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Shared Care Panel Discussion. Caring for your Patient with Arthritis. Panelists. Moderator: Dr. Julia Alleyne Dr. Diane Lacaille Dr. Ken Hughes Ms. Linda Li Dr. George Watson Dr. Patrick Chan. Format. Provide the panel with a rolling case Direct questions to panel

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Shared Care Panel Discussion

Caring for your

Patient with Arthritis

  • Moderator: Dr. Julia Alleyne
  • Dr. Diane Lacaille
  • Dr. Ken Hughes
  • Ms. Linda Li
  • Dr. George Watson
  • Dr. Patrick Chan
  • 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
maggie s voice
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.
  • Where would you start in assessing Maggie’s symptoms and effectiveness of medication?
  • What is your approach to patient education regarding symptom management?
  • Maggie works in a sedentary job and lives alone.
  • She is experiencing prolonged morning stiffness, night time pain and increased foot joint swelling.
  • Would rehabilitation help Maggie cope better with work or home activities?
  • What has been your experience with community resources for patients like 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.
  • How do you assess knee pain which may be mechanical or osteoarthritic in the patient with inflammatory symptoms?
  • What is your criteria for surgical intervention in a patient with rheumatoid arthritis?
cortisone injections
Cortisone Injections

What’s the scoop?

  • Who
  • When
  • Why
  • How Many
  • 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.

“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.”

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