Question

Case Study - Kim kim is a 34-year old woman, presents with a four-month history of pain in her hands and knees. Kims backgro

Kim tells you shes been using ibuprofen and paracetamol. Theyve been of some help but not much, and she hasnt used anythin
FBC Hb 111 g/L MCV 90 fl WBC 9 x 109/L Platelets 250 x 109/L U&Es Normal ESR 15 mm/hr (Normal) CRP 6 mg/L (Normal) HbA1c 32 m
Kims diagnosis The following features suggest that Kim may have an inflammatory arthritis, which will need assessment and tr
X-rays are unlikely to be helpful in deciding whether or not to refer, since the erosive changes associated with rheumatoid a
0 0
Add a comment Improve this question Transcribed image text
Answer #1

HEALTH EDUCATION ON MEDICATION::

1)tell her thatNSAID such as Ibobrufen and naproxen will be administereto reduce pain as well as swelling

2)oral analgesic will give as pain reliever but it does not decrease swelling

3)corticosteroids will be administered directly in the joints

4)topic analgesic will assist you to numb the joint area and can provide pain relief.this available as a form of creams,help and patches.

HEALTH PROMOTION TOPICS:::

EXERCISE:gentle stretching exercises can be very helpful for the patient with arthritis especially if patient has pain or stiffness in knees ,hips or back.while doing stretching exercises range motion and mobility can be improved.instruct the patient to stop exercise if join inflammation is severe.And also advise her to consult with her doctor before starting exercise.

DIET::::Encourage the patient to take well balanced diet and keep the weight in a normal range to reduce unnecessary pressure on joints.osteo arthritis in the knee positively respond to a diet rich in flavonoids which are found in fruits and vegetables.Moreover,antioxidants will help to combat with free radical which can help to prevent cell damage e.g.fruits And vegetables.vitamin C and D,beta-carotene,omega-fatty acids will help to reduce inflammation and swelling.

HOME TREATMENTS:::

1)change Life style

2)do exercise regularly

3)try to loose the weight for healthy body and mind.

4)adequate rest and sleep is needed to reduce swelling and inflammation.

5)Heat and cold can be applied 15 to 20 mints several times a day to relieve muscles pain and stiffness

Add a comment
Know the answer?
Add Answer to:
Case Study - Kim kim is a 34-year old woman, presents with a four-month history of...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • CASE STUDY MUSCULOSKELETAL A 68 year old woman had a swollen painful knee. The pain woke...

    CASE STUDY MUSCULOSKELETAL A 68 year old woman had a swollen painful knee. The pain woke her up out of a sound sleep. She has not had any major health problem except essential hypertension. She takes Avalide 10 mg daily. She travels to Martha's Vineyard every year and walks the beach without shortness of breath or joint pain. She did not recall being bitten by a tick. She has no evidence of any of neuralgia such as Shingles, Bell's Palsy...

  • A 27-year-old white female seeks medical attention because of persisting pain in her wrists and ankles...

    A 27-year-old white female seeks medical attention because of persisting pain in her wrists and ankles and an unexplained skin irritation on her face. On physical examination, swelling of the joints of the hands and ankles is evident, along with erythema of the skin over the bridge of the nose and the upper cheeks. The patient has a slightly elevated temperature. Laboratory Data: The following laboratory tests are ordered: CBC, urinalysis (UA), and rheumatoid arthritis screening test(RF). Results are as...

  • hapter 3 Skin CASE STUDY 1 Chief Complaint A 19 y.o. female patient presents to your...

    hapter 3 Skin CASE STUDY 1 Chief Complaint A 19 y.o. female patient presents to your student health clinic complaining of a rash and says that she thinks she has the “flu or something.” She returned 3 weeks ago from a spring break trip to the beach. The rash started out “like acne,” located on her face, back, and chest. She now thinks she must have caught something during her trip, as she has developed joint pain in addition to...

  • 5 CASE STUDY MUSCULOSKELETAL A 68 year old woman had a swollen painful knee. The pain...

    5 CASE STUDY MUSCULOSKELETAL A 68 year old woman had a swollen painful knee. The pain woke her up out of a sound sleep. She has not had any major health problem except essential hypertension. She takes Avalide 10 mg daily. She travels to Martha's Vineyard every year and walks the beach without shortness of breath or joint pain. She did not recall being bitten by a tick. She has no evidence of any of neuralgia such as Shingles, Bell's...

  • 7/24/2019 HESI Case Study Meet the Client: Terry Bames Terry Barnes, a 35-year-old mother of three...

    7/24/2019 HESI Case Study Meet the Client: Terry Bames Terry Barnes, a 35-year-old mother of three young children, visits the healthcare clinic. She reports experiencing increasing bilateral joint pain, especially in her hands, wrists, and knees. She also reports increasing fatigue and a weight loss of 5 pounds over the last 2 months. She states she has been taking a couple of aspirins a day, but the joint pain is increasing, and she is hesitant to take more medication without...

  • A 68 year old woman had a swollen painful knee. The pain woke her up out...

    A 68 year old woman had a swollen painful knee. The pain woke her up out of a sound sleep. She has not had any major health problem except essential hypertension. She takes Avalide 10 mg daily. She travels to Martha’s Vineyard every year and walks the beach without shortness of breath or joint pain. She did not recall being bitten by a tick. She has no evidence of any of neuralgia such as Shingles, Bell’s Palsy or CNS infections....

  • Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She...

    Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She has been on multiple NSAIDS with some symptomatic relief. On a few occasions she has taken corticosteroids for severe exacerbations. She feels that her disease is getting worse. She has more stiffness and swelling in her hands and wrists. She is currently taking the recommended maximum dosage of ibuprofen, but admits to taking more than she should on bad days. On examination, the nurse...

  • Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She...

    Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She has been on multiple NSAIDS with some symptomatic relief. On a few occasions she has taken corticosteroids for severe exacerbations. She feels that her disease is getting worse. She has more stiffness and swelling in her hands and wrists. She is currently taking the recommended maximum dosage of ibuprofen, but admits to taking more than she should on bad days. On examination, the nurse...

  • A 52-year-old woman presents with complaints of weakness and fatigue, although she has continued to work....

    A 52-year-old woman presents with complaints of weakness and fatigue, although she has continued to work. She attributes the complaints to menopause. Her menstrual cycles have been irregular but occasionally heavy. She has experienced a recent weight loss of 10 lbs over the past 6 months without diet or exercise. She reports chronic arthritis in her hands and knees, which is treated with Ibuprofen 400 mg when needed; mild dyspnea on exertion, chronic constipation, and HTN for which she takes...

  • A 58-year-old male college professor sees his family physician because of increasing fatigue and weakness. He...

    A 58-year-old male college professor sees his family physician because of increasing fatigue and weakness. He also reports pain in his lower back and arms when he walks. Physical examination reveals that the man has pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis. A follow-up appointment is scheduled for the following week. Laboratory Data: The CBC reveals that the patient has anemia. His leukocyte count and differential count are normal, except for a...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT