arthritis 101
DESCRIPTION
Arthritis 101. Arthritis Information line 1-800-321-1433 (ext. 1) [email protected] www.arthritis.ca. Program Overview. A rthritis Information Becoming a Self-Manager Community Resources and Tools. Arthritis Information. Arthritis means inflammation of a joint. Symptoms include: - PowerPoint PPT PresentationTRANSCRIPT
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Arthritis 101Arthritis Information line
1-800-321-1433 (ext. 1)
www.arthritis.ca
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Program Overview
• Arthritis Information
• Becoming a Self-Manager
• Community Resources and Tools
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Arthritis Information
Arthritis means inflammation of a joint.
Symptoms include:
• Pain• Stiffness• Occasional swelling• Difficulty moving a joint• Joint damage
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Dispelling Arthritis Myths
MYTH 1: Arthritis is just aches and painsFACT: Arthritis causes severe joint pain and
damage
MYTH 2: Arthritis is a disease of the elderlyFACT: Arthritis can strike anyone at anytime
MYTH 3: Arthritis is not a costly diseaseFACT: Arthritis costs $6.4 billion in labour
market and healthcare costs annually
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You Are Not Alone!
• Affects one in six Canadians• More women than men are affected• Juvenile arthritis affects those under the age of 16• More than 100 different types• A cure has yet to be found
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Joint Points
• Cartilage is 65-85% water
• Pressure on our knees is 10X our body weight when we run
• No man-made substance is a better shock absorber than cartilage
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Impact of Arthritis
• Difficulty with daily tasks
• Stress
• Disability
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Limiting the Impact
Early diagnosis, self-management and treatment can help you take control of your disease and avoid serious joint damage.
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Early Warning Signs
• Pain in your joints for six weeks or more
• Morning stiffness or trouble moving joints upon waking
• Swelling to any of your joints
• Pain that interferes with your work and/or daily activities
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Categories
There are two main categories of arthritis:
Inflammatory DegenerativeRheumatoid arthritis
Psoriatic arthritisAnkylosing spondylitis
Systemic lupus erythematosus
Osteoarthritis (OA)Degenerative disc diseaseCarpel tunnel syndrome
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Inflammatory Arthritis
• Rheumatoid Arthritis • Autoimmune disease• Extreme fatigue• Unusual stiffness• Pain and swelling • Restricted movement• Tends to be symmetrical
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Risk Factors - Inflammatory
• Age (often starts age 30 – 60)• Family history• Gender (female)• Trigger (viral or environmental)• Smoking
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Diagnosis - Inflammatory
• Personal medical history• Family history• Joint examination• Blood tests• X-rays
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Degenerative Arthritis
• Osteoarthritis• Affects 1 in 10 people• Degeneration of cartilage• Pain and stiffness• Decreased range of motion • Tends to be asymmetrical
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Risk Factors - Degenerative
• Age • Family history• Excess weight• Joint injury• Other types of arthritis
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Diagnosis - Degenerative
• Personal medical history• Family history• Joint examination• Rule out other types • X-rays - changes are visible
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Let’s review I or D?
Usually starts in middle age (30 – 60 years)
Osteoarthritis
An autoimmune diseaseProgresses slowly, getting worse over a period of years
D
I
I
D
Inflammatory or Degenerative?
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Inflammatory or Degenerative? Let’s review I or D?Affects fewer joints and tends to be asymmetricalRheumatoid arthritisPain and swelling in weight-bearing joints such as knees and hipsRequires a trigger – viral or environmentalTends to occur in joints subject to wear and tear by excessive use
D
I
D
I
D
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How Arthritis is Managed
• Nutrition• Physical activity• Medications• Self-Management• Surgery
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Becoming a Self-Manager
We are all responsible for managing our own health!
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Self-Management
Self-Managers…
• Take control• Work in partnership• Make decisions• Make sure it gets
done!
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Self-Management
Key elements of self-management
• Communication• Physical activity• Nutrition• Treatment• Joint protection
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The key to success in any undertaking is first learning a set of skills and then practicing them until they have been mastered
Arthritis Self-Management Program (ASMP)1-800-321-1433
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Communication
Your arthritis health care team
The more you know about your disease, the more control you have and the better you will feel!
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Communication
Can explain the medications your doctor prescribesMost likely the first person you will talk to about your arthritisCan providing counseling on finances, employment, family & general coping
Arthritis specialist
Who’s who on the team?
Pharmacist
Rheumatologist
Family physician
Social worker
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Communication
Takes your history, reviews your symptoms and takes vitals before the Dr. sees youPerforms your hip replacement
Suggests specific exercises and therapiesRecommends ways to modify your activities to reduce pain, fatigue and improve function
Who’s who on the team?
Nurse
Orthopedic surgeon
Occupational therapist
Physical therapist
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Communication
Who’s missing?
Let’s brainstorm who’s missing from this list:
• Nutritionist• Massage Therapist
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Communication
Your family and friends
• Know how to communicate your needs to family and friends. • Let them know when you need help and when to allow you your independence.
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Communication
Your co-workers and employer
We’ll help your co-workers and employer learn more about the disease to ensure success in the workplace.
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CommunicationPutting your pain into words
Being able to describe your pain helps your health care team diagnose and help you.
Here are some examples of words to describe pain:• Deep• Sharp and throbbing• Dull• Pins and needles• Shooting
Let’s work together as a group to expand this list.
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Physical Activity
The revolution in treatment is physical activity
Pain causes activity
function and quality of life
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Physical activity makes sense
• Reduces stress and promotes relaxation• Improves sleep quality and duration• Enhances emotional wellbeing• Reduces body fat while increasing muscle mass• Strengthens immune system• Regains or maintains independence
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Nutrition
Healthy eating habits…
• Improve energy• Reduce the risk of many
other health issues
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Nutrition
Good nutrition helps you:
• Manage symptoms• Prevent complications• Gain control of your
health
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Canada's food guide
can help you plan for better overall nutrition
Visit Health Canada’s website today to create your own customized food guide!
www.hc-sc.gc.ca
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Treatment
Medication is no magic bullet…InflammatoryPain relievers
Anti-inflammatoriesInjections: steroids Disease-Modifying
Anti-Rheumatic Drugs (DMARDs)Biologics
DegenerativePain relievers
Anti-InflammatoriesInjections: steroids & viscosupplementation
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Surgery
Often a last resort; may be necessary if:
• Your joints become badly damaged or your pain is extreme
• Inflammatory arthritis is not responding to medication
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Alternative Therapies
Complementary and Alternative Therapies include:
• Other healthcare providers• Supplements• Psychological techniques• Physical and topical treatments
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Joint Protection
• Pacing• Positioning• Adaptation• Assistive devices
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Assistive Devices
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Take an active role
Journaling or record-keeping
Keeping a journal or health record is an excellent way to log information about you and your arthritis.
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Take an active role
• Take part in decision making• Be honest with yourself and others• Learn as much as you can about your arthritis• Understand your options• Be persistent• Keep track of progress• Explore all options• Don’t give up!
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The Arthritis Society has developed forms to help you optimize the time you have with your doctor.
CommunityResources and Tools
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Beat the Clock Toolkit
The Toolkit helps to
• Improve communication• Save you time!
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Remember…
Take Part Be realistic.
Be ready for your visit. Talk about all symptoms. What do you expect from the health care provider?
Ask questions about the diagnosis, test results, treatments and if follow-up is required.
Briefly repeat what both of you discussed.
Follow up on any instructions/recommendations.
Prepare
Ask
Repeat
Take Action
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Important Connections
The Arthritis Society Programs• Arthritis Self-Management Program (ASMP)• Chronic Pain Management (in select communities)• Physical Activity and Arthritis• Joint Health in the Workplace
Arthritis Information Line1-800-321-1433 (ext. 1)
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Local Resources
• Lethbridge• Medicine Hat• Calgary• Red Deer• Camrose• Edmonton• Edson• Grande Prairie• Fort McMurray
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5 Tips for fighting arthritis
• Get educated• Stay involved• Know your team and resources• Stay healthy• Know your medication responsibilities
Summary
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Arthritis Action Plan
• We all need a plan• What did you learn?• What did you want?• What can you do
next?
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Next Steps
• Continue your arthritis education journey
• Commit to becoming the best self-manager you can be
• Make the connections you need
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Evaluation
Please take a few moments to complete the session evaluation.
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Remember…
The Arthritis Society Arthritis Information line 1-800-321-1433 (ext. 1)
THANK YOU
KEEP IN TOUCH!