Following a progressive onset of fatigue, aching, and joint stiffness over the last 2 years, a 69-year-old male has recently been diagnosed with rheumatoid arthritis (RA)
Which of the following teaching points should his primary care physician include during the office visit in which this diagnosis is communicated to the client?
A)
"The symptoms you've been experiencing are the result of damage inside your joints, but I'll start you medications that will reverse this damage."
B)
"It's important that you maximize your level of activity, since decreasing your mobility will worsen the disease."
C)
"The best treatment plan is to try all other available treatments before resorting to using medications."
D)
"Steroids and anti-inflammatory drugs that I'll prescribe will likely bring some relief to your symptoms."
Ans:
D
Feedback:
Current treatment guidelines for RA involve early and aggressive pharmacological treatment, including NSAIDs and corticosteroids. Damage cannot be reversed, and while therapeutic exercise plays a role in treatment, rest is also important.
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