Apply the COLDSPA in assessing the pain of the patient. Rheumatoid Arthritis Case StudyJoy G. is a 48-year old married mother of 3 activeboys, ages 12, 15, and 18. She enjoys attending hersons' sporting events and providing "Mom-Taxi"services for her sons and their friends. She also lovesher part-time job as a hairdresser at a popular salon.Seven months ago, Joy began noticing stiffness inboth hands in the morning that lasted longer andlonger. Stiffness now lasted more than 1 hour everymorning and included hands, wrists and ankles. She also had increasing difficulty standing forlong periods at work or at home due to foot and ankle pain. She began taking ibuprofen 800mg3 times daily and found it helped her get through her day with less pain and stiffness.Three months ago, Joy noticed pain in her right and left shoulders when she would cut or blowdry her client's hair. She also began feeling extremely tired and short tempered. She had noenergy to do her usual activities. Ibuprofen was no longer very effective for her pain orstiffness.One morning, Joy could not lift her arms at all without extreme shoulder pain. She knew it wastime to get help. She had been speaking with her friends and they encouraged her to see adoctor. She saw her Primary Care Physician (PCP), who examined her and ran a few preliminaryblood tests. The blood tests revealed positive rheumatoid factor, CCP antibodies, elevated ESRand C-reactive protein. Joy was informed of these results and her PCP referred her to aRheumatologist to be seen as soon as possible.In order to facilitate a timely consultation, Joy was scheduled with the rheumatology NursePractitioner (NP) for her new patient appointment.Upon arrival at the rheumatology office, Joy was asked to provide a complete medical history.At her scheduled appointment time, the Certified Medical Assistant (CMA) escorted Joy into theexam room, where her weight and height were measured and vital signs taken. The CMAreviewed her medications and their dosages with her and documented them in the electronicmedical record.The NP introduced herself and proceeded to take a complete history. She asked about Joy'sparents' and grandparents' medical histories, family illnesses, Joy's medical and surgical historyand information about her family and work lives. A thorough physical examination wasconducted, including examination of all of Joy's joints, many of which were tender and swollen.Her Rapid 3 Score was 21.8, consistent with severe impairment and significant disease activity.The NP discussed the examination findings with Joy, and reviewed the laboratory tests from herPCP. The NP ordered x-rays of Joy's feet, hands and shoulders. Additional laboratories wereordered and drawn by the CMA.

Question

Apply the COLDSPA in assessing the pain of the patient. Rheumatoid Arthritis Case StudyJoy G. is a 48-year old married mother of 3 activeboys, ages 12, 15, and 18. She enjoys attending hersons' sporting events and providing &#34;Mom-Taxi&#34;services for her sons and their friends. She also lovesher part-time job as a hairdresser at a popular salon.Seven months ago, Joy began noticing stiffness inboth hands in the morning that lasted longer andlonger. Stiffness now lasted more than 1 hour everymorning and included hands, wrists and ankles. She also had increasing difficulty standing forlong periods at work or at home due to foot and ankle pain. She began taking ibuprofen 800mg3 times daily and found it helped her get through her day with less pain and stiffness.Three months ago, Joy noticed pain in her right and left shoulders when she would cut or blowdry her client's hair. She also began feeling extremely tired and short tempered. She had noenergy to do her usual activities. Ibuprofen was no longer very effective for her pain orstiffness.One morning, Joy could not lift her arms at all without extreme shoulder pain. She knew it wastime to get help. She had been speaking with her friends and they encouraged her to see adoctor. She saw her Primary Care Physician (PCP), who examined her and ran a few preliminaryblood tests. The blood tests revealed positive rheumatoid factor, CCP antibodies, elevated ESRand C-reactive protein. Joy was informed of these results and her PCP referred her to aRheumatologist to be seen as soon as possible.In order to facilitate a timely consultation, Joy was scheduled with the rheumatology NursePractitioner (NP) for her new patient appointment.Upon arrival at the rheumatology office, Joy was asked to provide a complete medical history.At her scheduled appointment time, the Certified Medical Assistant (CMA) escorted Joy into theexam room, where her weight and height were measured and vital signs taken. The CMAreviewed her medications and their dosages with her and documented them in the electronicmedical record.The NP introduced herself and proceeded to take a complete history. She asked about Joy'sparents' and grandparents' medical histories, family illnesses, Joy's medical and surgical historyand information about her family and work lives. A thorough physical examination wasconducted, including examination of all of Joy's joints, many of which were tender and swollen.Her Rapid 3 Score was 21.8, consistent with severe impairment and significant disease activity.The NP discussed the examination findings with Joy, and reviewed the laboratory tests from herPCP. The NP ordered x-rays of Joy's feet, hands and shoulders. Additional laboratories wereordered and drawn by the CMA.

Accepted Answer

The nurse always provides the need based care to the patient. When the patient get's admitted to the…