You are working in the emergency room, and you must conduct a…

Question You are working in the emergency room, and you must conduct a… You are working in the emergency room, and you must conduct a history and physical assessment on a 60-year-old client. The subjective information indicates the following: The client has had pain and tenderness in the joints of her fingers bilaterally. This occurs especially after playing the piano, as the client is a music teacher and piano instructor. The onset has been gradual. She also reports that her joints look a bit swollen and seem stiff when she wakes up and that it takes awhile before she is able to fully move them. She reports pain in both hands currently at a 4/10 on the numeric pain scale, but it has been as high as 8/10. Objective findings include the following notations: Assessment of the client’s hands reveal enlargement of some of the proximal interphalangeal joints (Bouchard’s nodes) and some of the distal interphalangeal joints (Heberden’s nodes). Squaring at the bases of both thumbs at the carpometacarpal joints is also noted. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)