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Rheumatoid Arthritis

Transcript: By Kaitlin Bell Surgery for Joint Damage Relief Medications Hands Feet Shoulders Elbows Neck Knees Hips Ankles Location of painful joints Presence of joint stiffness, swelling, or inflammation Presence of bumps under skin X-ray results Positive results of the rheumatoid antibody There is no known cure for Rheumatoid Arthritis Screening and Early Detection Methods Medications About 1% of U.S. population Two to three times more common in women When men get it, it's more severe Usually occurs in middle age Stronger Medications RISE (RA Information, Services, and Education Daily Strength RA Chicks Make sure to keep good balance between rest and exercise Have to schedule regular doctor visits May need therapy May affect decision to have children Must maintain a healthy diet Have to cope with the many restrictions Causes of the disease Something triggers immune system to attack joints Virus or bacteria alters immune system Caused by smoking Rest and Exercise Who is most likely to get the disease? Symptoms Change's in a person's lifestyle due to development of disease Organizations associated with disease Theories Risk Factors The Arthritis Foundation The American College of Rheumatology National Center for Complementary and Alternative Medicine (NCCAM) National Institute of Arthritis and Musculoskeletal and Skin Diseases Exact cause is unknown Ways to screen for the disease prior to its onset RHEUMATOID ARTHRITIS Anti-inflammatory painkillers Topical pain relievers Corticosteroids How is the disease is diagnosed? Immune suppression drugs Biologic treatments Joints that it affects Pain, inflammation, swelling, or stiffneess in joints Fever Fatigue Swollen lymph glands Symptoms are usually symmetrical Support/Research Lucille Ball Treatments/Cure/Prevention Rheumatoid Arthritis cannot be prevented but, early, aggressive treatment can prevent disability. The debilitating destruction of joints due to inflammation Existing treatments for disease Support Groups Description Recognizing symptoms early and getting them checked out Test for the rheumatoid antibody Some people seem to have an inherited or genetic factor that increases their chances but exact gentic role is unknown

Rheumatoid Arthritis

Transcript: A joint is a region where two bones meet! Sufferers need to have a balance between rest and activity- when they're tired, they should rest. However, too much rest can cause further joint pain- so keeping active is important. What is the occurance of Rheumatoid Arthritis? - According to a 2009 report by the Australian Institute of Health and Welfare, 400,000 Australians are said to be suffering from Rheumatoid Arthritis - Can affect people of all ages - Predominantly affects women more than men - Affects people from all races - Rheumatoid arthritis affects about one per cent of the population – usually younger women, aged 25 or older, with the peak age of onset at 35-45 years. It's three times more common in women than men. Children and elderly people can develop it, but less commonly (ABC, Health & Wellbeing) So what is Rheumatoid Arthritis? Rheumatoid Arthritis Symptoms of Rheumatoid Arthritis? Joint pain (the amount of pain dependant on severity of condition) Stiffness and joint pain lasts about one our in the morning (Joints affected become very stiff as the joint loses mobility) Fatigue: often requiring several naps throughout the day Swelling and tenderness of three or more joints Symmetric pain: This means if your right hand is hurting, then you will feel the same symptoms in your left hand as well Difficulty using or moving a joint normally Warmness or redness at the joints (almost like a joint fever, due to infalamation taking place) Positive factor for Rheumatoid factor Exercise as a treatment option: - Proper and regular exercise to maintain joint mobility & strength (Physical and occupational therapists work with sufferers to design an exercise plan that best suits their stage of RA, age and ability) - Wrist and finger splints can be helpful in reducing inflammation and maintaining joint alignment as well as specially designed cooking materials - Canes, toilet seat raisers and jar grippers that can assist RA sufferers with their daily activities. - Surgery can also be recommended to replace joint mobility and repair damaged joints. - Symptoms can be overcome with medicated creams that are rubbed into the skin or over the counter pain relief drugs such as Naprogesic. - Fasting or selective diets have proven to give some patients some temporary relief (such as coffee, alcohol and dairy that can worsen inflammation) •Physiotherapy and exercise – heat, cold and exercises to relieve pain and stiffness,improve joint movements and strengthen muscles •Rest – this is necessary when patients feel sore, however too much rest may worsen their condition •Occupational therapy – including counseling, walking aids, specialised cooking utensils – these can help people do daily activities more easily and with less pain Doctors often recommend: •Range-of-motion exercises (e.g., stretching, dance) help maintain normal joint movement and flexibility, and relieve stiffness •Strengthening exercises (e.g., weight lifting) maintain or increase muscle strength. Strong muscles help support and protect joints affected by arthritis. •Aerobic or endurance exercises (e.g., walking, bicycle riding, swimming) improve cardiovascular fitness, help control weight, improve strength, and improve overall well-being. The optimal type of treatment will depend on several factors, including the person's age, overall health, medical history, and severity of the arthritis •http://www.medicinenet.com/script/main/art.asp?articlekey=60768&page=3 •http://www.abc.net.au/health/library/stories/2006/04/06/1831776.htm#d •http://www.arthritisaustralia.com.au/images/stories/documents/info_sheets/2011/2011_updates/Condition_specific/Rheumatoid_Arthritis.pdf •http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/rheumatoid_arthritis •http://www.healthinsite.gov.au/topics/Rheumatoid_Arthritis •https://docs.google.com/viewer?a=v&q=cache:6qBsUmioPpUJ:www.racgp.org.au/Content/NavigationMenu/ClinicalResources/RACGPGuidelines/Earlyrheumatoidarthritis/RACGP_RA_guideline.pdf+rheumatoid+arthritis&hl=en&gl=au&pid=bl&srcid=ADGEEShFr33BO17vwu89X-toD5UfO1TTBWfafwwHiEAJxQjJMIlIJIze1O6zn-cNJEfeLW3GV2QCqn7-OPxNUL8cdSAArSg4jXfN2AVoUHsWTjs7XMSiU7RcrxpNtBxFlVeoIZ-tNSBS&sig=AHIEtbRVlvyvcJavTQNyngCDWD2vgswJHA Treatment available for RA Drugs: Symptoms managed with medicated creams that are rubbed into the skin or over the counter pain relief drugs such as Naprogesic Bibliography What types of Joints are affected? Rayan Marabani - Doctors are not fully aware of the cause of RA however they've identified a possible combination of a genetic component (the ‘Rheumatoid factor’), environmental component, and hormonal factors (endocrine imbalance) that may make some individuals more predisposed to the disease - 'Autoimmmune disease': the body's immune system starts to attack its own cells and tissues because it is unable to distinguish between its own cells and tissues (self) and those that are not (non-self) - In RA, the immune system targets the lining of joints

Rheumatoid Arthritis

Transcript: The Cause of Rheumatoid Arthritis is unknown. It is an autoimmune disease. An autoimmune disease is means that the body atatcks healthy tissue. Infection, genes, and hormone changes may be linked to Rheumatoid Arthritis. It is most commonly found in middle aged people, but can be found in any age. In 2007, an estimated 1.5 million adults were diagnosed with Rheumatoid Arthritis. Rheumatoid Arthritis affects the joints on both sides of the body: wrists, fingers, knees, feet, and ankles are the most common joints that are effected. The beginning signs are minor joint pain, stiffness and fatigue. Morning stiffness may occur, and last for more than 1 hour. If joints are not used for more than an hour, they may begin to feel warm, tender, and stiff. Joint pain is felt in both joints on both sides of the body. Over time, joints may begin to lose their range of motion, or become deformed. Other non joint symptoms: Chest pain while breathing, dry eyes and mouth, Eyes burning, itching, and dhsicharging, nodules under the skin, and numbness, tingling, or burning of the hands and feet. Rheumatoid Arthritis usually requires lifelong treratment. This would include medications, physical therapy, excersize, education, and possibly surgery. The earlier the treatment is begun, the higher chance of delay to joint destruction. Methotrexate is the most commonly used DMARD for Rheumatoid Arthritis. Leflunomide and sulfasalazine are also used. Frequent blood tests are required, due to serious side effects. Anti-flammatory medication is also an option, such as asprin and ibuprofen. These medications can, however, cause stomach bleeding and ulcers, and possible heart problems. Biologic drugs are also occasionally used. These drugs are used to affect parts of the immune system that play a role in the disease. Surgery is occasionally needed to correct several damaged joints. Surgery may include: Total joint replacement in extreme cases, and removal of the joint lining. To delay the loss of joint function and keep muscles healthy, a range of motion exercises and exercise programs are performed by a physical therapist. A physical therapist can also use special machines to give heat or electrical stimulation in order to reduce pain and improve joint movement. Usually there is a recommended rest period between activities, as well as an average of 8-10 hours of sleep. Symptoms Cause Treatment Physical Therapy Medication "Rheumatoid Arthritis - PubMed Health." Web. 16 Sept. 2011. <http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001467/>. Rheumatoid Arthritis Surgery Work Cited

Rheumatoid Arthritis

Transcript: U.S. and Swedish researchers have been comparing DNA samples. Chromosome 9 : TRAF 1 and C5. Treatments I have arthritis- JRA to RA. Kids get it too. Youth chair. Could lead to other medical issues. http://blog.nj.com/warrenreporter/2007/05/walk_raises_awareness_for_lead.html Genetic? Swelling of joints, joint pain, rheumatoid nodules, fatigue, and stiffness (especially in the morning). All joint pain is symmetrical. Samanthalee Greco Several tests can be done. i.e. RA Factor, CRP, Anti- CCP, physical exams. Clinical history X-rays "Can a Rheumatoid Arthritis Diet Help Relieve Rheumatoid Arthritis?" Http://www.webmd.com. WebMD, 2012. Web. 30 Nov. 2012. "Is Rheumatoid Arthritis a Genetic Disease?" Articlebase.com. ArticleBase, 14 Oct. 2007. Web. 30 Nov. 2012. "Who Gets Rheumatoid Arthritis?" Arthritis.org. Arthritis Foundation, 2012. Web. 30 Nov. 2012. Board, A.D.A.M. Editorial. Rheumatoid Arthritis. U.S. National Library of Medicine, 2 Feb. 2012. Web. 30 Nov. 2012. Halverson, Paul B. "Anti-CCP : A New Test for Rheumatoid Arthritis." Arthritis.org. Arthritis Foundation, Dec. 2005. Web. 30 Nov. 2012. Healthwise. "Rheumatoid Arthritis Medications." WebMD. WebMD, 14 Apr. 2011. Web. 30 Nov. 2012. MacGregor, A. J., Snieder, H., Rigby, A. S., Koskenvuo, M., Kaprio, J., Aho, K. and Silman, A. J. (2000), Characterizing the quantitative genetic contribution to rheumatoid arthritis using data from twins. Arthritis & Rheumatism, 43: 30–37.Mayo Clinic Staff. "Rheumatoid Arthritis." Mayoclinic.com. Mayo Clinic, 2 Nov. 2011. Web. 30 Nov. 2012. NIH. "Rheumatoid Arthritis: Also Called RA." Nlm.nih.gov. MedlinePlus, Oct. 2012. Web. 30 Nov. 2012. Panayi, G. S., Lanchbury, J. S. and Kingsley, G. H. (1992), The importance of the t cell in initiating and maintaining the chronic synovitis of rheumatoid arthritis. Arthritis & Rheumatism, 35: 729–735. doi: 10.1002/art.1780350702 Silman, Alan J., and Jacqueline E. Pearson. "Epidemiology and Genetics of Rheumatoid Arthritis." Biomedcentral.com. Arthritis Res, 9 May 2002. Web. 30 Nov. 2012. UMMC. "Rheumatoid Arthritis- Diagnosis." Umm.edu. University of Maryland Medical Center, 2011. Web. 30 Nov. 2012. Zelman, David. "Rheumatoid Arthritis Causes and Risk Factors." WedMD.com. WebMD, 01 May 2012. Web. 30 Nov. 2012. ruby.fgcu.edu/courses/ndemers/.../Rheumatoid%20Arthritis.ppt Symtoms and Signs Rheumatoid Arthritis RA is chronic. No medicine can cure it. Remission: exercising, medicines, RA diet/ proper diet. Sources Misc. How is it diagnosed? Named by Dr. Alfred Baring Garrod in 1958 Traced back to 4500BC (Otzi the mummy, dinosaurs, cave men). 1912, Dr. Frank Billings researched what would cause RA- focal infections. Several kinds of arthritis, RA is most common. Rheumatoid Arthritis

Rheumatoid Arthritis

Transcript: - Inflammation of the joint commonly known: OA or Osteoarthritis Prevention Determined through x-ray of the bones to identify bone erosion, inflammation, decrease in synovial membrane resulting in bone rubbing against each other. http://www.medicinenet.com/osteoarthritis_overview_picture s_slideshow/article.htm Arthritis: What does this mean? Physical Exercise & Diet No prevention measures= autoimmune disease Rheumatoid Arthritis Before a patient considers any complementary therapies, patient must talk to his doctor and let them know. Therefore traditional treatment is not affected by the complementary therapies which may or may not help a patient. WARNING! -Non- systemic illness -Break down (degeneration) of cartilage -Bone ends rub together = pain, swelling, warmth -Occurs ONLY is specific parts of the body -Stiffness occurs only for 15-20 minutes Treatments Types -Remissions occur spontaneously, depending on degree of tissue inflammation -Slow onset of pain and stiffness in 1 joint->many joints -Usually begins in small joints (hands, feet) -Loss of energy (fatigue) -Morning Stiffness- due to lack of movement / inactivity - With Dr. Cisse -No official research= unknown Minimizing stress factors REST! Symptoms -Glucosamine -MSM(methylsulfonymethane) -Chondroitin Sulphate -Devil’s Claw -Calcium Supplement Bibliography Meet a Patient - Systemic illness (affecting joints, ligament, muscles ) -Autoimmune disease = attacks Synovium fluid -Chemicals from immune system destroy cartilage and bone -Can occur in any joint -Stiffness for 45- 60 minutes -Causes deformity CAUSES -Rheumatoid Arthritis by William C Shiel Medication -Degenerative Arthritis -Inflammatory Arthritis Deformity Diagnostic - Inflammatory: Brought to you by the Arthritis Society Complementary Special Guest: Eva Cruz - As the disease progresses, it tethers and erodes the joint surface- impairing range of motion --> Leading to deformity Mrs. Langsford Health Care 11 Rheumatoid Arthritis http://www.medicinenet.com/osteoarthritis/article.htm http://en.wikipedia.org/wiki/Rheumatoid_arthritis -Stress -Heredity -Infections in the environment trigger immune system to attack - The Arthritis Society, What is Arthritis? (document from support organization) -Acupuncture -Lakota-Massage Therapy -Bracelets(magnetic or copper) -Biofeedback Symptoms: Affecting the patient Osteoarthritis, by William C. Shiel X-Ray of Rheumatoid Arthritis http://www.arthritistoday.org/conditions/rheumatoid-arthritis/ra-beyond-the-basics/ra-deformities.php Probable factors -Low grade fevers -Moderate severe weight loss -Numbness/ Tingling in fingers Arth- joint Itis - inflammation Fight It Show Degenerative: Complemantary & Alternative Medicine

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