Submit a Clinical Assignment on System disorder sheet for osteoarthritis.
1.System disorder sheet for osteoarthritis
2. System disorder sheet for rheumatoid arthritis
3. MAR
4. Labs and 5. procedures sheet
6. Case study ATI: Develop SBAR, Prioritized Nursing diagnosis.
7. Complete ATI templates as indicated on GI Bleed directions.
Solved by verified expertName: John Smith
Age: 60 years
Gender: Male
Occupation: Retired
Medical history: Hypertension, Type 2 diabetes
Chief Complaint:
John Smith presents with complaints of joint pain and stiffness, especially in his knees, which has been bothering him for the past few months. He reports difficulty in walking and performing his daily activities.
History of Present Illness:
John Smith reports experiencing pain and stiffness in his knees for the past few months, which has progressively worsened. The pain is most severe when he gets up from a sitting position or tries to climb stairs. He also reports stiffness in his knees in the morning, which tends to improve as the day progresses. John reports that his knee pain is affecting his quality of life and is limiting his ability to carry out his daily activities.
Past Medical History:
John Smith has a history of hypertension and type 2 diabetes. He is currently taking medications for both conditions.
Physical Examination:
On physical examination, John Smith has tenderness and swelling in both knees. He has a limited range of motion in his knees, with pain on active and passive movements. There is no warmth or erythema over the joints. The remainder of the physical examination is unremarkable
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Assessment:
Based on the patient’s history and physical examination findings, the diagnosis of osteoarthritis (OA) is suspected.
Osteoarthritis is a degenerative joint disease that primarily affects the articular cartilage, leading to joint pain, stiffness, and limited range of motion. OA is the most common form of arthritis, and it is more common in older individuals, especially those over 60 years of age. The exact cause of OA is unknown, but it is believed to be multifactorial, with a combination of genetic, environmental, and mechanical factors contributing to the disease process.
Plan:
The management of OA includes both non-pharmacological and pharmacological interventions.
Non-pharmacological interventions:
Weight loss: John Smith’s BMI is 30, which is considered obese. Weight loss can help to reduce the load on the joints and improve symptoms.
Exercise: Low-impact exercise, such as walking and swimming, can help to strengthen the muscles surrounding the joints and improve joint mobility.
Physical therapy: A physical therapist can provide exercises and stretches tailored to the patient’s specific needs.
Assistive devices: The use of assistive devices, such as knee braces and canes, can help to reduce the load on the joints and improve symptoms.
Pharmacological interventions:
Analgesics: Over-the-counter pain relievers, such as acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs), can help to relieve pain.
Topical agents: Topical agents, such as capsaicin cream, can help to reduce pain and inflammation.
Intra-articular injections: Injections of corticosteroids or hyaluronic acid can help to reduce inflammation and improve symptoms.
In addition to the above interventions, John Smith will need regular follow-up with his healthcare provider to monitor his symptoms and adjust his treatment plan as needed.
Referral to a rheumatologist may be considered if symptoms worsen or if there is a need for further evaluation and management.
Education:
John Smith will be educated on the following:
The importance of weight loss and exercise in improving symptoms.
The proper use of assistive devices, if needed.
The proper use of analgesics and topical agents.
The potential benefits and risks of intra-articular injections.
The importance of regular follow-up with his healthcare provider.
Conclusion:
Osteoarthritis is a degenerative joint disease that can cause significant pain and disability. The management of OA involves a combination of non-pharmac
