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 most likely diagnosis following the above listed symptoms is hemorrhoids.
<h3>What are hemorrhoids?</h3>
Hemorrhoids is defined as a disease that occur due to inflammation of the vein at the rectum. The inflammation at the rectal region is due to:
- Straining during bowel movements.
- Sitting for long periods of time on the toilet and
- Having chronic diarrhea or constipation.
Therefore, the likely diagnosis is hemorrhoids.
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Answer:
Patients medical history and records are meant to be confidential. The coders discussing on the diagnosis listed on a patient’s file and commenting on the patient’s past social history in relation to the diagnosis listed in the medical record is totally unacceptable.
I would make sure I warn them to desist from going against the ethics of the profession or make up evidences and report them to the relevant authorities.
Answer:
"My child will be asked to stand upright, arms stretched above the head."
Explanation:
The adolescent client should be leaning forward at the waist with arms hanging down; upright with arms stretched above the head would not allow proper screening.
