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Given what we know about rheumatoid arthritis, we can confirm that the nurse can determine that the teaching is effective when the client makes the statement that "<em>Rheumatoid arthri</em><em>tis includes </em><em>joint involvement </em><em>that is usually </em><em>symmetric </em><em>and </em><em>polyarticular</em>".
Arthritis is one of many diseases in the autoimmune category. An autoimmune disease is one in which the immune system of the patient attacks its own cells. <em><u>The reasons behind this remain unknown</u></em>. In the case of Rheumatoid arthritis, the attacks remain isolated to the joints. The immune system causes the joints to be unable to produce synovial liquid, which causes inflamation.
As stated by the patient, Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. What this means is that any diarthrodial joint can be affected by the condition and is usually collateral, meaning that <u>if the left hand is affected, the right hand often is as well.</u>
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The onset, and treatment of PTSD is no easy matter. In order for such a disorder to appear, which is later expressed with tremendous peaks of stress, crisis, behavioral problems, panic disorders, anxiety disorders, and many more debilitating conditions, a person must have experienced an event, or circumstance, that traumatically negatively impacted the correct psychological and emotional processes of the mind. In these patients, one the most common situations is that panic attacks and anxiety peaks happen particularly when the traumatic event, moment, or circumstance is remembered, and they are very good at remembering not just the moment itself, but all elements that surrounded that trauma. Also, they are able to make really clear connections and associations between those events and normal events in life that, when they appear, trigger the defensive responses of the mind.
The idea of administering a patient with PTSD with medication that would stop memory formation shortly after a traumatic event would not be a good idea simply because while the drugs focus on the chemical processes involved in memory formation, this procedure ignores that memory is much more than just chemicals in the brain. This has been show time and time again in research. Even with strong medication that basically generates amnesia, or trauma to the brain that may cause amnesia, it has been seen, and science cannot yet fully explain how, these patients may have partial, or total recovery of memories. And because the process of memory formation is still so misunderstood, and not all the factors involved are completely known, simply administering a drug that would stop the hormones that are believed to play a role in memory formation could become more of a problem for the patient. Also it is not being considered that amnesia causes even more stress in patients, as somehow the brain still recognizes that there is information present, but cannot simply bring it to concious awareness.
