1 The result can be joint damage, pain, swelling, inflammation, loss of function and disability. Rheumatoid arthritis commonly affects the wrist and finger joints and can cause deformities that make it difficult to use the hands.  Juvenile arthritis (JA).
Presentation refers to a bouquet that is held in the arms, typically with the blooms laying in the crook of one arm and the stems stretching to the other elbow, similar to how you would hold a baby.
A garland is a circular arrangement of flowers, worn or hung for decoration. Think of the strings of pine and holly people hang at holiday time, or the ring of roses they put around the Kentucky Derby winner's neck. First recorded circa 1300, the word garland in the simplest terms means a circle of flowers or other greenery. Hawaiian leis are a type of garland, as are holiday wreaths and the little flower crowns that flower girls wear at weddings.