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Ankylosing spondylitis flashcard
The classic ankylosing spondylitis
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Ankylosing spondylitis(AS), a chronic rheumatic disease that most occurred in male young adult. AS make patients suffered from spinal back pain and stiffness by inflammation and end-up with spinal deformity. In the end, spinal deformity will affect many part of daily life of patient due to reduced working capacity.
At the consencus meeting in the assessments in Ankylosing Spondylitis (ASAS) Working Group, by International Workshop on New Treatment Strategies in Ankylosing Spondylitis in Berlin 2002[1-3]. They all agreed that BASDAI(Bath Ankylosing Spondylitis Disease Activity Index), BASFI(Bath Ankylosing Spondylitis Functional Index) and BASG(Bath Ankylosing Spondylitis Global assessment) are tool for evaluate disease activity, functional capability and global being of AS patient. BASDAI, BASFI and BASG are developed in the Royal National Hospital for Rheumatic Diseases in Bath, UK[4-5]. In clinical practice, BASDAI, BASFI and BASG, has been shown that it easy to self assessment and compared with disease activity and function in ankylosing spondylitis patient. Also, the VAS(Visual Analog Scale) in the questionnaires was 10 cm. long, that represent about the best to the worst of patient feeling.
There was many country that have to cross-culturally adaptation of these instrument, Taiwan[6], Korea[7], Egypt[8], Denmark[9] etc. Because of there was some difference in culture and life-style in Thai’s patient, so the aim of this study was to assess the reliability and validity of Thai version of these three instrument: BASDAI, BASFI and BASG to be used by Thai patients who suffering from AS.
Materials and methods
Developing the Thai version of the BASDAI, BASFI and BASG
The original versions of BASDAI, BASFI and BASG was perm...
... middle of paper ...
...ses. Comparisons among AS patients with symptom of arthritis, symptom of fatigue, occiput to wall distance, chest expansion, Schober test, finger to ground distance, ESR and CRP with BASDAI, BASFI and BASG was evaluated with Pearson correlation. Significant was set at p<0.05. for validity the Thai version instrument, and used Cronback’s alpha for internal consistency and a minimum of 0.70 was usually required as an acceptable level of agreement.
Results
38 patients were enrolled, the demographics data as table 1. Most of AS patients were male(92.1%) mean age was 35.03 ± 11.57 years and duration of symptom was 9.29 ± 7.77 years. There were 15 patients had arthritis symptom (39.5%) and 11 patients had fatigue symptom (28.9%). Mean laboratory studies was 47.34 ±37.32 for ESR and 31.04 ± 46.62 for CRP. There was one patient who did not have CRP result in this study.
In the United States 54 million people have a disability and only 15 percent were born with a disability (Jaeger & Bowman, 2005). If a person lives long enough, it is statistically likely that they will develop some kind of disability in their advancing years (Jaeger & Bowman, 2005). At some point in your life you could have experience a fractured bone, a minor cut, or had some type of surgery. Imagine after some minor injury that you may not even remember and then experiencing a constant pain so agonizing that no amount of pain medication can make you comfortable (Lang & Moskovitz, 2003). Some additional symptoms that you may also experience are severe burning pain, changes in bone and skin, excessive sweating, tissue swelling and extreme sensitivity to touch (Juris, 2005). These symptoms are associated with a disease that is called Reflex Sympathetic Dystrophy (RSD) but more recently termed as complex regional pain syndrome, type 1 (CRPS 1) (Juris, 2005). For simplification purposes this disease will be referred to as RSD throughout this paper.
What is scoliosis? Scoliosis is a musculoskeletal disorder that causes the back to curve sideways like and “S” or a “C” and cause the body to lean to one side. Scoliosis can eventually if not looked into and not treated colid with your bodily organs like your heart, lungs, and kidneys. This can cause you to slump down into a hump and cause it hard to breath and do physical activity.
The composite score is objective and calculated through a weighted formula designed to provide an equal contribution from each item while the severity rating is subjective and indicates the need for additional treatment in specific areas (Haraguchi et al., 2009). The SR ranges from 0 to 9 points and the CS ranges from 0 to 1 with anything higher than the normal 9 SR or 1 CS indicating greater problem severities (Haraguchi et al., 2009). Although some problems still exist, the ASI has been reported to have nearly achieved both reliability and validity (Haraguchi et al.,
Osteoarthritis (OA) is the most common form of arthritis, affecting more than 27 million Americans (LeMone, Burke, Bauldoff, 2011). It is caused when the cartilage in the joints breaks down, causing the bones of the joint to rub against one another. This causes pain, stiffness, and loss of motion in the joint. Osteoarthritis is most prevalent in those 65 and older, but can affect those of any age. In addition, African Americans and Hispanics report a higher incidence of arthritis than Caucasians (LeMone, Burke, Bauldoff, 2011). Although the cause is unknown, it is believed that the increasing age of the population, prevalence of obesity and injuries add to the progression of the condition. Osteoarthritis can affect any joint in the body; however, those of the hand, hip, and knee are often the most common. This condition may be asymptomatic, or may present symptoms including soreness, stiffness and pain. The symptoms are more common in the older population, those with limited activity levels, and those who are obese. Joint cartilage thins over time, causing an increased risk for symptoms in the elderly, and obesity puts extra pressure on the joints during activity. Osteoarthritis is commonly diagnosed with the use of a physical assessment along with results of radiology testing such as X-Ray and MRI.
Osteoarthritis is a disease that affects the joints and it is the most common type of arthritis. Evidence shows that the majority of the people affected are the over 60 (S. R 2006) This disease damages the surfaces of the joints stopping it from moving as smoothly as it should. The disease can also be referred to as osteoarthrosis or degenerative joint tissues. Osteoarthritis is more common in women than men but the prevalence
To provide the best care for their elderly patients, nurses must incorporate pain assessment into their daily care of patients. Pain assessment is a key aspect of the nurse’s role. There are many factors to consider when assessing patients’ pain such as if they are verbal or non-verbal, what language they speak, their age and their cultural background. There are many tools that a nurse can use to assess a patient’s pain but one of the most common tools is the 0-10 scale. This tool can be asked verbally by asking what their pain level is on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain they have ever had. You may also use this tool in a visual manner with faces that correlate to the numbers. 0 being a happy face and 10 being a very sad face. Elderly patients from diverse cultural backgrounds are increasing in long term care facilities so it is important to have a 0 – 10 pain scale written in their native language. Some patients are stoic and do not express their pain as much as other people so it is important to understand that a 0 – 10 pain scale might not always be sufficient and could be combined with observing any physical signs that the patient might be in pain such as facial expressions and guarding. Nurses must have a good base of knowledge and attitude towards pain and always take what the patient reports their pain scale to be as truth. If the patient does report pain it would be important to treat the pain or if it is a new occurrence to follow this assessment up with another val...
Rheumatoid arthritis is a disease that has direct involvement with the immune system. This disease is considered to be degenerative and currently the only thing that can be done is manage the painful symptoms and suppress the self targeting actions by using immune suppressing drugs. The cause of rheumatoid arthritis is mostly unknown but there is a high amount of evidence that there are genetic predispositions for the disease. This being said however there are also environmental factors to asses these include, bacteria, viruses, fungi and other environmental factors. Doctors primarily use a physical examination to first suspect R.A. then send for blood work to confirm. There are many aspects to this disease and many questions left unanswered, the treatments available now are only temporarily and can in some cases cause more problems than benefits. Lab experiments and clinical trials are currently showing some great results and could within our lifetimes cure many autoimmune diseases including R.A..
What is Arthritis? Arthritis is inflammation of a joint bringing such symptoms as chronic joint pain, stiffness, and swelling. The Arthritis Society states that approximately 4.6 million Canadians are currently living with arthritis; by 2036 this number will increase to 7.5 million (1 in 5). Health care costs and loss of productivity amount to $33 billion, by the year 2031 this number is expected to double. (The Arthritis Society, 2014). According to Aging in Contemporary Canada, arthritis and rheumatism is the most common chronic health problem of Canadian seniors affecting 47%. (Chappell, McDonald, & Stones, 2008, p. 221). With over 100 types of arthritis varying from mild to severe the most common age related form is osteoarthritis (OA) affecting 1 in 10 Canadians. Approximately 13% of Canadians suffer with OA. Joint damage from OA accounts for 80% of hip replacement surgery and over 90% of knee replacement surgeries. (The Arthritis Society, 2014). Severe cases of OA can restrict the ability to participate in activities and consequently affect a person’s quality of life. At this time there is no cure for OA without a joint replacement. Although OA can affect all ages the purpose of this paper is to focus on the impact this disorder has on the daily activities and functioning on the aging population. Discussion will also highlight the origin and manifestations of this disorder and will examine current and future treatment options available.
The topic of my disease diary is Osteoarthritis. In the following report I will talk about the characteristic of Osteoarthritis, the causes and symptoms, what happens chemically, the treatment of the disorder and how the relationship to other body systems is.
This topic came up recently to me because my grandmother was diagnosed with it. She could barely walk and could not do many little things like get out of bed, and tie her shoes. Since my mom is a physical therapist she knew what to do, but I didn’t really know what it was or how to help her. Most of the things I knew about “arthritis” was that it affects your bones, but this was much more than that. I also didn’t realize that it was Rheumatoid Arthritis not just normal arthritis,they are different because Rheumatoid Arthritis has to do with your joints unlike regular arthritis that has to do with the wear and tear of your bones. I wish I had known if I could prevent it or even if it is genetic and if I could develop it too. I also wanted to know what the symptoms were because all I knew about it was that she was in pain. I was scared she wasn’t going to live as long because she got this, so that is why I decided to write this paper.
Scoliosis is a disease that attacks the muscles and ligaments of the spinal column, causing a sideways twisting and rotation of the spine, ribs, and pelvis. Its is a C-shaped or S-shaped curvature of the spine. An S-shaped curve is created when a secondary curve counterbalances primary abnormal curve. It severely impairs the bodies neurological, hormonal, and nutritional systems.
Rheumatoid arthritis, also commonly known as RA, is one of the most severe forms of arthritis an individual can have. About 1.3 million people in the United States suffer from this autoimmune disease that attacks one’s joints. The immune system will mistakenly attack normal cells within the body which can lead to inflammation in certain areas. RA is a chronic long term disease that cause edema, stiffness, pain and limited function of many joints. Many patient who suffer from rheumatoid arthritis state that their symptoms become worse in the morning or very late in the evening. RA may be hard to detect in many patients because of its subtle symptoms. Because many diseases behave like RA, it is hard to tell if achy joints and stiffness is a reliable symptom for this disease. Weakness, low grade fevers, loss of appetite are some of the first symptoms patients’ experience. Some other major signs and symptoms to look for are dryness of the eyes, mouth, nose and throat, stiff, locked joints particularly in the knees and elbows, and numbness or tingling in the hands. Although RA is a progressive disease that cannot be cured it is best that patients begin their treatment during the early stages; otherwise it can lead to permanent damage of the bones, joints, and cartilage. There are many treatment forms that are used in treating this disease. Disease modifying antirhumatic drugs such as Methotrexate and anti-inflammatories such as Mobic, are two classes of drugs that are highly effective for treating rheumatoid arthritis.
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.
Jarvis, C. (2012). Physical examination and health assessment, 6th Edition. Saunders. [VitalSource Bookshelf Version]. Retrieved from: https://pageburstls.elsevier.com/#/books/978-1-4377-0151-7/pages/89429881