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Rheumatoid arthritis is an autoimmune disease in which the body's defence mechanisms go into action when there is no threat. In this case, the immune system attacks the joints and sometimes other parts of the body. It is not yet known why the immune system acts in this way in some people. The joints become inflamed, particularly the synovial membrane, the tendon sheaths, the fluid that allow muscles and tendons to move smoothly over one another. Inflammation sometimes becomes far worse, a flare up, when the joints become warm and red as blood flow to the area increases. The synovial membrane produces extra fluid, causing swelling and a stretching of the ligaments around the joint. The result is a stiff, swollen and painful joint. Treating inflammation as quickly as possible is vital because once joint damage has occurred it can not be reversed.

|Resident’s Issues |Consultation Assessment and Plan |Signature |Date |ReviewDate |

|and Objectives | | | | |

| |2. Note the resident's and, or relative's understanding of the condition and any concerns or anxieties they have: | | | |

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| |3. Note the past medical history of rheumatoid arthritis, when it was diagnosed and any treatments prescribed: | | | |

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| |4. Note the areas affected: | | | |

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| |5. Highlight symptoms evident or experienced by the resident: | | | |

| || JOINT PAIN | THROBBING PAIN | ACHING PAIN | JOINT STIFFNESS | SWELLING | REDNESS AROUND JOINTS | | | | |

| || JOINTS HOT AND TENDER TO TOUCH | FIRM SWELLINGS AROUND THE JOINTS | FATIGUE | FEVER | SWEATING | | | | |

| || POOR APPETITE | WEIGHT LOSS | DRY EYES | CHEST PAIN |….………………………………………………………………. | | | |

| |6. Highlight the activities of daily living the resident has issues with, due to having rheumatoid arthritis: | | | |

| || getting up in the morning | dressing | eating and drinking | insomnia due to pain | mobility | | | | |

| || going to the toilet due to reduced mobility | constipation due to analgesia | going to bed | | | | |

| || SOCIALISING | …………………………………………………………………………………………………………………………… | | | |

| |7. Note the agreed plan of care to address the activities of daily living the resident has issues with: | | | |

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| |8. Note the prescribed medication, the dose and frequency: | | | |

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| |9. Monitor the resident’s condition and consult with General Practitioner as necessary. | | | |

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|Name |Resident/Relative Signature |Date |

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