Brief Description of the Subject’s Illness
Miss Jones suffers from arthritis. This condition limits her mobility, as well as reduces the quality of her life. She tries very much to ensure that the symptoms of this condition are suppressed and that she can lead a comfortable life. Her attempts are sometimes successful as she is able to participate in several activities and enjoy her old age. Miss Jones has had a career as a professor for the better part of her life and she is now aged 77. Her condition causes difficulties whenever she is walking and also causes her stiff neck. Her joints appear swollen and their shape has changed overtime due to arthritis. She also complains of her vision, which is less than perfect, but this is not directly or otherwise related to arthritis. The principle cause of her deteriorating eyesight is her old age.
She has a busy lifestyle despite her old age. For instance, she goes to casino twice weekly. This behavior is not healthy and is thought to be one of the contributing factors to her arthritis. The casinos environment is largely filled with cigarette fumes, which aggravate arthritis. Despite her advanced age, she is still a college professor; her job demands that she walk around the collage and also spends a considerable amount of her time on feet. The movement on outdoor spaces also exposes her to the great fluctuations of the temperature. Another activity she does is offering her volunteer services to ST Jude Hospital for her political party. She has had a busy lifestyle which has contributed to the wearing out of her joints; the cumulative effect of which combined with her current lifestyle is believed to have caused or aggravated her arthritic condition.
Although she has been able to manage her condition well at her home, sometimes it gets out of hand and the situation demands that she sees a doctor. One day, Miss Jones feels excruciating pain which was accompanied by swelling in her joints and the back. It renders her immobile and necessitates her calling for emergency health service which arrives in good time, responds to her condition and takes her to the hospital.
The Hospital Where the Subject Is Admitted
Miss Jones is taken to the Great Ormond Street Hospital (GOSH) which, apart from offering basic and advanced Medicare, has a specialized unit for arthritis and rheumatology (Mavrogeorgis & Adelaide Women's Community Health Centre, 1994). The hospital layout is divided into a large open space and built areas. The open space is used for fire assembly, as well as relaxation place for the large community of patients in this facility. The built area is devised primarily into two blocks where one section is meant for general health service complete with diagnostic labs for infectious diseases and treatment rooms. The second block is largely meant for rheumatic diseases and conditions (Infections and arthritis, 2013). Behind these two blocs are wards and structures holding specialized diagnostic, as well as treatment equipments. In front of the two blocks is a large emergency unit where all emergency cases are attended to.
Jones received specialized first aid from this centre which was equipped with first aid equipment and staffed with emergency specialists. She was injected with a strong pain reliever and also placed on a wheel chair. The nurses and practitioners were polite and very fast. They were also very neat. In the two blocks, there were care services for all levels; primary, secondary and tertiary care. Although arthritis is in most cases offered primary care where the patients are treated and discharged, Jones required more than primary care. In addition to checkups, treatment, consultation and diagnosis that are done with primary care, Miss Jones required specialized treatment.
Details of Hospitalization Including Any Issues in the Delivery of Care
In the emergency room, Ms Jones’ pain had to be responded to so that she could be able to express herself and, therefore, help in diagnosis. Additionally, the specialist wanted her to be comfortable as she receives more specialized care. The specialist also wanted to ensure that she had enhanced mobility, and it did not complicate her condition. It would not be desirable for her to walk again; at least until she felt better. She was placed on a wheel chair and moved to the arthritis/rheumatic section.
In the rheumatic section, the specialist carried out a specialized diagnosis as there was something unusual with her condition. The level of pain was above the normal range and the swelling was preventing her from living her normal life. Miss Jones would explain the notable changes especially in terms of pain and the swelling. The specialist, on the other hand, prescribed scans to study and evaluate the conditions of various joints. He also prescribed analysis of various samples from the inner parts of the joints to identify what had caused the worsening of Jones’ case. The specialist was very particular with checking the statuses of various joints to see if they were damaged or near damaged.
All the above diagnostic procedures were to be carried out in the labs and in the scan rooms of GOSH. The results disclosed that Ms Jones’ knee joints about to grind due to sedimentation of material residual between the joints. The specialist concluded that the synovial fluid was found to have some solids that could have formed due to change in pH of the fluid. Therefore, the he prescribed a surgery. This will be followed by close monitoring by a specialist to ensure that Ms Jones was progressing well. This process would also include education and support that would involve the patient and the family so that she could quit habits that had adversely affected her situation. Ms Jones was advised to quit strenuous activities, such as prolonged periods of walking among others. She was also advised to find a better environment of enjoying her favorite game of bingo than the casino. It is often filled with cigarette smoke which worsens her case.
GOSH was established to cater preferentially for arthritis in children. This did not mean that older people can be turned down but rather the rheumatologist section is more developed and begun much earlier. This was inspired by the complex nature of joint problems in children. Unlike in adults where joint issues, such as arthritis, is brought about by overuse or misuse of joints leading to wear or injury, problems with joints in children is caused by more complex factors such as genetics, deficiencies diseases, as well as developmental problems. GOSH has a wide range of specialists that address the rheumatic problems and arthritis. Their holistic approaches address issues such as nutrition, injuries, as well as psychosocial support for children and adults with these ailments. Rheumatic problems are rarely caused by habits as children cannot be said to have already formulated deleterious habits. This hospital caters for this problem by focusing on parents, reaching out to them and training them how to detect and deal with rheumatic cases. This division of the hospital was developed to have one of the best care and treatment centers for arthritis all over as young children grew into adults, and it was advanced even further to old age.
Devising a Plan That Covers the Issue
The best plan for treatment and care for people with arthritis needs to consider prevention of this ailment since it occurs mainly due to physical injury, imbalance in the pH or the chemical composition of the body and especially around the joint. The above causes or aggravates wear and tear of the moving parts. These are aspects that need to be included in the prevention management and treatment of the arthritis. It will be cheaper for everyone as the cases and the severity of arthritis will reduce (Jackson, Jansen & Mangoni, 2009). It will lower health insurance rates. For instance, avoiding excessive movements that will damage joints, avoiding intake of substances, as well as avoiding areas and activities that can cause injuries, will decrease the number of people streaming to hospital for treatment and, hence, health charges.
The prevention will involve exercises and healthy eating which will ensure that people remain in the optimum sizes and, therefore, do not exert undue pressure to their joints. Exercises will also strengthen muscles and make them and joints more flexible. It is known that accelerated wear of joints occurs when one is obese or overweight; therefore, keeping the bodyweight optimum will help. When joints pain arises in the process of losing weight, Glucosamine, which can be combined with Chondroitin, can be used to alleviate these symptoms.
Health Care System Somewhere Else in the World That Best Approximates the Above Plan
Japan is a country that has considerable low levels of arthritis. The reason is that people have for centuries trained in and perfected the art of keeping fit through their martial arts, and also engaging in manual labor. It keeps the average weight of the population at the optimum level and, therefore, there are fewer issues with joints that in other countries. In the US, people have more faith in curative health and, therefore, some are more reluctant in preventive health such as exercises, as well as maintaining optimum weight.
The Outcome of the Hospitalization
Ms Jones got well after hospitalization and can walk again. However, she needs to avoid large thermo-fluctuations in her environment as it is not good for her joints; additionally, she needs to ensure that she plays her game in the smoke-free environment. She also needs to reduce her strenuous activities, such as standing for long in lecture rooms, and also volunteer activities. Ms Jones needs to dedicate more time to yoga (Baynard, 2010).