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Rheumatoid Arthritis

WHAT YOU NEED TO KNOW:

Rheumatoid arthritis (RA) is a long-term autoimmune disease that causes inflammation and damage to your joints. RA causes your body's immune system to attack the synovial membrane (lining) in your joints. RA can also affect other organs, such as your eyes, heart, or lungs. It may also increase your risk of osteoporosis (weakened bones).

DISCHARGE INSTRUCTIONS:

Return to the emergency department if:

  • You have increased joint swelling, pain, or redness.
  • You have sudden shortness of breath.
  • You lose feeling in your hands or feet.

Contact your healthcare provider or rheumatologist if:

  • You have a fever.
  • Your skin is itchy, swollen, or has a rash.
  • Your symptoms are getting worse, even with treatment.
  • You have questions or concerns about your condition or care.

Medicines:

  • Antirheumatics help slow the progress of RA, and reduce pain, stiffness, and inflammation.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Biologic therapy helps your immune system fight the disease. These medicines increase the risk of serious infection and require careful monitoring.
  • Steroids: This medicine may be given to decrease inflammation.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider or rheumatologist as directed:

Write down your questions so you remember to ask them during your visits.

Manage your symptoms:

  • Go to physical and occupational therapy as directed. A physical therapist can teach you exercises to help improve movement and strength, and to decrease pain. An occupational therapist can teach you skills to help with your daily activities.
  • Use support devices. You may be given splints to wear on your hands to help your joints rest and to decrease inflammation. While you sleep, use a pillow that is firm enough to support your neck and head.
  • Rest when needed. Rest is important if your joints are painful. Limit your activities until your symptoms improve. Gradually start your normal activities when you can do them without pain. Avoid motions and activities that cause strain on your joints, such as heavy exercise and lifting.
  • Use ice or heat. Both can help decrease swelling and pain. Ice may also help prevent tissue damage. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel and place it on your joint for 15 to 20 minutes every hour or as directed. You can apply heat for 20 minutes every 2 hours. Heat treatment includes hot packs, heat lamps, warm baths, or showers.
  • Physical activity can help increase strength and flexibility. Be as active as possible while avoiding things that increase your pain. Ask your healthcare provider or rheumatologist about the best exercise plan for you.

Use special equipment:

The following devices may help you move and prevent falls:

  • Orthotic shoes or insoles can support your feet when you walk.
  • Crutches, cane, or a walker may help decrease your chance of falling or being hurt. They also decrease stress on affected joints. Ask for more information about how to choose and use crutches, a cane, or a walker.
  • Devices to prevent falls include raised toilet seats and bathtub bars to help you get up from sitting. Handrails can be placed in areas where you need balance and support.

Self-care:

  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Ask if you need to be on a special diet. A diet rich in calcium and vitamin D may decrease your risk of osteoporosis. Foods high in calcium include milk, cheese, broccoli, and tofu. Vitamin D may be found in meat, fish, fortified milk, cereal and bread. Ask if you need calcium or vitamin D supplements.
  • Maintain a healthy weight. This may help decrease strain on joints in your back, knees, ankles, and feet. Ask your healthcare provider how much you should weigh. Ask him to help you create a weight loss plan if you are overweight. Maintain a healthy weight to help decrease strain on the joints in your back, knees, ankles, and feet.
  • Do not smoke. Nicotine and other chemicals in cigarettes and cigars can cause lung damage. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.

Ask your healthcare provider about vaccines:

You may be at an increased risk for infections due to RA and its treatment. Vaccines may prevent infections from various viruses.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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