Rheumatoid Arthrtis Education for Improving the Quality of Life Along with Multi Treatment Approaches
- December 26, 2019
- Posted by: RSIS
- Categories: IJRISS, Social Science
International Journal of Research and Innovation in Social Science (IJRISS) | Volume III, Issue XII, December 2019 | ISSN 2454–6186
Farzana Ashfaq , Sagar Pinjani, Bushra Khan, Zubia Saleem, Bushra Ejaz
Institute of Physical Medicine and Rehabilitation, Dow University of Health Sciences, Pakistan
Abstract
Background:
Rheumatoid arthritis is a progressive condition which can affect to person’s daily routine activities due to painful movements. There is a need to work on guiding the clients related to energy conservation, life style modification along with stress management techniques. Patient’s education is one of the important domain to improve the quality of life but in Pakistan there is not enough work has been done on RA education .So for the first time this study was conducted in Pakistan to work on all required domains and education guidelines of rheumatoid arthritis.
Objective:
To improve the quality of life by using multi approaches as providing RA education to guide proper use of energy conservation and life style modification techniques as preventions of deformities, and overcome the patient’s stress by using mindfulness meditation , as an initiative step in Pakistan.
Method
50 patients were enrolled with diagnosis of RA(Rheumatoid arthritis ) .Assessment was done with FIM scoring to find out the functional limitations ,PSOM to find out the level of stress due to progressive condition , PAIN INVENTORY to observe pain nature and how it burdened to home activities . Patient’s training was started with counseling and pain management in initial three sessions, 14 total sessions were conducted including energy conservation guideline, education for proper use of joints and safety precautions, relaxationexercises guided as home program, provision of adaptive devices for kitchen activities, eating and bathing purpose to prevent further deformities and same number of meditation sessions were provided side by side with relaxation massage and exercises.
After completion of 24 sessions re assessment was done with the same FIM scoring, Pain inventory and PSOMscale.
Results
Results showed the marked difference in pre and post scoring of FIM , pain inventory and PSOM scale.
Conclusion
Patient’s insight and education is very important especially in progressive conditions by guiding energy conservation techniques and life style modification to lessen the chance of deformities and it is also important part to work on to overcome stress to provide quality life in physical and psychosocial both areas .
Key Words: Rheumatoid Arthritis, RA education, Energy conservation, Meditation.
