Thursday, January 23, 2020

Rheumatoid Arthritis Essay -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Rheumatoid arthritis is a chronic syndrome that is characterized by inflammation of the peripheral joints, but it may also involve the lungs, heart, blood vessels, and eyes. The prevalence of this autoimmune disease is between 0.3% to 1.5% of the population in the United States (Feinberg, pp 815). It affects women two to three times more often than men, and the onset of RA is usually between 25 and 50 years of age, but it can occur at any age (Reed, pp 584). RA can be diagnosed by establishing the presence of persistent joint pain, swelling in a symmetric distribution, and prolonged morning stiffness. RA usually affects multiple joints, such as the hands, wrists, knees, elbows, feet, shoulders, hips, and small hand joints. RA is usually characterized by the inflammation of the synovium, which lines the joints and tendon sheaths of the body.   Ã‚  Ã‚  Ã‚  Ã‚  The etiology of this disease is unknown. There are multiple factors involved in this disease, including autoimmune reactions and environmental factors. There is also a genetic predisposition that has been identified that can be related to the cause of RA. Rheumatoid arthritis develops as a result of an interaction of many factors. Much research is going on now to understand these factors and how they work together. Rheumatoid arthritis is one of several "autoimmune" diseases because a person's immune system attacks his or her own body tissues (Gordon, pp 16). A feature of rheumatoid arthritis is that it varies a lot from person to person. For some people, it lasts only a few months or a year or two and goes away without causing any noticeable damage. Other people have mild or moderate disease, with periods of worsening symptoms, called flares, and periods in which they feel better, called remissions. Still others have severe disease that is active most of the time , lasts for many years, and leads to serious joint damage and disability. Rheumatoid arthritis occurs in all races and ethnic groups. Although the disease often begins in middle age and occurs with increased frequency in older people, children and young adults also develop it.   Ã‚  Ã‚  Ã‚  Ã‚  In 1987, the American Rheumatism Association developed seven criteria to define RA. First, morning stiffness in and around joints lasting at least one hour before improvement. Second, there is arthritis of three or more joint areas. Third, there is swelling of at least one ... ...person's tension can be released in more positive ways rather in a harmful manner towards himself/herself or towards others. The OT may also promote the person to participate in more social activities to get him or her to feel more competent and increase one's self-esteem.   Ã‚  Ã‚  Ã‚  Ã‚  Persons with arthritis often do not comply with treatment and management routines, so the Occupational therapist may need to provide him or her with good learning or teaching techniques. The OT must also share with the patient the expectations about treatment and management, encourage personal responsibility for his or her care, and maintain a relaxed environment to encourage communication with other professionals and loved ones. The OT must also be cautious of any other health concerns that may arise due to the progression of the illness or even side effects from the medications. There are so many affected by Rheumatoid Arthritis and it is a growing illness that has been seen across the United States. In the future of medicine, more and more research will be done to find the cure to this illness, but for now, such treatment like Occupational therapy will further advance the lives of those living with RA.

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