Chronic and Complex Nursing Care

Chronic and Complex Nursing Care Case Study example
Case Study
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Chronic and Complex Nursing Care Name Course Name of Tutor Date of Submission Systemic Sclerosis Systemic sclerosis (SSc) is defined as a multisystemic disease that is autoimmune affecting microvessels, small arteries and fibroblasts resulting in collagen accumulation, vascular obliteration and scaring of the skin and internal organs.


The musculoskeletal symptoms include pain, tendonitis, joint contractures, muscle weakness and arthritis. Urogenital symptoms include an increase in bladder wall, deposition of connective tissues and proliferative vascular lesions. In women, vaginal symptoms include tightness, dyspareunia and dryness. In men, there is a reduced penile blood flow leading to erectile dysfunction (Vlachoyiannopoulos, 2009). Prevalence The distribution of SSc is worldwide affecting all races. The prevalence of scleroderma has been estimated to be between 4 and 253 cases per million persons. Its susceptibility is influenced by factors such as sex, age, environmental exposure and genetic background. Family members may be affected by other connective tissue diseases meaning that a genetic factor might be an important factor in expression of the disease. The peak incidence is normally within the third and fifth decade of life. The ratio of male to female is approximately 5:1 while annual incidence being 14.1 cases per million. The highest prevalence for SSc has been found to be in Choctaw Native Americans in Oklahoma (Vlachoyiannopoulos, 2009). Treatment Therapy is normally individualized to each patient’s needs and clinical presentation due to the heterogeneity of SSc. ...
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