homeIntroduction
This case study will require students to practice the documentation of assessment record as interpreting the assessment result for planning treatment to Rheumatoid arthritis patients.
Client Information
Name of client: Ms Lam
Age/Sex: 34/F
Diagnosis: Rheumatoid arthritis
Hand dominance: Right
Education Level: Matriculation level
Present work role: Housewife, mother of 2 children
Medical history:
Four years ago, client has a sudden onset of bilateral shoulder pain sustained for over one week. Blood test and other physical examination confirmed the diagnosis of Rheumatoid Arthritis.
She re-admitted to the hospital due to recurrent pain after one year. Both wrists and fingers were seriously affected, resulting in joint deformities and stiffness.
On examination, patient complaint of: severe pain over both wrist and fingers, with signs of inflammation. She also complaints of Knee and ankle pain.
Social background: Live in a self owned private housing estate with family members. Financial situation is fine.
You can know about the client's illness history from the interview
There are more information related to:
a. ROM
b. Strength
