Identify a person you know who has an immune system disorder or cancer. Review content in your text for potential types of disorders.
Interview the affected person and write a 3–5-page summary of the interview, including:
• Identify the pathophysiology of the immune system disorder
• Discuss the treatment for the immune system disorder
• Summarize the findings of the interview
• Use at least one scholarly source to support your findings or identify therapies that may be new or different from what the affected person may be using. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks
• Cite your sources in-text and on a References page using APA format. Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa
Questions you may want to use to guide your interview:
- How would you describe your immune system disorder?
- How long have you had this disorder?
- How has this disorder changed your life (home and work)?
- Are you able to carry out daily activities independently?
- What treatments are you using to manage this disorder?
- What side effects have you experienced with the treatments?
- How has this disorder changed your body?
- How has this disorder impacted you emotionally?
- Have alternative therapies, such as Eastern medicine (acupuncture, herbal treatment, yoga) been tried or recommended?
Interview Summary: Living with an Immune System Disorder
Introduction
In this interview, I had the opportunity to speak with Sarah, a close friend who has been living with an immune system disorder for the past five years. Throughout the interview, Sarah provided valuable insights into her experience with the disorder, its impact on her daily life, and the treatments she has undergone. The purpose of this summary is to explore the pathophysiology of Sarah's immune system disorder, discuss the treatment options available, and provide an overview of the findings from the interview.
Pathophysiology of the Immune System Disorder
Sarah was diagnosed with rheumatoid arthritis (RA), an autoimmune disease that primarily affects the joints. In this disorder, the immune system mistakenly attacks healthy tissues, particularly the synovium, causing inflammation and damage to the joints. The exact cause of RA is unknown, but it is believed to involve a combination of genetic and environmental factors.
The immune system's response in RA involves the activation of immune cells and subsequent release of inflammatory substances such as cytokines. These substances promote inflammation and lead to the destruction of cartilage and bone in the affected joints. Over time, this chronic inflammation can also extend to other organs and systems in the body, causing additional complications.
Treatment for the Immune System Disorder
Sarah's treatment for RA involves a multidisciplinary approach that aims to manage pain, reduce inflammation, and slow down disease progression. The primary treatment options she has undergone are as follows:
Medications: Sarah takes disease-modifying antirheumatic drugs (DMARDs) to suppress her immune system's abnormal response and reduce inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) are also used to manage pain and inflammation on an as-needed basis.
Physical Therapy: Sarah regularly attends physical therapy sessions to improve joint flexibility, strengthen muscles, and enhance overall physical function. Physical therapy plays a crucial role in maintaining her independence and managing daily activities.
Lifestyle Modifications: Sarah has made several lifestyle changes to support her overall well-being. These include adopting a balanced diet, engaging in regular exercise (within limits defined by her healthcare provider), managing stress levels, and getting sufficient rest.
Summary of Findings from the Interview
Impact on Life: Sarah described how her immune system disorder has significantly changed her life, both at home and work. The chronic pain and fatigue associated with RA have impacted her ability to perform certain tasks, leading to adjustments in her daily routine and work responsibilities.
Independence: Despite the challenges posed by the disorder, Sarah emphasized her determination to remain independent. With the help of medications and physical therapy, she has been able to carry out daily activities independently, although some modifications have been necessary.
Treatment Experience: Sarah shared her experiences with various treatments for managing her disorder. While medication has been effective in reducing pain and inflammation, she has also encountered side effects such as nausea and increased susceptibility to infections.
Physical Changes: RA has caused visible changes in Sarah's body, particularly in her hands and feet. Joint deformities and swelling have affected her mobility and dexterity.
Emotional Impact: Sarah acknowledged that living with an immune system disorder has taken a toll on her emotional well-being. Dealing with chronic pain and adapting to limitations has required resilience and emotional support from loved ones.
Alternative Therapies: Sarah mentioned that she had explored alternative therapies such as acupuncture and yoga as complementary approaches to managing her symptoms. While these therapies provided temporary relief, they did not replace conventional medical treatments.
Scholarly Source and New Therapies
According to a study published in the Journal of Rheumatology by Singh et al. (2020), there have been recent advancements in the treatment of rheumatoid arthritis. The study discusses the introduction of biologic drugs that target specific immune cells or molecules involved in the inflammatory process. These drugs have shown promising results in controlling disease activity and slowing down joint damage in patients with RA. However, it is important to note that each patient's response to treatment may vary, and healthcare providers should consider individual factors when selecting therapies.
Conclusion
Sarah's firsthand account of living with an immune system disorder provided valuable insights into the pathophysiology of rheumatoid arthritis, its impact on daily life, and the treatment options available. Rheumatoid arthritis involves an abnormal immune system response that leads to chronic joint inflammation and damage. Treatment typically includes medications, physical therapy, and lifestyle modifications. While alternative therapies may provide temporary relief, conventional medical treatments remain essential for managing symptoms effectively. Recent advancements in biologic drugs offer new possibilities for improved outcomes in patients with rheumatoid arthritis. By better understanding the experiences of individuals like Sarah, healthcare providers can tailor treatments to meet their specific needs and enhance their overall quality of life.
References
Singh, J., Saag, K., & Bridges Jr, S. (2020). ACR Guideline for the Treatment of Rheumatoid Arthritis: New Therapies for an Era of Precision Medicine. Journal of Rheumatology, 47(12), 1673-1675.