Improving Self-Care for Patients with Rheumatoid Arthritis Essay examples

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Introduction Rheumatoid arthritis (RA) is a heterogeneous autoimmune disease that is chronic and acute, most likely to affect women and those between 35-50 years of age. The process of RA begins as an inflammation episode in the synovium, causes it to thicken and become edematous. Synovial inflammation results in joints that are swollen, tender, and stiff. The patient with RA may manifest symptoms of pain, morning stiffness, fatigue, weight loss, anxiety, and depression. (Chen, & Wang, 2007) Self-care abilities are affected by the clinical manifestations related to the disease process of RA. Assessment The health history is beneficial to identify the risk factor for those with close relatives suffering with the disease. Physical…show more content…
Fatigue is another problem if RA is not managed with a balance between rest and activity. Social Isolation could occur from the chronic and acute attacks of RA because of the pain on movement and fatigue, limiting their participation in activities. Depression and Anxiety should be evaluated because of the loss or decline in independence resulting from this chronic disease. The results of a questionnaire revealed the following results; “On the psychological items, 75% (93) of the patients reported difficulty with sleep, 63% (78) with stress, 61% (76) with anxiety and 66% (82) with depression. (Palmer, El Gaafary, & El Mideany, 2007, pg 1011) The patient may be at risk for self-care deficit if any of the following are present: pain, limited movement at joints, fatigue, depression, anxiety, lack of social support, and inadequate knowledge of disease to alleviate and manage symptoms. Implementation “A key factor in managing RA successfully is the engaging of patients in proper self-care
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