Lifestyle advice(Panush, 2013):
• Education and counseling: patients and healthcare professionals should work together in order to choose the most suitable long-term plan (including treatment). Moreover, healthcare professionals should provide patients with sufficient information about the condition and treatment options in order to help them manage their condition. This will improve therapy outcomes.
• Rest: is beneficial for patients with RA.
• Exercise: as mentioned rest is beneficial for patients with RA since fatigue is a common symptom of the disease. Nonetheless, physical activity has been shown to improve symptoms of RA. Moreover, exercise can improve quality of sleep thereby improving fatigue.
• Physical therapy: can be used as a non-pharmacological method to manage symptoms. This can be used to relieve pain, swelling and inflammation associated with the condition.
• Eating a healthy diet: will help patients maintain body weight. Increase in body weight can increase load on joints making symptoms more severe.
• Smoking: as already mentioned, environmental factors such as smoking may increase incidence of developing RA. Therefore, stopping smoking will be beneficial to those patients with RA and who smoke.
• Alcohol intake should be reduced. Alcohol consumption will not have an effect on RA. Nonetheless, alcohol can produce toxic effect similar to those caused by anti-rheumatic drugs. For instance, methotrexate and alcohol intake can cause liver toxicity hence when used together may further increase risk of developing such a toxic effect.
7) Developing your medicines management role
All healthcare professionals including pharmacists should review current evidence-based strategies and emerging treatment options to improve the care of patients with RA. The pharmacist has an essential role in managing Rheumatoid arthritis. As a pharmacist I could carry out MURs on RA patients to...