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Shared Care Panel Discussion Caring for your Patient with Arthritis Panelists Moderator: Dr. Julia Alleyne Dr. Diane Lacaille Dr. Ken Hughes Ms. Linda Li Dr. George Watson Dr. Patrick Chan 2 Format Provide the panel with a rolling case Direct questions to panel Ask the panel to limit answers to 2 minutes Ask audience for questions and comments Closing pearls of practice 3 Maggie’s Voice Maggie is 51 years old and was diagnosed with Rheumatoid arthritis 7 years ago. She has been managed with medications (Plaquenil) for inflammation but is still complaining of pain and swelling. 4 Panelists 1. Where would you start in assessing Maggie’s symptoms and effectiveness of medication? 2. What is your approach to patient education regarding symptom management? 5 Maggie Maggie works in a sedentary job and lives alone. She is experiencing prolonged morning stiffness, night time pain and increased foot joint swelling. 6 Panelists 3. Would rehabilitation help Maggie cope better with work or home activities? 4. What has been your experience with community resources for patients like Maggie? 7 Maggie 2 weeks ago, Maggie started a walking program on the treadmill as she read that it exercise might help her. She started to run one day but felt a sudden pop in her knee and it has been swollen ever since. 8 Panelist 5. How do you assess knee pain which may be mechanical or osteoarthritic in the patient with inflammatory symptoms? 6. What is your criteria for surgical intervention in a patient with rheumatoid arthritis? 9 Cortisone Injections What’s the scoop? Who When Why How Many 10 Maggie Maggie is divorced and has one sister who lives 3 hours away. Her work is as a receptionist for a car dealer and her hours are scattered over days, evenings and weekends. She has had a “My biggest concern is that I won’t be able to support myself and I don’t know how to change things around this time. Being sick costs money! Life’s demands don’t stop just because you have arthritis.” past history of panic attacks and recently experienced some palpitations. 11 Panelist 7. How do you monitor and manage co-morbidities within a scheduled office visit? 12 Panelist If we were in your office for a day, what is the one pearl that you would like us to take home regarding the care of a patient with arthritis? 13 Thank you