A Younger Adult With Rheumatoid Arthritis and COVID-19 Isolation

Mrs. R is a 47-year-old White woman who moved into the long-term care facility in 2018 when she needed more assistance than could be provided in her adult-care home. Her medical history is long and complicated: rheumatoid arthritis with multiple joint replacements, seizure disorder, right hemiparesis due to cerebrovascular accident, coronary artery disease with iron deficiency anemia, and rheumatic heart disease with aortic and mitral valve replacements.