired. Her shoulders are starting to hurt and it’s to the point it’s affecting her business.
The primary care physician ran some preliminary blood tests. Jocelyn’s blood tests revealed positive rheumatoid factor, CCP antibodies, elevated ESR and elevated C-reactive protein. Jocelyn was informed of the results were likely signs of rheumatoid arthritis. Her PCP referred her to a Rheumatologist to be seen as soon as possible.
Label your question with the question number
1. Define the bold words.
2. Describe the cause of rheumatoid arthritis.
3. Though her physician is sending Jocelyn to a rheumatologist, osteoarthritis may be part of the differential diagnoses. Compare the etiology, signs and symptoms, diagnosis and treatment for rheumatoid arthritis and osteoarthritis.
4. Jocelyn needs to be educated on the treatment for rheumatoid arthritis. Explain the treatment using terms that Jocelyn can understand. At minimum this should include any at- home-care, over the counter medications, prescriptions (includes physical therapy, occupational therapy, counseling), alternative or complementary care.
5. Explain the prognosis of the disease to Jocelyn and preventative measures that can be taken to prevent the disease from worsening.