The article, “Stress Management for Patients with Rheumatoid Arthritis” presents the case of a 40-year-old lady who had Rheumatoid Arthritis. She presented herself to a professional medical nurse to follow up on her condition in the rheumatology clinic. When this lady was prognosed with rheumatoid Arthritis one year and a half earlier, this lady embarked on disease treatment using methotrexate, a common infection-modifying antirheumatic drug (IMARD). When the infection went under management for at least one year, the patient started complaining of different flare-ups combined with swelling and severe pains at her joints; these occurrences began before she visited the health facility. In this period, the woman received a promotion at her workplace, and therefore she was suffering from work-affiliated stress. When she visited the clinic, she said that her financial responsibilities and the strict rules she had to adhere to at her workplace, she got disturbed on the likelihood of these stressors causing the flare-ups. The lady lamented by saying that she happened to be worried by the stress, which she thought would worsen her condition. Furthermore, she said she was under particular medication; she wanted to know whether there were other alternatives for relieving her stress and the RA symptoms.
RA is a severe infection that aims at the synovial membrane of diarthrodial points, disturbing at least 1%. RA repercussions include; destruction of the joints, causing severe disability, and intensified likelihood of death ( De Brouwer et al., 2011) . Some studies have shown that stress can worsen the signs and the symptoms of the disease. Another study showed that more significant mind stressors like natural calamities, the demise of a family member, and severe relative illness are affiliated with synovial inflammation and worsening of autoimmune signs. Because some pieces of evidence affiliated to minor stressors can seriously plummet the infection's activity, it is appropriate to consider whether behavioral treatments have a possibility of plunging the operation of this infection and its symptoms. The behavioral interventions that can help in lowering the activity of the disease include; Cognitive Behavioral Treatment, Tai Chi, Yoga, and Education.
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Cognitive-Behavioral Treatment entails a form of training by professional, by the utilization of the method of relaxation, objective setting, and altering the harmful kinds of thoughts so that the pain of the patient can be lowered. Tai Chi, a form of Chinese martial art, demands thoughtful attention and concoct slow, graceful mobility in a goal to increase cardiopulmonary role, balance, and energy of the body. Education, usually spearheaded by nurses, is said to improve the kind of information and understanding of several types of behavior, including relaxation and exercise, which may have the capability to reduce the symptoms of the infection.
In conclusion, stress of the mind and the behavioral stress containment techniques may not replace conventional and biological infection-modifying treatments for people with mild to hazardous Rheumatoid Arthritis ( Gettings, 2010) . Furthermore, in case it is used as an alternative therapy, nonpharmacological therapies have shown that they are effective in lowering the symptoms of the infection. The above supplementary treatments are ordinarily safe and cheap.
Sampling Technique
The sampling technique used for the study in the Stress Management for patients with Rheumatoid Arthritis is Convenience Sampling technique. The convenience Sampling method is whereby the information which is used is readily available. The researchers did this study with the data of the patients suffering from Arthritis who were available and undergoing some complications related to this infection. This study is highly valid and reliable. This study is accurate and reliable because it has used the readily available information; hence, it is highly dependable. People who may read this study can get an instant tip on how they can manage stress related to Arthritis. Despite the advantages of this study, it has a flaw that cannot be ignored. One of the weaknesses in this study is that the review was so narrow that it only involved very few individuals, thereby affecting the chances of a robust research outcome.
Qualitative Study
A qualitative study is evidenced by the story of the forty-year-old lady who had Rheumatoid Arthritis. In summary, a forty-year-old lad lady with RA paid a visit to a nurse for the aim of containing the condition. After the moment this lady was diagnosed with mild rheumatoid Arthritis one and a half years before, this lady embarked on treatment with methotrexate. After 12 months, where she experienced excellent infection management, the woman began experiencing different flare-ups accompanied by severe swelling and some joint pain. In the same period, this lady got a promotion at her place of work. This promotion hiked her stress. When this lady paid a visit to the rheumatology nurse, the patient showed some worries regarding her financial responsibilities and the new requirements at her place of work. She was concerned whether these factors added up to her latest flare-ups. She lamented by saying that stress would exacerbate her symptoms. Nevertheless, she said she was consuming different kinds of drugs. She did enquire whether there existed other options to help her in relieving her stress.
I think the authors did achieve a sense of trustworthiness. The four elements of reliability, which include; credibility, transferability, dependability, and confirmability, are used. Trustworthiness is observed in the sense that the authors gave a story of a lady who had Arthritis. She portrayed the symptoms of a person suffering from Arthritis accompanied by its needs. The authors can improve their study by using various cases but not confining themselves to one patient.
References
De Brouwer, S. J., Kraaimaat, F. W., Sweep, F. C., Donders, R. T., Eijsbouts, A., van Koulil, S., ... & Evers, A. W. (2011). Psychophysiological responses to stress after stress management training in patients with rheumatoid Arthritis. PLoS One , 6 (12), e27432.
Gettings, L. (2010). Psychological well‐being in Rheumatoid Arthritis: a review of the literature. Musculoskeletal care , 8 (2), 99-106.
Stress Management for Patients with Rheumatoid Arthritis. (2011). Retrieved from https://www.google.com/url?sa=t&source=web&rct=j&url=https://primeinc.org/casestudies/pa_np/study/897/Stress_Management_for_Patients_with_Rheumatoid_Arthritis&ved=2ahUKEwik9tPWuZjrAhWzDWMBHbX3CxYQFjABegQIDRAG&usg=AOvVaw0w4eoGVVMmcBcbCE8Pwmp
