Mrs. H, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees....

Mrs. H, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. The joints are quite inflamed, red, and swollen. She is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. She has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. She is feeling nauseated, so she has not eaten for the past 8 hours.

1. Based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.

Expert Solution

The effects of pain that are exaberating her condition:

Women are more likely to develop chronic pain conditions due to rheumatoid arthritis when compared to men.Hormones play a major role in perception of pain and their likelihood for developing chronic pain conditions.
Due to severe pain in her body she is not willing to getting touched by anyone and also not willing to take any protections for herself.In this case pain and depression and emotional feelings are closely linked and people with this kind of chronic pain are about three times more likely to develop depression and other mood disorders.
Medical conditions and not eating food on time are also a constant barrage of pain signals which can create and heightens the level of discomfort and makes the person feel more nauseated and weak.
No matter how she perceives pain,it can be a disruptive force in life .constant pain can negatively affect their life which is why it is important to understand what factors besides joint damage exacerbate her pain.

Nightingale answered 2 years ago

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