Bohol Tribune
Opinion

Medical Insider – Dr. Cora E. Lim

2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis (Part 1)

We start a new topic this week and it is all about the standards of the European Alliance of Association for Rheumatology (EULAR) on the self-management strategies in patients with inflammatory arthritis (IA).
In people living with IA, and other rheumatic and musculoskeletal diseases (RMDs) and chronic conditions, one of the important aspects of treatment is the understanding of the nature of the disease and dealing with the practical, physical and psychological aspects, which may come along. It is important to understand the importance of self managing as a critical part of IA treatment and care.
Comorbidities including cardiovascular disease and common mental health conditions are critically important issues that need to be addressed in the realm of IA care.
Taking a look at physical as well as psychological health issues is important. Holistic approaches in the treatment of IA and other rheumatic problems are likely to result to better outcomes especially with the help of other specialists in a multidisciplinary team (MDT).
The MDT consists of rheumatologists, nurses, physiotherapists, occupational therapists, podiatrists, psychologists, nutritionists and any other healthcare professionals (HCPs), and others who are involved in the care of IA patients.
In order for self-management to become successful, it is important for HCPs to be given the right training. The training provides a significant impact in the treatment support for the patient as well as confidence in supporting the self-management efforts.
The EULAR was convened to come up with recommendations together with the standard medical care of IA, which encourages the patient self-management in coordination with the treatment modalities.
The aim of the EULAR task force was to come up ecommendations for the rollout of selfstrategies in patients with IA, which include rheumatoid arthritis, psoriatic arthritis and axial spondyloarthritis.
The the guidelines are meant for the HCPs including all members of the MDT and patients.
Next week we will start discussing the methods used in the formulation of the guidelines that can augment the delivery of health care for IA patients.

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