Improving Self-Care for Patients with Rheumatoid Arthritis Essay examp

Introduction Rheumatoid arthritis (RA) is a heterogeneous autoimmune disease that is chronic and acute, most likely to affect women and those between 35-50 years of age. The process of RA begins as an inflammation episode in the synovium, causes it to thicken and become edematous. Synovial inflammation results in joints that are swollen, tender, and stiff. The patient with RA may manifest symptoms of pain, morning stiffness, fatigue, weight loss, anxiety, and depression. (Chen, & Wang, 2007) Self-care abilities are affected by the clinical manifestations related to the disease process of RA. Assessment The health history is beneficial to identify the risk factor for those with close relatives suffering with the disease. Physical examination is reliable when assessing the joints, range of motion, and circulation. A developed multi-dimensional health assessment questionnaire that is completed by the patient at each visit in their rheumatology clinic can be scored and provide the physician a current status of their physical and psychological areas that might raise concern for poor self-care. Assessing the patients ESR, CRP levels, and rheumatoid factor provides information of the patients’ baseline laboratory values with any deviations.(Palmer, El Gaafary, & El Mideany, 2007) The nurse should assess the patients’ psychosocial aspects including, social support; knowledge; education level; and socioeconomic status due to the positive correlation with self-care. (Chen, & Wang, 2007) Planning With RA being a chronic disease with acute exacerbations and remissions, it has social, emotional, physical, and psychosocial complications. Impaired physical mobility is a problem associated with RA, due to the symptoms of morning s... ...elf-care abilities with this disease. References Chen, s, & Wang, h. (2007). The relationship between physical function, knowledge of disease, social support and self-care behavior in patients with rheumatoid arthritis. Journal of Nursing Research, 15(3),183-92. Makelainen , P, Vehvilainen-Julkunen, K, & Pietil, A. (2009). Change in knowledge and self-efficacy of patients with rheumatoid arthritis: a six-month follow-up study. International Journal of Nursing Practice, 15(5), 368-75. Makelainen, P, Vehvilainen-Julkunen, K, & Pietil, A. (2007). Rheumatoid arthritis patients' education-contents and methods. Journal of Nursing & Healthcare of Chronic Illnesses, 16(11c), 258-67. Palmer, D, El Gaafary, M, & El Mideany, Y. (2007). Rheumatology. improving patient care: measurement of outcome in rheumatoid arthritis. British Journal of Nursing, 16(16), 1010-5.

Media lab

Taking over the counter drug for some of the symptom of cold, fever and some ailments that we experience is not the best thing to do; it is actually deprivation of ones defence mechanisms. This is because some of the common sickness like cold serves as defence mechanism to the body. Common cold tends to notify a person of the environment he or she is and sometimes tells you to relocate from the place. If these symptoms are not there it might result into organ damage without notification. Defences like running nose, cough, fever and diarrhoea, are beneficial because they tend to notify us of an underline problems, for instance a person experiencing diarrhoea will know that he or she has taking something that is toxic and will stop and desist from taking such things. Some of these diseases also help in the cleansing process. For instance, when a person coughs, it cleans the bacterial from the respiratory passage and the lungs. The problem we are facing is the ability to distinguish between disease and defence of the body systems. Since the pathogens that cause diseases evolved before us, we are liable to them, so there is a need for our body to fight those pathogens and our body has over time develop these defence mechanism against these pathogens. These defence mechanism are so important to the body to the extent that if they are absent in the body, it can lead so impaired function of the systems or even death. For instance, the early nausea experienced by the pregnant women   most times prevent them from eating bad food that can injure their foetus and also people that   experience no pain always have joint problems or die young. REFERENCE: David Krog (2003)   http://wps.prenhall.com/esm_krogh_biology_3/ Retrieval Date: April 23; 2008 Anthony Trollope (June 1995): Sickness can be Good; http://www.chester.ac.uk/~sjlewis/DM/TEXTS/TEXT2.H Retreival Date:April 23, 2008.

Video Games For Minors Is It Good - 2187 Words

Nick Brown Mrs. Kendra Gallos English 3 Honors 18 April 2016 Selling Violent Video Games to Minors, Is It Good? In the year 1972, something happened that would forever change the world of home entertainment and personal enjoyment. The first video game to break through the confines of reality, was a game called Pong. From Pong, to Call of Duty, people come a long way in the world of video games. However, some games have struck up controversy with their gratuitous violence and their questionable motives. It has become so controversial, that it has been taken up and noticed by our own government. So, what’s the problem with violent video games, and how can the next generation be protected, so that they will not get influenced by these games in real life? So how did all of this begin? Let us go back to a time where change needed to happen to the flow of digital entertainment. In the year 1993, a new arcade cabinet just made it’s way to the arcades and is getting played more and more every single day. That game was called Mortal Kombat. Mortal Kombat is a fighting game on the arcade that would soon debut on home consoles. â€Å"But that sounds very similar to Street Fighter 2†, some people may ask right now, â€Å"what was so special about Mortal Kombat?† Well, there were 2 very distinct differences between these games. First, were the designs of the characters, and the second(and most obvious) was the ABSOLUTELY GORY FATALITIES! This quote from Shacknews perfectly described MortalShow MoreRelatedViolent Video Games Do Not Have a Negative Impact Essay536 Words   |  3 Pages Are violent video games dangerous for young minds and society? No, because in some ways kids are smart enough not to go out and kill someone or steal a car. One reason is that society is most of the buyer of their kids or minors video games so if they wanted to have the influence that there kids might go out and kill someone. Then why would they buy it? My second reason is that kids like I said are not under the influence of their video games they just play them. My third reason is that youRead MoreThe Pros And Cons Of Violent Video Games1534 Words   |  7 Pagesof violent video games. But, we can prevent the distribution of these disturbing games to children, where their effects can be negative.† (Kohl, Herb). Violent video games have been blamed for children poor school performance, mental development, and aggressive behavior; there are many studies conducted by different psychologists and experts in the area, and they came up with different results. Most people and stud ies believe that children are the primary victim of violent video games, and peopleRead MoreVideo Game : Violent Video Games927 Words   |  4 PagesThe video game industry possible causing behavioral problems for people of all ages. Video game violence isn’t breaking news for years people have played games with murder and sexual innuendos. People ask why violent video games are so attractive, maybe it’s a way to escape from real life or even therapeutic. History shows us that human being like violence, in roman time gladiators killed people and animals for sport with huge number of people as an audience. Today the video game industry has foundRead MoreThe Pros And Cons Of Video Games1272 Words   |  6 PagesIn â€Å"Violent Media is Good for Kids† Gerald Jones states that shielding children from violent culture prevents them from understanding their emotions, and the world around them.He states that children need violent media because it allows them to meet their emotional needs by giving them a healthy outlet for their rage.It also gives them a way to not feel powerless in the face of real-world hardships, however, Jones does not completely condone all forms violent media, but he believes fearing it causesRead MoreResearch Paper on Video Game Violence1483 Words   |  6 PagesKendal Hill Mrs. Van Fleet Block 3 10 December 2011 Video games and Violent Behavior True or False: Violent videogames cause children to become more aggressive. Sorry, that was a trick question. Despite much bandying of statistics and loud talking by critics on both sides of the argument, the real answer is that there is no real answer—at least not one that’s been proved scientifically (Zipp). Video games are an appealing target for a public figure in search of a crusade. Movies and musicRead MoreViolent Video Games Cause Violence843 Words   |  4 PagesVideo games have been around for half a century when, the first simple tennis game was designed by William Higinbotham in 1958. Since then, video games have gotten more in depth, with better graphics and more options which include violent video games. Violent videos have gotten more popular with a better amount of variety including the franchise of Call of Duty, Battlefield, and Grand Theft Auto. These are the most common and popular video games and because of the violence in them debate has startedRe ad MoreDefending Violent Video Games in Adolescents1218 Words   |  5 PagesDo parents know what violent video games their children are playing? Playing violent games is nontoxic, exciting fun, and no more harmful than watching something graphic on television. This is an arguable point, and people want to know if violence shown in video games cause aggression, violent actions, bullying, or weapon skills. The answer to this is a no-brainer; most parents go about their busy lives and leave their children unsupervised when these activities are taking place. If parents areRead MoreViolent Video Games Effects On Society988 Words   |  4 PagesVideo games have been around for half a century, when the first simple tennis game was designed by William Higinbotham in 1958. Since then, video games have gotten more in depth, and now include the best graphics and a vast amount of options which include violent video games. Violent video games have gotten more popular with the vast amount of variety including the franchise of Call of Duty, Battlefield, and Grand Theft Auto. In addition, these are the most common and sought after video games, andRead MoreViolent Video Games Have Blamed For School Shootings1254 Words   |  6 Pagesthat video games influence is motive to the killings because â€Å"he was so enormously isolated† that he would shut â€Å"himself in the bedroom and play violent video games all day† (Smith). He would create videos depicting gunshot suicides and pictures of himself pointing guns at his own head like he had seen in videos games. The violent video games had deeply brainwashed his mind making Americans believe that violent video games are a factor in contributing violence in people. Violent video games haveRead MoreThe Effects Of Violent Video Games On Children Essay1558 Words   |  7 Pagesshown that children that play violent video games desensitize players to real-life acts of violence, the Journal of Experimental Social Psychology says that it is a reduction in emotion-related physiological reactivity to real violence. It is also proven that people who are desensitized to violence are likely to commit a violent crime of some type. In 2011 there was a study that resulted in the finding of a link between the exposure of violent video games and an increase in aggression it was the