System Disorder Disorder/Disease Process: Rheumatoid Arthritis Alterations in Health (Diagnosis) Alteration in comfort, body image, mobility Pathophysiology Related to Client Problem Autoimmune reaction leading to hypertrophy of the cells in the synovial fluid which then leads to uncontrolled inflammation Heath Promotion and Disease Prevention Adaptive devices that prevent development of deformity of inflamed joints during ADLs Continue using affected joints and ambulating to maintain function and ROM
Risk Factors Females age 20-50 Genetics Epstein-Barr virus Stress Environmental factors Older age Expected Findings Pain at rest and with movement Morning stiffness Pleuritic pain Xerostomia Anorexia Fatigue Lack of function Joint swelling and deformity Subcutaneous nodules Laboratory Tests Anti- CCP antibodies Rheumatoid factor antibody ESR c-reactive protein ANA titer Elevated WBCs Diagnostic Procedures
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- Fall '19
- Joint swelling