Chapter

Multidisciplinary team management

Sheena Hennell, Zoe Stableford, Jane Flynn and Raashid Luqmani

in Rheumatoid Arthritis

Published on behalf of Oxford University Press

ISBN: 9780199556755
Published online May 2011 | e-ISBN: 9780199607334 | DOI: http://dx.doi.org/10.1093/med/9780199556755.003.0007

Series: Oxford Rheumatology Library

Multidisciplinary team management

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• Patients with rheumatoid arthritis should be managed by a multi-disciplinary team, including the use of advice/help-lines for all patients and annual review for monitoring patients with established arthritis • Exercise has physical and psychological benefits in RA; it improves function and reduces bone loss, but high impact exercise should be avoided in patients with advanced structural damage • Physiotherapy and occupational therapy intervention can ameliorate or prevent problems with activities of daily living or employment • A hand assessment is useful to ensure that the patient is able to undertake routine nail care • Advice and education on good foot hygiene, well fitting footwear and self assessment are important in order to prevent ulceration and opportunistic infections • The use of foot orthoses is common practice to reduce pain but unproven for prevention or lessening of deformity or preservation of function • Cigarette smoking is associated with more radiographic progression and cardiovascular disease in RA.

Chapter.  3596 words.  Illustrated.

Subjects: Rheumatology

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