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[Answered]: Joint Pain Patient Information Patient: Mr

Joint Pain Patient Information Patient: Mr. Elias Ethnocultural background: African descent Age: 68 Mr. Elias, a 68-year-old black man, is in the physician’s office because of continuing visual problems and joint pain in his left knee. As you begin taking a history, you note that he is wearing a hearing aid. You decide to do a functional assessment. Mr. Elias states that he can bathe himself as long as he sits down to bathe but that he cannot climb into the bathtub. His wife has placed a chair in the bathroom for his use during bathing. He has no difficulties with toileting, dressing, or eating, but he gets “tired and sore” if he walks more than a block. He dreads going to stores because he “can’t walk that much” and relies on his wife for grocery shopping, housekeeping, cooking, and laundry chores. He hires a neighbourhood boy to mow the lawn. He is able to drive without difficulty; his car has an automatic transmission. He lives in a two-storey home, and he says that once he is downstairs for the day, he tries not to go upstairs until bedtime. His home has one bathroom on the lower level. He is a retired postal worker and enjoys spending time with his wife and in his flower garden. Lately the knee pain has kept him from his gardening chores. He is active in his church and local civic clubs. He and his wife have been looking forward to a seniors’ cruise that is scheduled in 2 months. Answer the following question and check your answer by clicking on the Show Answer button. What are three additional history questions you might ask regarding his mobility? What is your assessment of his self-care ability? What can you do to enhance your communication with Mr. Elias during the interview? His knee pain could be caused by osteoarthritis, rheumatoid arthritis or ankylosing spondylitis. Which condition is best suggested by your assessment? Support your answer. What are the risk factors for osteoarthritis?

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