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Nursing Assignment Essay

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Below is an essay on "Nursing Assignment" from Anti Essays, your source for research papers, essays, and term paper examples.

This essay focuses on a clinical case scenario of Karen, initially admitted to hospital with complications of Rheumatoid Arthritis (RA). After Karen’s discharge under a specified medication regime, Karen then presented a second time to hospital with a fractured left neck of femur due to a fall. The pathophysiology and relative risk factors behind her comorbidity of RA are identified and the management strategies for RA are discussed. The diagnostic tests of RA are investigated and the relevance of their finding analysed. The information obtained in these diagnostic tests would indicate whether Karen is experiencing severe pain due to post surgery or RA. As a result focused nursing management strategies are discussed to identify the underlying cause/s of Karen’s complaints of severe pain post-surgery and immediate actions and rationales associated with mobilisation and major complications have been discussed to improve her condition. The differences between RA and osteoarthritis (OA) are compared and the clinical manifestations and pathophysiology behind each are addressed. Her discharge planning is also recognised to prevent further injury. The overall purpose of this paper is to demonstrate a clear link between theory and practice when required to assess, identify possible complications, manage and evaluate nursing care for a clinical patient.

Rheumatoid arthritis is a chronic progressive autoimmune disease, which primarily results in inflammation of the synovial joints (Bullock, & Hales, 2011). RA is a complex immune system reaction, which involves inflammation and degeneration resulting from altered immune function (Bullock, & Hales, 2011). Inflammation is triggered through a series of steps, monocytes and T lymphocytes (T cells) are activated generating an inflammatory response (Joint effusion, pain, oedema) and phagocytosis produces enzymes within the joint and if persistent these enzymes gradually breakdown collagen causing damage to the synovial...

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