Sixty-nine–year-old John awoke from his sleep last night and complained of excruciating pain in his left “big toe.” He said that he could not even tolerate the bed clothes on top of his foot. Today in clinic, his first metatarsophalangeal joint of his left foot is reddened, is warm to touch, and has a decreased range of motion. How will you describe to John what is occurring and why? How will John’s lifestyle be altered as a result of this condition?

DQ1.  Read a qualitative nursing study. If a different investigator had gone into the field to study the same problem, how likely is it that the conclusions would have been the same? How transferable are the research findings?

DQ2. Sixty-nine–year-old John awoke from his sleep last night and complained of excruciating pain in his left “big toe.” He said that he could not even tolerate the bed clothes on top of his foot. Today in clinic, his first metatarsophalangeal joint of his left foot is reddened, is warm to touch, and has a decreased range of motion.

  1. How will you describe to John what is occurring and why?
  2. How will John’s lifestyle be altered as a result of this condition?

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