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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
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 • Ask the panel to limit answers to 2 minutes • Ask audience for questions and comments • Closing pearls of practice
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.
Panelists • Where would you start in assessing Maggie’s symptoms and effectiveness of medication? • What is your approach to patient education regarding symptom management?
Maggie • Maggie works in a sedentary job and lives alone. • She is experiencing prolonged morning stiffness, night time pain and increased foot joint swelling.
Panelists • Would rehabilitation help Maggie cope better with work or home activities? • What has been your experience with community resources for patients like Maggie?
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.
Panelist • 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 What’s the scoop? • Who • When • Why • How Many
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. “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.”
Panelist • How do you monitor and manage co-morbidities within a scheduled office visit?
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?