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Rheumatoid Arthritis

Transcript: http://www.thirdage.com/hc/c/q/rheumatoid-arthritis/1594331/what-precautions-a-patient-suffering-from-rheumatoid-arthritis-should-take http://www.niams.nih.gov/health_info/Rheumatic_Disease/rheumatoid_arthritis_ff.asp http://www.rheumatology.org/practice/clinical/classification/ra/2010_revised_criteria_classification_ra.pdf Physical Dysfunction Practice Skills for the Occupational Therapy Assistant Page 396 Interesting Info Precautions http://www.medicinenet.com/rheumatoid_arthritis/article.htm RA is a chronic disease. It occurs when your immune system mistakenly starts attacking healthy tissue that lines the joints. When your exercising you want to be very careful because you don't want to put to much stress on the joints. Work your way up to things that you want to do, take little steps. If you are heavier and develop RA it is recommended to try and have a healthier diet and try and loose some weight because the less stress on the joints the better. It may cause permanent damage if you are not careful. Rheumatoid Arthritis They look for joint stiffness Run a series of blood tests and check your rheumatoid factor as well as the citrulline antibody They may also test your sed rate factor to check for inflammation The doctor will examine your joints for inflammation, swelling, deformity, and tenderness. X-ray tests can also be used to help diagnose. A rheumatoid arthritis specialist is known as a rheumatologist. There is no known cure for RA. The goal for treating RA is to reduce inflammation and to increase mobility and also to prevent the joints from becoming deformed. The best treatment for RA is a combination of medications, rest, joint-strengthening exercises, joint protection, and patient and family education There are two types of medications used fast acting and slow acting drugs. fast acting drugs reduce pain and inflammation slow acting drugs prevent progressive joint deformation Sources Treatment Cause of Disease Diagnosis The cause of RA is unknown currently, but it is believed that it may be a hereditary disease. It may also be certain environmental factors that cause your immune system to be misdirected and cause your body to attack its own immune system. For example it has been proven that exposure to cigarette smoke may be linked to increasing the risk of getting RA. When you are pregnant your symptoms of RA lessen to almost none, but then after delivery they resume to the way they previously were. It can affect people of all ages Women are 3 times more likely to be affected then men. People with RA are twice as likely to develop depression then the normal population Its estimated that 1.3 million people suffer from RA

Rheumatoid Arthritis

Transcript: Rheumatoid Arthritis Joint deformity Damage To: cartilage tendons ligaments ends of bones Rheumatoid Nodules- lumps of tissue that form under your skin Decreased range of motion The inflammation can affect organs and internal systems Lung-disease Most common is the interstitial lung disease both are diseases that make it harder to breathe Pulmonary symptoms are shown in about 42% of patients with RA http://www.nhlbi.nih.gov/health/health-topics/topics/copd/ First, the white blood cells travel to the joints Pain Inflammation 1.3 million Americans have this disease Autoimmune Disease- the immune system is attacking its own cells and tissue (cc) photo by theaucitron on Flickr Swelling Symptoms of RA Lifespan is decreased by 10 years http://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/articles/health_tools/rheumatoid_arthritis_overview_slideshow/phototake_rm_photo_of_-rheumatoid_nodules_on_fingers.jpg http://www.health.com/health/library/mdp/0,,zm5058,00.html Member Life Long and the Chronic Obstructive Pulmonary Disease Member Introduction Facts About RA Reduction of joint inflammation medicine also known as non steroidal anti- inflammatory drugs, and corticosteriods *that is about 1% of all adults* Member Member copy paste branches if you need more.... http://www.arthritis.org/types-what-is-rheumatoid-arthritis.php Even though RA is a chronic disease, so it cannot completely be cured, there are some treatments that may help. http://www.nhlbi.nih.gov/health/health-topics/topics/copd/ (cc) photo by theaucitron on Flickr (cc) photo by theaucitron on Flickr The cells then produce proteins including interleukin-1 and tumor necrosis factor alpha Group Once someone has RA, there are points where there is less pain, this is called remission. The points when the pain comes up are called flares. Rheumatoid Arthritis is an autoimmune disease where the body's immune system attacks its own tissues. It causes many things including pain, swelling, and stiffness in the joints. http://www.nlm.nih.gov/medlineplus/rheumatoidarthritis.html Member Works Cited Can affect organs and body systems (cc) photo by theaucitron on Flickr Women are about 3x more likely to get RA http://www.metrohealth.org/body.cfm?id=1611&oTopID=1604 http://www.myrheumatoidarthritis.info/images/Rheumatoid-Arthritis-Swelling-Toes.jpg Over time, these proteins can send signals to other cells to attack the healthy tissue. http://www.ra.com/default.aspx?cid=ppc_ppd_hum_ggl_rheum_0394# http://www.hopkins-arthritis.org/arthritis-info/rheumatoid-arthritis/rheum-lung.html Member Group It cannot be cured (chronic) Member Pain Relief Medicine also known as analgesics A Heathly Lifestyle including stretching, healthy diet, strength training, and aerobic exercise Mainly 30-50 year olds Cures

Rheumatoid Arthritis

Transcript: Symptoms and Signs How Disease is Diagnosed Degree of Tissue Inflammation Flares: an increase in a patient's symptoms from their usual symptoms. Can feel Fatigued Lack of Appetite Fevers Stiffness Joints get swollen and start to feel excruciating pain Walking becomes a difficult task. Depression Anorexia Organs get affected Etiology of Rheumatoid Arthritis There isn't a cure. But to help patients, there are medications that reduce inflammation and pain. *NSAIDS(Advil, Aleve,Motrin, etc.) *Steriods*Disease-modifying Antirheumatic drugs (Trexall, Arava, etc.)*Immunosuppressants (Cytoxan, Imuran, etc.)*TNF-alpha Inhibitors (Humira, Cimzia, etc.) Occupational and Physical Therapy Doctor may send you to a therapist to learn exercises Suggest new ways to do daily tasks Assistive Devices (cane) Surgery 1.If medications fail, surgery may help by doing the following: Total Joint Replacement Tendon Repair •Joint Fusion( stabilize joints) 2.Carries risks Varies greatly Mild short-term symptoms Most cases are that the disease is progressive for life Poor Prognosis Patients suffer a double risk of heart disease, diabetes, alcohol abuse, elevated cholesterol, blood pressure and body mass index. Chronic Inflammation has been proposed as the contributing factor. Treatments Rheumatoid Arthritis What is Rheumatoid Arthritis? is an autoimmune disease that causes chronic inflammation of the joints. occurs when the body's tissues are mistakenly attacked by their own immune system. Patients with this have antibodies in their blood that target their own body tissues, where they can be associated with inflammation. can affect organs too, by inflammation as well. Doctor will do some Medical History, by asking questions if patient feels pain on certain joints. A Physical Examination will be done as well and the Doctor we'll try to see if the patient has any original symptoms of R.A. The Doctor will ask for some type of Lab Tests: X-rays Blood Tests Measure of Inflammation Bone Scans Magnetic Resonance Imaging: these tests help check if patients organs have inflammation. By: Michelle Nunez Per. 1 11/12/12 The cause for R.A. is still unknown. But doctors believe that a probable cause could be that this disease is inherited. Suspect that the environment might trigger the activation of the immune system in individuals. The immune system then attacks the body's own tissues. leads to inflammation in the joints and sometimes in various organs of the body, such as the lungs or eyes. Prognosis

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