Transcript Shared Care Panel Discussion RA OA

Shared Care Panel Discussion
Caring for your
Patient with Arthritis
Panelists
 Moderator: Dr. Julia Alleyne
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Dr. Diane Lacaille
Dr. Ken Hughes
Ms. Linda Li
Dr. George Watson
Dr. Patrick Chan
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Format
 Provide the panel with a rolling case
 Direct questions to panel
 Ask the panel to limit answers to
2 minutes
 Ask audience for questions
and comments
 Closing pearls of practice
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Maggie’s Voice
 Maggie is 51 years old and was
diagnosed with Rheumatoid arthritis
7 years ago.
 She has been managed with
medications (Plaquenil) for
inflammation but is still complaining
of pain and swelling.
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Panelists
1. Where would you start in assessing Maggie’s symptoms and
effectiveness of medication?
2. What is your approach to patient education regarding symptom
management?
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Maggie
 Maggie works in a sedentary job
and lives alone.
 She is experiencing prolonged
morning stiffness, night time pain
and increased foot joint swelling.
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Panelists
3. Would rehabilitation help Maggie cope better with work or
home activities?
4. What has been your experience with community resources for
patients like Maggie?
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Maggie
 2 weeks ago, Maggie started a
walking program on the treadmill
as she read that it exercise
might help her. She started to
run one day but felt a sudden
pop in her knee and it has been
swollen ever since.
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Panelist
5. How do you assess knee pain which may be mechanical or
osteoarthritic in the patient with inflammatory symptoms?
6. What is your criteria for surgical intervention in a patient with
rheumatoid arthritis?
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Cortisone Injections
What’s the scoop?
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Who
When
Why
How Many
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Maggie
 Maggie is divorced and has
one sister who lives 3 hours
away. Her work is as a
receptionist for a car dealer
and her hours are scattered
over days, evenings and
weekends. She has had a
“My biggest concern is that I
won’t be able to support myself
and I don’t know how to change
things around this time.
Being sick costs money!
Life’s demands don’t stop just
because you have arthritis.”
past history of panic attacks
and recently experienced
some palpitations.
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Panelist
7. How do you monitor and manage co-morbidities within a
scheduled office visit?
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Panelist
 If we were in your office for a day, what is the one pearl that you
would like us to take home regarding the care of a patient with
arthritis?
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Thank you