LEARNING FORUM TEAM FIRST PRINCIPLES TERMS OF USE HELP DESK
   
  Monday Memo  
 

Weekly update from...
Athena Forum logo

 
Monday, May 27, 2013
  Clinical Accuracy Spoken Here  

Rheumatoid Arthritis (RA):
Many Questions Remain

RA is a multifaceted polygenic disease for which the etiology remains unknown.

The fact that patients with RA have higher mortality rates than the general population is widely recognized but not fully explained.

Women are afflicted with RA two to four times as often as men and evidence exists that this predisposition is hormonally-related but the mechanism by which gender influences the susceptibility to RA remains unresolved.

[Reference: RA, Module A, Prevalence and Pathophysiology]
www.athenaforum.com


  Excellence in Case Mgmt  

RA: CM Challenges

The RA patient population may be one of the more challenging patient populations to merit initial screening when prompts are made solely on diagnostic coding.

CMs must be sensitive to realizing that, while there may be existing barriers to establishing open communication, education and self-care are critical elements of successful RA therapy.

The presence of co-morbidities contributes to difficulties in self-care.

Pain is a common problem which must be controlled in RA patients. The American Pain Society (APS) has developed a treatment flowchart which provides an overview of key treatment areas for RA-appropriate pain-related interventions.

[Reference: RA, Module D, CM Role]
www.athenaforum.com


  Improving Patient Care...  

About RA: What is Known?

The clinical manifestations of RA result from a complex interaction in the synovial tissues.

Genetic factors play an important role and likely account for 50% to 60% of the risk of developing RA.

Cigarette smoking by far has the strongest RA risk association among environmental factors.

RA begins insidiously over weeks to months and has five pathophysiologic stages.

It is prudent not to ignore symptoms such as polyarticular inflammation, morning stiffness, and constitutional signs like weight loss, fever, and/or fatigue.

Cardiovascular and respiratory disorders have the greatest impact, accounting for 58% of RA deaths.

[Reference: RA, Module A, Prevalence and Pathophysiology]
www.athenaforum.com


 

Tom RasmussenTom Rasmussen
Publisher
Athena Forum
Tom.Rasmussen@AthenaForum.com

 
 

NEW courses in Development

» Professional Identity
» Ethics in Case Management
» Depression Care
» Breast Cancer Care
» Improving Outcomes in ESRD

 

 

Cathy WrightCathy Wright, BSN, RN
Clinical Editor
Athena Forum

Cathy.Wright@AthenaForum.com

 

 

Online CE for RN, CCM & LSW
4,000 pages of clinical excellence.

Clinical Excellence® Series
» Asthma
» Behavioral Health
» Colorectal Cancer
» COPD
» CV Risk: Stroke & MI
» Diabetes
» EOL & Palliative Care
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Sepsis Care
» Women's Health
» Wound Care & Payments

CM Excellence® Series

» Discharge Planning
» Hospital Revenue Cycle
» Patient Advocacy
» Population Health
» Principles of Hospital CM
» Utilization Management

 

 
 

Athena Forum Help Desk
Mon-Fri 9am-5pm ET
301-279-2160

Recommend to a friend
Tom Rasmussen, Publisher
Tom@AthenaForum.com

Enrollment & passwords
Janice Graham, Registrar
JaniceG@AthenaForum.com

  Monday Memo Archives
Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use. Click here.
 


No pause button

Athena Forum, LLC awards CE for ANCC - NASW - CCMC

Athena Forum is a world wide service mark in nursing education
by the U.S. Office of Trademarks and Patents.

Copyright 2012 All rights reserved | Headquarters in Boca Raton, FL | 800-583-2506 | www.athenaforum.com