One of the reasons lystra gretter wrote the nightingale pledge was she hated the fact that many people did not respect nurses and wanted her students to have a sense of purpose and pride in their career she hoped to sell it to other nursing schools and bring income to her program she wanted nurses to be more respected than the doctors with whom they worked it gave her nurses something to speak about with patients

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.