Her RA factor and Esr levels show that she has Rheumatoid arthritis.I would recommend you to start her with Homeopathy, as it can help you for Arthritis as well as breathing problem both.Also by this way you can avoid pain killers which is said to damage kidneys in longer term.
Homoepathy has good medicines for Arthritis
Next Steps
Consult a good Homoeopathic Doctor
Health Tips
Avoid over the counter Homoeopathic medicine consult an expert who has managed such cases