Case Study, Chapter 39, Assessment and Management of Patients With Rheumatic
Disorders
1. Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical assessment
of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient during
the history process?
When interviewing a pt during the history process the nurse should concentrate
on:
Including pertinent data r/t the pt’s functional abilities; ADLs, IADLs, and
ability for the pt to perform different activities, the nurse should not any
problems r/t mobility.
m
er as
Health history should be include family history, general health
maintenance, nutrition, occupation, leaning needs, socioeconomic factors,
co
eH w
and medications (including OTC)
Assessment of pain, tenderness, and altered sensations.
o.
Check for paresthesia (numbness, burning, and tingling)
rs e
Physical assessment of posture, gait, bone integrity (amputations,
ou urc
shortened extremities, symmetry, alignment, deformities), joint function
(ROM passive and active), muscle size and strength, neurovascular status,
and ability to change positions.
o
aC s
b. On what areas should the nurse concentrate when assessing the patient?
vi y re
The nurse should concentrate on the description of pain, fatigue, what
areas of body are affected, the physical assessment (posture, gait, joint
function, muscle strength and size). This will help the nurse come up with
ed d
the individualized treatment plan for pt.
ar stu
c. What diagnostic tests are used with fibromyalgia syndrome?
is
There is no lab test to confirm a diagnosis of fibromyalgia. Your PCP may order
blood tests to R/O other conditions that may show similar symptoms:
Th
Complete blood count
Erythrocyte sedimentation rate
Cyclic citrullinated peptide test
sh
Rheumatoid factor
Thyroid function tests
This study source was downloaded by 100000805705997 from CourseHero.com on 10-21-2021 01:59:35 GMT -05:00
https://www.coursehero.com/file/67796910/Rheumatic-Disordersdocx/
Disorders
1. Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical assessment
of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient during
the history process?
When interviewing a pt during the history process the nurse should concentrate
on:
Including pertinent data r/t the pt’s functional abilities; ADLs, IADLs, and
ability for the pt to perform different activities, the nurse should not any
problems r/t mobility.
m
er as
Health history should be include family history, general health
maintenance, nutrition, occupation, leaning needs, socioeconomic factors,
co
eH w
and medications (including OTC)
Assessment of pain, tenderness, and altered sensations.
o.
Check for paresthesia (numbness, burning, and tingling)
rs e
Physical assessment of posture, gait, bone integrity (amputations,
ou urc
shortened extremities, symmetry, alignment, deformities), joint function
(ROM passive and active), muscle size and strength, neurovascular status,
and ability to change positions.
o
aC s
b. On what areas should the nurse concentrate when assessing the patient?
vi y re
The nurse should concentrate on the description of pain, fatigue, what
areas of body are affected, the physical assessment (posture, gait, joint
function, muscle strength and size). This will help the nurse come up with
ed d
the individualized treatment plan for pt.
ar stu
c. What diagnostic tests are used with fibromyalgia syndrome?
is
There is no lab test to confirm a diagnosis of fibromyalgia. Your PCP may order
blood tests to R/O other conditions that may show similar symptoms:
Th
Complete blood count
Erythrocyte sedimentation rate
Cyclic citrullinated peptide test
sh
Rheumatoid factor
Thyroid function tests
This study source was downloaded by 100000805705997 from CourseHero.com on 10-21-2021 01:59:35 GMT -05:00
https://www.coursehero.com/file/67796910/Rheumatic-Disordersdocx/
