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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
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Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
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Living with persistent rheumatoid arthritis: a BARFOT study.

Sidona-Valentina Bala1,2, Karin Samuelson1, Peter Hagell3

  • 1Department of Health Sciences, Lund University, Lund, Sweden.

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Living with persistent rheumatoid arthritis significantly impacts daily life, causing pain, limitations, and struggles despite treatment. Current rheumatology care often fails to meet individual patient needs effectively.

Keywords:
lived experiencepersistent rheumatoid arthritisperson-centred carephenomenology

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Area of Science:

  • Rheumatology
  • Phenomenology
  • Qualitative Health Research

Background:

  • Many rheumatoid arthritis patients experience persistent, active symptoms despite advanced treatments.
  • A knowledge gap exists regarding the lived experience of persistent rheumatoid arthritis.

Purpose of the Study:

  • To describe and understand the lived experience of individuals with persistent rheumatoid arthritis.

Main Methods:

  • A descriptive, hermeneutic phenomenological approach was employed.
  • Semi-structured interviews were conducted with ten adults diagnosed with persistent rheumatoid arthritis for at least five years.
  • Data analysis followed van Manen's phenomenological method.

Main Results:

  • Four core themes emerged: symptom and treatment burden, life alterations and limitations, coping and mastery struggles, and reliance on social support.
  • The illness and its treatment profoundly affected individuals' lives, with care often perceived as inadequate regarding security, access, coordination, and rehabilitation services.

Conclusions:

  • Persistent rheumatoid arthritis and its management drastically alter life quality.
  • Conventional rheumatology care may not optimally address the unique needs of individuals with persistent rheumatoid arthritis.
  • Enhanced understanding and person-centered care models are crucial for improving patient well-being and informing healthcare professionals.