A family nurse practitioner evaluates two patients during th…

A fаmily nurse prаctitiоner evаluates twо patients during the same mоrning clinic session.Patient 1: A 70-year-old man reports gradually worsening bilateral knee pain over the past 6 years that is aggravated by gardening and climbing stairs. Morning stiffness lasts approximately 15 minutes and improves with movement. Physical examination reveals crepitus, bony enlargement of the DIP joints, and decreased range of motion without warmth or synovitis. ESR and CRP are within normal limits.Patient 2: A 46-year-old woman presents with progressively worsening bilateral hand pain, fatigue, and morning stiffness lasting nearly 2 hours. Examination demonstrates symmetric swelling and tenderness of the MCP and PIP joints with decreased grip strength. Laboratory studies reveal an elevated ESR, elevated CRP, and a positive anti-cyclic citrullinated peptide (anti-CCP) antibody.Which of the following is the best evidence-based management plan for these two patients?