Shared Care Panel DiscussionCaring for your

Patient with Arthritis

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Moderator: Dr. Julia Alleyne

Dr. Diane Lacaille Dr. Ken Hughes Ms. Linda Li Dr. George Watson Dr. Patrick Chan

Panelists

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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

Format

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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.

Maggie’s Voice

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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?

Panelists

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Maggie works in a sedentary job and lives alone.

She is experiencing prolonged

morning stiffness, night time pain and increased foot joint swelling.

Maggie

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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?

Panelists

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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.

Maggie

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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?

Panelist

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What’s the scoop?

WhoWhen Why How Many

Cortisone Injections

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“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.”

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 past history

of panic attacks and

recently experienced

some palpitations.

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7. How do you monitor and manage co-morbidities within a scheduled office visit?

Panelist

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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?

Panelist

Thank you