Rheumatoid Arthritis

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es and ethnic groups. Although the disease often begins in middle age and occurs with increased frequency in older people, children and young adults also develop it.
In 1987, the American Rheumatism Association developed seven criteria to define RA. First, morning stiffness in and around joints lasting at least one hour before improvement. Second, there is arthritis of three or more joint areas. Third, there is swelling of at least one wrist, MCP, or PIP joint. Fourth, there is simultaneous symmetrical swelling in joints. Fifth and sixth, there are subcutaneous rheumatoid nodules and presence of rheumatoid factor. Lastly, there are radiographic erosions and/or Perarticular osteopenia in hand and/or wrist joints (Ryan, pp 57).
Diagnosing and treating rheumatoid arthritis is a team effort between the patient and several types of health care professionals. When assessing a patient with RA, the professional should be looking at their activities of daily living, productivity skills and interests, leisure skills and interests, active and passive range of motion, muscle strength, hand functions, endurance, and cognitive features. Some psychosocial areas to be aware of are self-concept, coping skills, interpersonal and social skills, communication skills, and support systems.
Occupational therapy for an individual with RA will help the patient underst...