Patient Encounter
Rheumatologic or musculoskeletal disorder is a condition affecting tendons and ligaments that connect one born to another. The disorder also affects bones and muscles; an example of such a disease is rheumatoid arthritis. During the week, I encountered a patient with the rheumatologic disorder the named patient was a regular visitor of the hospital and had been complaining pain in the joints over a period.
Patient Encounter
Firstly, I checked at the patient’s past data in the hospital’s database, and this was essential in drafting the patient encounter form to find necessary information about the patient, e.g., allergies. Moreover, this would help in retrieving relevant information about the patient’s illness and previously prescribed drugs. Secondly, I assessed the patient and diagnosed the disease, the patient complained of pain in the joints, loss of motion in his left leg joint, and swelling of the joint between the instep and the ankle. I prescribed a rheumatologically lab test to test for inflammation around the joint.
After the lab results, which tested positive for the rheumatoid disorder, I prescribed hydroxychloroquine, which would reduce rheumatoid disease by salvaging the tissues from permanent damage. Moreover, I recommended my patient to a therapist who would help him exercise and keep the joints flexible.
Pathophysiology of Rheumatoid Arthritis
According to Sharp, R. C. (2018), the pathophysiology of rheumatoid arthritis is likely identifiable with polymorphisms in Protein Tyrosine Phosphatase. Rheumatoid arthritis is an inflammatory disease, which destroys the synovial fluid and the joint. The disorder destroys the synovial fluid by making it hyperplastic where there is further growth of tissues that project in the joint. Moreover, there are increased levels of cytokines, which cause continued inflammation of a synovial joint.
Patient-Level of Knowledge
The patient’s knowledge about self-management of rheumatoid arthritis was average. He has been doing exercise such as running also he has been getting enough bed rest. Moreover, he has been eating healthy food, which is a balanced diet. However, the patient was not aware that the application of warmth and cold therapies could help relieve the patient from pain. The patient was not also aware that smoking and alcohol put him at risk and caused the acceleration of the disorder.
Recommendation for the Rheumatoid Disorder
I recommend pharmacological therapies and non-pharmacological therapies for patients with the rheumatoid disorder. Non-pharmacological treatments for patients with the rheumatoid disease include exercising to enhance joint flexibility, proper dietary, surgery, and massage of the joints and affected areas. Pharmacological therapies involve the administration of medication.
Care for patients with rheumatoid infection.
Firstly, it is crucial to attend to my patients timely to pay attention to emergency cases. This will help me to be accountable, and to attend to a patient who may need emergency help; it will also improve my relationship with the patient. I have also found out that Nonsteroidal anti-inflammatory drug is the best drugs to administer for acute rheumatoid infection. These drugs salvage the affected tissues from extra damage, and in the early stages of the disease infection, the drugs can heal the inflammation of the synovial joint.
References.
Sharp, R. C., Beg, S. A., & Naser, S. A. (2018). Pathophysiology of rheumatoid arthritis is associated with polymorphisms in Protein Tyrosine Phosphatase Non-receptor type 2 and 22 (PTPN2/22) and susceptibility to Mycobacteria.
Keller, M. B., Hammerich, K. H., Waldman, M. A., Beasley, L. P., Metwalli, A. R., & Suffredini, A. F. (2017). C57 CRITICAL CARE CASE REPORTS: HEMATOLOGY, ONCOLOGY, RHEUMATOLOGY, AND IMMUNOLOGY: