There is difference between rheumatoid arthritis and osteoporosis

Now I know that physiological impact on patient

To be a good dr we must know patient circumstances

There is patient who seek shaman and don’t follow up with dr. maybe we dr lack something-
communication or layanan towards patient. We must do our best to treat patient well

My teammate is very cooperative and have high spirit to complete the task given. one have fever
last minute but she involved in role play. But there is other who readily volunteer to replaced her

The best moment is that we get compliment by dr Lydia. “well done u guys did a good job”. Im so
proud with my teammate. We able to doing well to accomplish the task together

We put an element of comedy to our role play so that the audience not feel bored and help them
understand our presentation much better.
For my ppd group’s discussion, we were given a task to present about rheumatoid and its
psychological issues on patients and their families. We made a research and preparation for about
two weeks.

Throughout the researching process, we have received a lot of information regarding rheumatoid
arthritis. Rheumatoid arthritis is a chronic inflammatory joint disease. In other word, it can be
defined as an autoimmune disorder with chronic systemic inflammation that affect skin, blood
vessels, heart, lungs and muscle but principally attacks the joints. The affected joints become
swollen, painful, and warm, often with redness of the overlying skin. These local reactions are
described as the cardinal signs and symptoms of inflammation. Rheumatoid arthritis can occur at
any age but most common 40-70 years old. According to the Centers for Disease Control and
Prevention (CDC), women are two or three times more likely to develop RA than men. Other than
that, regular smokers have a significantly higher risk of developing RA than non-smokers.

Psychosocial issues can be divided into social affairs and psychology impact on patients and their
families.

From social affairs aspect, patients are not being able to carry out everyday tasks both at home and
at work due to limited range of motion or difficulty moving the joints properly. Thus they need to
rely from other to assist them. RA patients also may have to quit from their job as they may having
continual pain, fatigue, functional disability or high levels of disease activity. Moreover, their
relationship with families and friends are also affected as they do not really understand what and
how the RA condition effects to the patients.

The pain and fatigue that commonly accompany a diagnosis of RA can affect a person’s ability to
carry out everyday tasks both at home and at work. It can be challenging for people with rheumatoid
arthritis to remain in physically demanding work, such as that involving manual labour, where there
is daily stress and repetitive strain on joints and muscles. Patients with continual pain, fatigue,
functional disability or high levels of disease activity often have to leave the workforce. Not only
does pain interfere with work, but it restricts participation in other roles, including those integral to
family life, such as being a parent, managing a household or maintaining intimate relationships. RA
can affect relationships because it is difficult for others to see and know how the condition effects to
the patients.

RA can also place new financial hardships on families, often because the person with RA cannot
continue to do their job or must work shorter hours. Another consequence of living with chronic
arthritis is how it alters family responsibilities. Chores and responsibilities may need to be
transferred to another family member who can better handle it. This can create a stressful situation
for both the person who must undertake more responsibility and the person who must admit that
they have become more dependent. Financial responsibility is another area which may require
modification if the arthritis patient has been the main breadwinner in the family and if a career
transition is forced by disability. Family members may find it difficult to cope with changing roles.
Most people we interviewed said that their partners had been very supportive; that they willingly
helped with domestic chores and took on caring roles.