Final answer:
The most appropriate referral for a client with rheumatoid arthritis who struggles with buttoning clothing is occupational therapy. Occupational therapists provide tools and techniques to help with daily tasks that are hampered by joint issues.
Step-by-step explanation:
The referral that the nurse should recommend for a client who has rheumatoid arthritis and has difficulty buttoning clothing is occupational therapy. Occupational therapists specialize in helping individuals develop, recover, or maintain the daily living and working skills that their condition impairs. For a person with rheumatoid arthritis, who experiences joint pain and difficulty in movement, particularly in hand joints, an occupational therapist can introduce adaptive tools and techniques of dressing that minimize joint strain and increase independence.
While a pain management clinic can help with pain relief, and physical therapy may be involved in improving joint movement and strength, these would not specifically address the client's problem of buttoning clothing. An arthritis support group can provide community support but does not offer direct assistance with the skill. Therefore, the best referral is occupational therapy to address the functional impairment directly associated with the activities of daily living, like buttoning clothing.
Rheumatoid arthritis is a chronic condition where the synovial membrane becomes inflamed, causing joint damage and affecting daily tasks. Thus, occupational therapy is crucial in maintaining quality of life for those with RA.