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Your Patient, Mrs. Julia Oliver

Your Patient, Mrs. Julia Oliver
You are working at the local outpatient clinic. Mrs. Julia Oliver is there on a follow-up visit for a new diagnosis of rheumatoid arthritis. She states that she still feels tired, and still has stiffness, pain, and swelling in both her hands. You note the results of the bilateral hand x-rays indicated soft tissue swelling and bone demineralization. No erosions are noted.
Action Items

  1. Briefly (in 1-2 paragraphs), answer the following questions based on the case scenario described in the overview section. Give your rationale and substantiate it with references, including your textbook and a minimum of 3 other credible, scholarly sources.
    a. What do the results of the hand X-rays mean regarding the progression of the disease?
    b. What causes the limited joint movement in the early stages of the disease?
    c. What causes the limited joint movement in the later stages of the disease?
    d. What non-pharmaceutical therapies could help at this point?
  2. Read your classmates’ posts. Return to your original post. Would you add anything to your original post? If so, what? Are you satisfied with your response? If so, why?
    Submission Instructions
  • By Wednesday, complete Action Item 1.
  • By Sunday, post your response to Action Item 2.
    Reminder: You will not see others’ posts until you make your initial post.
    Grading Criteria
    Your work will be assessed based on the associated rubric. Read this and all other grading rubrics early on to better understand how you will be assessed and to use that understanding in formulating your responses. Ask for any clarification as needed.

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