Part1-<\/p>\n
Mr. H is a 70-year-old veteran who visited the hospital complaining of pain, stiffness, and decreased motion range. Mr. H has signs of swelling and redness on his legs and hands. The patient points out that his joints hurt when he moves. Mr. H uses a walking stick and sometimes needs help to stand up. Mr. H said that walking had become difficult over the last few days due to joint pain. The patient has had the disease for the previous two years but has always managed to depend on himself in walking and doing other chores. However, the severity of the disease symptoms has been increasing, especially the pain and swelling. The diagnosis of Mr. H involved laboratory tests and imaging. The laboratory tests involved sampling various body fluids, including blood, urine, and joint fluids (Chen et al., 2017). A knee was numbed, and a needle was inserted to draw the joint fluid to obtain joint fluid. A sample of blood and urine was also obtained for laboratory tests. Examining the body fluids would help pinpoint the type of arthritis the patient was suffering from. The imaging helped to determine the condition of the joints. The patient is obese. Some disorders to considerin this case include osteoarthritis, rheumatoid arthritis, and gout.Arthritis is the most common arthropathy. The condition is characterized by articular cartilage loss over time. The underlying bone also remodels. The disease happens due to the active response of chondrocytes in the articular cartilage. The active response of the chondrocytes also happens in the surrounding tissues\u2019 inflammatory cells (Sissons, 2022). Collagen and proteoglycans are broken down due to the release of enzymes from the cells, which destroy the articular cartilage. The underlying subchondral bone exposure leads to sclerosis, reactive remodeling changes, and osteophytes and cysts in the subchondral bone. The joint space is gradually lost.The condition is normally treated by drugs such as naproxen and ibuprofen. Motrin is one of the common ibuprofen drugs administered orally. The initial dosage for Mr. H would be 200 milligrams every 4 to 6 hours (MedlinePlus, 2022). The dosage may increase to 400 2<\/p>\n
milligrams as needed at the same rate. Naproxen is taken once a day; 750 milligrams or 1000 milligrams, depending on the amount of pain (MedlinePlus, 2022). The drugs work by blockingthe production of prostaglandins. An injured tissue produces prostaglandins which cause redness, inflammation, and pain. The intended effects include relieving pain and inflammation. However, the drugs can provoke ulcers, bleeding, and holes in the stomach, intestine, and esophagus. One of the critical diagnostic tests for the case is laboratory tests. The laboratory tests would help to identify the type of arthritis. The tests are essential since they help to determine whether the patient has arthritis. The laboratory test would include an examination of the patient\u2019s blood, urine, and joint fluids. The laboratory may carry out anti-cyclic citrullinated peptide (anti-CCP) and rheumatoid factor (RF) (Sen & Hurley, 2022). Anti-CCP measures the number of proteins the body makes when inflammation occurs, while RF measures the proteinsmade when the immune system attacks healthy tissue (Zelman, 2022). Both are measured in units per milliliter of blood. The absence of arthritis will read between 0 and 20u\/mL of blood in both tests.The long-term nursing goal for treating the patient is to minimize the chances of the reoccurrence of severe symptoms. The short-term goal of the treatment is to prevent pain. The reduction of pain will improve the comfort of the patient substantially. The treatment will help to improve the quality of life of the patient. If medication is unsuccessful then this patient would need arthroplasty, in which my patient is being seen in the clinic for his pre-anesthesiology work up and clearance.3<\/p>\n
ReferencesChen, D., Shen, J., Zhao, W., Wang, T., Han, L., Hamilton, J. L., & Im, H. (2017). Osteoarthritis: Toward a comprehensive understanding of pathological mechanism. Bone Research, 5(1), 1-13. https:\/\/doi.org\/10.1038\/boneres.2016.44MedlinePlus. (2022). Naproxen: MedlinePlus drug information. MedlinePlus – Health Information from the National Library of Medicine. https:\/\/medlineplus.gov\/druginfo\/meds\/a681029.htmlSen, R., & Hurley, J. A. (2022). StatPearls: Osteoarthritis (1st ed.). StatPearls Publishing LLC. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482326\/Sissons, B. (2022, June 23). Pathophysiology of osteoarthritis: Symptoms, causes, and risk factors. Medical and health information. https:\/\/www.medicalnewstoday.com\/articles\/pathophysiology-of-osteoarthritisZelman, D. (2022, June 6). Blood tests to diagnose arthritis. WebMD. https:\/\/www.webmd.com\/osteoarthritis\/blood-tests<\/p>\n
Part 2<\/p>\n
diagnosis and laboratory testing to establish the root cause for the joints aching is the absolute provision that would essentially provide the absolute progression in promoting the quality medication for the patient. Thus, the results of the findings of the article would be integral in promoting the adequate treatment of the patient’s health condition of joint aching and inflammation.Chen, X.-M., Zhao, Y., Wu, X.-D., Wang, M.-J., Yu, H., Lu, J.-J., \u2026 Lu, C.-J. (2019). Novel Findings from Determination of Common Expressed Plasma Exosomal microRNAs in Patients with Psoriatic Arthritis, Psoriasis Vulgaris, Rheumatoid Arthritis, and Gouty Arthritis. Discovery Medicine, 28(151), 47\u201368. Retrieved from https:\/\/www.discoverymedicine.com\/Xiu-Min-Chen\/2019\/07\/common-exosomal-micrornas-psoriatic-arthritis-psoriasis-vulgaris-rheumatoid-arthritis-gouty-arthritis\/ The article by Chen et al. (2019) expounds on the discussion of common diseases that are attributable to inflammation with much attention being focused on Psoriatic Arthritis, Psoriasis Vulgaris, Rheumatoid Arthritis, and Gouty Arthritis diseases. The promotion of the ideal understanding of the problem is the absolute provision that is necessary for the attainment of sufficient improvement following the management of the intended scale of promoting the right scope of enabling the process of improving healthcare. From the scope of the study revealed by the article, thus, the information would be useful in managing the problem listed in the case study of Mr. H provided. Improving the progress of healthcare management. This model of healthcare servicing is the absolute provision that is crucial for the promotion of substantive quality of effective healthcare. Thus, the article would sustainably provide absolute information that would ensure sufficient quality of care is advanced to the members of the community.Chiou, A., England, B. R., Sayles, H., Thiele, G. M., Duryee, M. J., Baker, J. F., \u2026 Mikuls, T. R. (2020). Coexistent Hyperuricemia and Gout in Rheumatoid Arthritis: 3<\/p>\n
Associations With Comorbidities, Disease Activity, and Mortality. Arthritis Care & Research, 72(7), 950\u2013958. https:\/\/doi.org\/10.1002\/acr.23926 The article is focused on expounding on Rheumatoid arthritis with a specific focus being the comorbidities that are attached to the condition. Having an absolute understanding of the possible comorbid diseases is crucial in ensuring that the scope of treatment would be addressed while seeking to promote an effective model of medication that would be suitable forthe expectations of the patient. Because of the nature of the information promoted by the article, the scale of managing the expectations of the healthcare condition Mr. H is experiencing would be sufficiently managed. Because of the correlation of the condition being experienced with the probability of other accompanying diseases, then the nature of the treatment would be seeking to provide the substantive scope of the treatment model that seeks to sufficiently manage these probable diseases. The utility of the information provided by the article would be in developing the right model of disease management that is efficient for the involvement of establishing the right scale of improving the substantive quality of the solution.Hansildaar, R., Vedder, D., Baniaamam, M., Tausche, A.-K., Gerritsen, M., & Nurmohamed, M. T. (2021). Cardiovascular risk in inflammatory arthritis: rheumatoid arthritis and gout. The Lancet Rheumatology, 3(1), e58\u2013e70. https:\/\/doi.org\/10.1016\/s2665-9913(20)30221-6 The scholars writing this article sought to link the conditions of rheumatoid arthritis andgout with cardiovascular problems. Following this scale of discussion, the projection of solvingthe probable problems is attached to the healthcare services that are offered to any patient with such a condition as the one Mr. H is experiencing. Effective progress in motivating the subjective improvement in attaining responsible progress into the expectations of the family entails the improvement of the substantive quality of sustainable management of service that is within the scale of expounding onto the crucial scale of attaining the requisite progress in 4<\/p>\n
managing sustainability. The details of the article are therefore crucial for the promotion of effective management of the condition faced by Mr. H in the case study. The article would thusold age \u2013 a scoping review. BMC Public Health, 19(1), 1\u201317. https:\/\/doi.org\/10.1186\/s12889-019-7762-5 Understanding the consequences of chronic diseases is an integral factor that can provide the integral processes of managing sufficient improvement to the progressive models ofbe integral for the management of the health condition that is being experienced by the patient to ensure that the quality of the medication is in line with the expectations therein.Kelly, A., Tymms, K., Wit, M., Bartlett, S. J., Cross, M., Dawson, T., \u2026 Tugwell, P. (2020). Patient and Caregiver Priorities for Medication Adherence in Gout, Osteoporosis, and Rheumatoid Arthritis: Nominal Group Technique. Arthritis Care & Research, 72(10), 1410\u20131419. https:\/\/doi.org\/10.1002\/acr.24032 The article provides insights into the priorities that must be incorporated into the nature of improving the service delivery to the patients who are in dire need of healthcare. The progress of involving the specialists in the care of the patients is to ensure that the conclusive scale of medication is offered within the context of expectations. The failure to have the right balance of medication is the limiting factor to the respective healthcare progress of the patient. The article is thus suitable for advancing knowledge of how to manage the situation of Mr. H who has a case study of possible gout or osteoarthritis problems. Establishing the right diagnosis is the crucial part of medication that would help to advance the right medication that is being sought after. Consequently, establishing the right scope for promoting conducive healthcare is the objective of utilizing the article for solving the case study provided.Maresova, P., Javanmardi, E., Barakovic, S., Barakovic Husic, J., Tomsone, S., Krejcar,O., & Kuca, K. (2019). Consequences of chronic diseases and other limitations associated with improving the sufficient situations of operations. Creating the right balance of approach in 5<\/p>\n
treating the condition is the expected progress that must be initiated to ensure that the needs of the patient are sufficiently met. For patients with old age, having the right scale of diagnosis to the main problem is the absolute provision that would substantially promote the right conditioning into the scale of improving the absolute quality of involved progress following thePalmer, K., Marengoni, A., Forjaz, M. J., Jureviciene, E., Laatikainen, T., Mammarella,F., \u2026 Onder, G. (2018). Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Lifeprocess of creating a sufficient improvement to the process of improving the substantive qualityof operation. The information in the article is therefore useful in establishing the right cause of action in resolving the problems that are being faced by the patient. Therefore, the article wouldbe of utmost utility to the research of the case study of Mr. H’s healthcare conditions.O\u2019Sullivan, E. D., Mylonas, K. J., & Ferenbach, D. A. (2019). Therapeutic Approaches to Aging. JAMA, 321(9), 901\u2013904. https:\/\/doi.org\/10.1001\/jama.2018.20550 The article addresses the models of managing problems that are associated with old age with therapeutic models being the ultimate provisions that would be essential for attaining the expected solution. Promoting the right balance of improving the expectations of the aging population becomes the ultimate progress in establishing the substantive quality of organizationthat is essential in creating the expected progress that is maintained within the conditioning of the situation. Creating this progress of operation is the ultimate process that would substantiallyestablish effective conditioning of the healthcare expectations of customers. The details of the article are thus integral to establishing the requisite interventions that are associated with the solution to the problem faced by Mr. H in the case study. Focusing on these solutions would thus help in providing long-term solutions to the problems faced. Therefore, the article is highlyuseful in providing solutions to the problems experienced by the patient discussed in the case study presented.6<\/p>\n
Cycle (JA-CHRODIS). Health Policy, 122(1), 4\u201311. https:\/\/doi.org\/10.1016\/j.healthpol.2017.09.006 The study addresses requisite models of action that must be incorporated to promote therequisite model of action that is essential in promoting the right scope of operation. Instituting the progressive actions that are enumerated in the article would be sufficient for dealing with the problems that are effectively established within the analysis of the case study of Mr. H. From the proposals of the article, it is essential to utilize the best model of activities that would make it possible in promoting the best possible solution that would be beneficial to the quality of operation. The details of the article would thus be integral for the attainment of the expected progress in handling the quality of sustainability that is promoted within the operation. Therefore, the information promoted through the study would be essential for the provision of solutions to the healthcare conditions Mr. H is facing of joint aching that has limited his ability to walk effectively.Sissons, B. (2022, June 23). Pathophysiology of osteoarthritis: Symptoms, causes, and risk factors. Retrieved September 29, 2022, from www.medicalnewstoday.com website: https:\/\/www.medicalnewstoday.com\/articles\/pathophysiology-of-osteoarthritis The article provides insight into the possible symptoms that are attributable to the osteoarthritis condition. Having the right diagnosis of the problem is the absolute provision thatwould be essential for promoting the substantive model of operation. sufficiently improving thequality of diagnosis and condition analysis is dependent on knowledge of the symptoms. Because of the nature of the discussion that has been promoted by the article, the focus is on theresponsible quality of promoting the sufficient improvement of the intended models. These are the crucial provisions that are integral for the attainment of the expected models of operation. From the scope of the research development, having the right information is integral for the formulation of effective medication formulas. Therefore, the article provides relevant and valid 7<\/p>\n
information that would be integrated into the advancement of solutions for the patient projectedin the case study provided.<\/p>\n","protected":false},"excerpt":{"rendered":"
Part1- Mr. H is a 70-year-old veteran who visited the hospital complaining of pain, stiffness, and decreased motion range. Mr. H has signs of swelling and redness on his legs and hands. The patient points out that his joints hurt when he moves. Mr. H uses a walking stick and sometimes needs help to stand […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-105654","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/105654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=105654"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/105654\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=105654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=105654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=105654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}