GMED5000: Nursing Bioscience for Chronic Conditions Literature Review Assignment Help
Question
GMED 5000: This is a literature review assignment for Curtin University Australia in which the students are supposed to imagine themselves working in an aged care facility. The student is required to provide an in-depth literature review of a particular chronic condition impacting the patients of the aged care facility. The student is supposed to present all its findings in the form of an evidence-based essay assignment, which should be divided into an Introduction, Body Paragraphs elaborating on different aspects of the research conducted, and a Conclusion.
Solution
The solution is an extensively written literature review essay on the chronic condition of Rheumatoid Arthritis, which is found to be extremely evident in the elderly population. The solution is divided into various sections by our experts. These include- an Introduction, Scope, and impact of Rheumatoid Arthritis on health, Aetiology and manifestation of Rheumatoid Arthritis, Therapeutic management of chronic health condition Rheumatoid Arthritis, Evidence-based approaches regarding nursing care for Rheumatoid Arthritis, and lastly a Conclusion.
Introduction
In this section, a brief introduction to the problem of Rheumatoid Arthritis is provided to highlight a background of this chronic condition and how it impacts the aged population.
Rheumatoid Arthritis (RA) is identified as an autoimmune disease, where the immune system of our body engages in attacking the healthy set of cells by mistake, which further leads to inflammation, which is the painful swelling in various body parts that are affected. Rheumatoid Arthritis has been identified to be chronic in nature as it mostly affects the joints of the body, like that of hands, knees and wrists.
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Scope and impact of Rheumatoid Arthritis on health
Next, the body of this essay begins by highlighting the influence the condition of Rheumatoid Arthritis can have on aged people, specifically with data related to the Australian population.
Based on the study by Donahue et al., (2018), Rheumatoid Arthritis tends to affect only one percent of the overall population across the globe. There has been a significant number associated with disability caused by Rheumatoid arthritis. Around 35 percent of the people with Rheumatoid arthritis have been identified to have work disability after 10 years. In addition to this, the lifespan of the people with Rheumatoid arthritis is threeto 12 years shorter than the other general population. Regarding the impact of Rheumatoid arthritis among the older patients, it has been identified to increase the risk of osteoporosis, which causes the weakness of bones leading to increased risks of bone fracture.
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Aetiology and manifestation of Rheumatoid Arthritis
In this section of the chronic disease research paper, our experts have written elaboratively about the aetiology and the various other manifestations of this particular condition. You can read some part of this complete section below:
The aetiology of Rheumatoid arthritis has not been completely understood yet, but there has been the identification of various environmental as well as genetic factors that has been contributing in the developmental process of the disease. Environmental factors like obesity, nulliparity and smoking lead to an increased risk of the disease. Also, lower socioeconomic status leads to an increased risk towards viral and bacterial infections, which includes the ones that cause periodontal and lung infections (Donahue et al., 2018). There has been the usage of various animal models in learning about the microbiome causing the development of Rheumatoid arthritis. It has been identified that the monozygotic twins stand a higher risk in developing the disease. Genome-wide association studies have identified over 100 loci that lead to the disease, where the driving genetic force has been the MHC (Major Histocompatibility Complex) Class II shared epitope.
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Therapeutic management of chronic health condition Rheumatoid Arthritis
The following section delves into the management of Rheumatoid Arthritis and the therapies that would be needed for the same. All the Chronic Illness Resources are highlighted in this section.
Therapeutic management of the patients with rheumatoid arthritis would need the inclusion of both pharmacologic and nonpharmacologic therapies. In terms of the nonpharmacologic treatments, there is the inclusion of effective dietary plans, counselling, regular exercises, physiotherapy and joint replacement surgeries. In terms of the pharmacological therapies, there has been various agents, which includes the nonsteroidal anti-inflammatory drugs (NSAIDs), then there are nonbiologic and biologic disease-modifying antirheumatic drugs (DMARDs), corticosteroids and then immunosuppressants (NIAMS, 2023).
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Evidence-based approaches regarding nursing care for Rheumatoid Arthritis
Here, the experts have remarked on the approaches that are supported by credible evidence in nursing care for patients suffering from Rheumatoid Arthritis. You can read a part of the complete section below:
There are various evidence-based approaches that can be included as nursing care in order to manage rheumatoid arthritis among the elderly people in the aged-care. Firstly, it would be important for the nurses to note down the reports on pain along with location and then mark intensity on a scale of 10. It would be important to note precipitating factors along with nonverbal pain cues. It would also be important for the nurses to note down the duration of the pain along with morning stiffness in order to accurately diagnose the severity of the disease (Loza et al., 2015). The nurses would need to provide a firm mattress and a small pillow in order to manage the alignment of the body and reduce possible stress on the joints that are affected. Next, the nurses should engage in suggesting the patients with the accurate positions that would allow increased comfort while sitting in bed or a chair. Based on the severity of the disease, the nurses should even prescribe bed rest in order to limit pain or any further injuries in the joints. Next, the nurses should ensure to monitor the usage of the pillow by the patients. They should teach the patients with rheumatoid arthritis on the ways to place the pillows, sandbags, splints, braces or trochanter rolls. The nurses should allow the rest to the painful joints by ensuring the correct neutral positions.
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Conclusion
The last section highlights all the important findings of this literature review on the chronic condition of Rheumatoid Arthritis.
In conclusion, it can be stated that rheumatoid arthritis is a chronic condition that leads to damage in the tissues of the joints and over the prolonged period can cause deformity of the joints and impairment of the ability to move the affected joints. It is an autoimmune condition and hence lacks effective treatment.
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