Confidentiality Disclaimer: Only patient initials are used in this article. No identifying characteristics are included in this essay. Patient: BAP. Patient age: 63 years1. Medical Conditions (Active): After taking the patient's medical history, I discovered that the patient has several active medical conditions. She has been diagnosed with rheumatoid arthritis, type II diabetes, sleep problems, high blood pressure and high cholesterol. He had rheumatoid arthritis when he was 49 and has had this disease for 14 years. You will feel pain in places involving joints such as hands, knees and hips. You also feel pain in the area around your head and neck, which contributes to your headaches. This is actually a condition in which our immune system, which is supposed to fight infections, attacks the cells lining our joints, causing them to become swollen, stiff and painful and, in the process, damaging the joint, cartilage and bone close1. The sharp pain you feel usually radiates from your heels to your hands. Walking is really painful for her due to the inflammation of the joints. This condition worsens during hot weather and if you feel stressed, which is where it causes the most pain. Not only this, she easily feels exhausted and tired after doing any activity and therefore tends to sleep a lot due to this disease. The patient also suffers from a condition called fibromyalgia, which is a disorder that causes muscle pain and an extreme feeling of tiredness. tiredness (fatigue)2. Patients will experience chronic fatigue syndrome and muscle pain, and this is treated with anti-inflammatory medications. Fibromyalgia affects your ability to lift, which limits your movement and activities such as shopping. According to the patient, this bothers her... middle of paper... penicillin allergy guide/overview9. National Heart, Lung and Blood Institute. What is COPD? [Internet]. United States: US Department of Health and Human Services; 2013 [updated July 31]. Available from: http://www.nhlbi.nih.gov/health/health-topics/topics/copd/10. World Health Organization Europe. The hard facts (second edition). Denmark: World Health Organization; 2003.11. Cleveland Clinic. Occupational and physical therapy for arthritis [Internet]. Ohio: Cleveland Clinic; 2012 [updated September 17]. Available from: http://my.clevelandclinic.org/disorders/arthritis/hic_occupational_and_physical_therapy_for_arthritis.aspx12. MedlinePlus. Type 2 diabetes – self-care [Internet]. United States: National Institutes of Health; 2013 [updated October 31]. Available from: http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000328.htm