An Integrative Approach to the Treatment of Rheumatoid Arthritis

She pointed out that the Americans with Disabilities Act provides a legal support for U.S. patients who are entitled to fair and reasonable accommodations from their employers and that it may be worth pursuing these accommodations, when possible. She further noted that many patients with rheumatoid arthritis desire not to disclose their disease to their employers, but doing so may be necessary to receive the support that they need. She also explained that splints, such as for the hands, may often be instrumental in helping patients to be comfortable and to more easily perform their work duties.

Key Points

Dr. Smith

Benjamin Smith, DMSc, PA-C, DFAAPA, program director and associate dean, School of Physician Assistant Practice, Florida State University College of Medicine, Tallahassee, who served as the moderator for this session, used the panel discussion to highlight several key points.

First, he noted that it is important to educate patients on the variety of integrative interventions that may be available across the spectrum of rheumatoid arthritis manifestations, severity and course. Second, he explained that providers must consider each person’s individual abilities and challenges and provide people with help on how to access appropriate interventions. Third, he stated that integrative interventions for rheumatoid arthritis are not one-size-fits-all. Finally, he advocated for constructing an interprofessional team for patients early in the course of their treatment.

In Sum

Hopefully, guidelines like these will support the pursuit of integrative care, with the result being that more patients have their questions answered and can engage fully in their lives.

Jason Liebowitz, MD, completed his fellowship in rheumatology at Johns Hopkins University, Baltimore, where he also earned his medical degree. He is currently in practice with Skylands Medical Group, N.J.

References

1. Fraenkel L, Bathon JM, England BR, et al. 2021 American College of Rheumatology guideline for the treatment of rheumatoid arthritis. Arthritis Care Res (Hoboken). 2021 Jul;73(7):924–939.