Case Study – Rheumatoid Arthritis
Objectives
1. Explain the risk factors, symptoms, etiology, progression, diagnosis, treatment and
prognosis.
2. Demonstrate the ability to access and critically evaluate information from a wide
variety of sources (such as Library databases and internet sources).
Read the case presentation and answer the questions that follow. The Case Study
Rubric will be used to assess your work. The Case Study rubric lists the criteria for each
question (required resources, word counts and citation requirements).
Case Presentation
Jocelyn. is a 48-year old female who presents to your family practice. About six months
ago she noticed that her hands were stiff in the morning. She is a hair stylist and
attributed it to putting in longer hours due to prom season. The stiffness is now lasting
close to noon. She is also having difficulty standing for long periods due to foot and
ankle pain. Jocelyn started taking ibuprofen 800 mg 3 times daily, which initially helped
take the edge off, but it’s no longer effective for pain or stiffness. She has been feeling
extremely tired. Her shoulders are starting to hurt and it’s to the point it’s affecting her
business.
The primary care physician ran some preliminary blood tests. Jocelyn’s blood tests
revealed positive rheumatoid factor, CCP antibodies, elevated ESR and elevated
C-reactive protein. Jocelyn was informed of the results were likely signs of rheumatoid
arthritis. Her PCP referred her to a Rheumatologist to be seen as soon as possible.
2 of 2
Questions
1. Define the bold words.
2. Describe the cause of rheumatoid arthritis.
3. Though her physician is sending Jocelyn to a rheumatologist, osteoarthritis may be
part of the differential diagnoses. Compare the etiology, signs and symptoms, diagnosis
and treatment for rheumatoid arthritis and osteoarthritis.
4. Jocelyn needs to be educated on the treatment for rheumatoid arthritis. Explain the
treatment using terms that Jocelyn can understand. At minimum this should include any
at- home-care, over the counter medications, prescriptions (includes physical therapy,
occupational therapy, counseling), alternative or complementary care.
5. Explain the prognosis of the disease to Jocelyn and preventative measures that can
be taken to prevent the disease from worsening.
Case Study Rubric
Criteria
3 points
Terminology N/A
2 points
Cause
All of the following criteria
are met:
0 points
All of the following criteria
are met:
Any of the following criteria Any of the following criteria
are met (all points must be are met:
met to advance to the next
All bold words are correctly level of achievement):
Answer does not
defined.
demonstrate accurate
All bold words are correctly knowledge of the
Accurately covered
defined.
terminology
required topic and required
No work submitted or
points using original
Topic covered accurately, contribution(s) do not
thought, not just the words but over-reliance on
comply with the principles
from sources.
sources, and not much
of academic honesty or
original thought.
other University policies
At least one
related to student conduct.
professional-level source
AND/OR
cited. Source is from the
DU Library, text, or a
Minor errors related to
credible medical dictionary. accuracy.
APA formatting is used to
cite sources
3 points
1 point
2 points
At least one
professional-level source
cited.
APA formatting is used to
cite sources
1 point
0 points
Any of the following criteria Any of the following criteria Any of the following criteria
are met (all points must be are met (all points must be are met:
met to advance to the next met to advance to the next
Accurately covered
level of achievement):
level of achievement):
Answer is incorrect or does
required topic and required
not demonstrate sufficient
points using original
Accurately covered
Topic covered accurately, depth of knowledge
thought, not just the words required topic and required but over-reliance on
from sources.
points using original
Length at least 50 words
thought, not just the words sources, and not much
from sources
original thought.
No work submitted or
contribution(s) do not
comply with the principles
of academic honesty or
other University policies
related to student conduct.
At least one peer-reviewed, Length at least 40 words
Minor error(s) related to
professional-level source
accuracy.
cited. Source is from the At least one peer-reviewed,
DU Library.
professional-level source
No sources cited AND/OR
cited.
questionable source used. .
APA formatting is used to
cite sources.
APA formatting is used to Errors in APA formatting
cite sources.
are present.
3.5 to 4 points
Differential
Diagnosis
2.5 to 3 points
1.5 to 2 points
0 to 1 points
All of the following points
Any of the following criteria Any of the following criteria Any of the following criteria
are covered accurately and are met (all points must be are met (all points must be are met:
in sufficient detail for
met to advance to the next met to advance to the next
diagnosed disease and
level of achievement):
level of achievement):
Answer is incorrect or does
disease to rule out:
not demonstrate sufficient
Cause/Etiology
Two or three of the
One of the following points depth of knowledge
Signs & Symptoms
following points are
is covered accurately and
Diagnosis
covered accurately and in in sufficient detail
No work submitted or
Treatment
sufficient detail for
diagnosed disease and
contribution(s) do not
diagnosed disease and
disease to rule out:
comply with the principles
Accurately covered
disease to rule out:
of academic honesty or
required topic and required
Cause/Etiology
other University policies
points using original
Cause/Etiology
Signs & Symptoms
related to student conduct.
thought, not just the words Signs & Symptoms
Diagnosis
from sources
Diagnosis
Treatment
Treatment
Length at least 200 words
Topic covered accurately,
Accurately covered
but over-reliance on
At least one peer-reviewed, required topic and required sources, and not much
professional-level source
points using original
original thought.
cited. Source is from the thought, not just the words
DU Library.
from sources
OR
Length at least 150 words
APA formatting is used to
cite sources.
Topic covered accurately,
At least one peer-reviewed, but answer(s) are too short
professional-level source
to demonstrate complete
cited.
knowledge.
APA formatting is used to
cite sources.
Length less than 100
words.
No sources cited AND/OR
questionable source used.
Errors in APA formatting
are present.
3 points
Patient
Education General
All of the following criteria
are met:
2 points
1 point
0 points
Any of the following criteria Any of the following criteria Any of the following criteria
are met(all points must be are met(all points must be are met:
met to advance to the next met to advance to the next
All of the following points
level of achievement):
level of achievement):
Answer is incorrect or does
are covered accurately and
not demonstrate sufficient
in sufficient detail:
Two or three of the
One of the following points depth of knowledge
:
following points are
is covered accurately and
At home care
covered accurately and in in sufficient detail:
No work submitted or
Over the counter
sufficient detail:
contribution(s) do not
medications
At home care
comply with the principles
Prescriptions (includes
At home care
Over the counter
of academic honesty or
pharmacological, therapy) Over the counter
medications
other University policies
Alternative or
medications
Prescriptions (includes
related to student conduct.
complementary care
Prescriptions (includes
pharmacological, therapy)
pharmacological, therapy) Alternative or
Accurately covered
Alternative or
complementary care
required topic and required complementary care
points using original
thought, not just the words Accurately covered
Topic covered accurately,
from sources
required topic and required but over-reliance on
Length at least 200 words points using original
sources, and not much
original thought.
At least one peer-reviewed, thought, not just the words
professional-level source
from sources
OR
cited. Source is from the
DU Library.
Length at least 150 words Topic covered accurately,
but answer(s) are too short
APA formatting is used to At least one peer-reviewed, to demonstrate complete
cite sources.
professional-level source
knowledge.
cited.
Length less than 100
APA formatting is used to words.
cite sources.
No sources cited AND/OR
questionable source used.
Errors in APA formatting
are present.
3 points
Patient
Education Prevention
and/or
Prognosis
2 points
1 point
All of the following criteria
are met:
0 points
Any of the following criteria Any of the following criteria Any of the following criteria
are met (all points must be are met (all points must be are met:
met to advance to the next met to advance to the next
Accurately covered
level of achievement):
level of achievement):
Answer is incorrect or does
required topic and required
not demonstrate sufficient
points using original
Accurately covered
Topic covered accurately, depth of knowledge
thought, not just the words required topic and required but over-reliance on
from sources
points using original
sources, and not much
No work submitted or
thought, not just the words original thought.
contribution(s) do not
Length at least 150 words from sources
comply with the principles
OR
of academic honesty or
APA formatting is used to APA formatting is used to
other University policies
cite sources.
cite sources.
Topic covered accurately, related to student conduct.
but answer(s) are too short
Length at least 100 words. to demonstrate complete
knowledge.
Length less than 75 words.
No sources cited AND/OR
questionable source used.
Errors in APA formatting
are present.

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