Combined Care of the Rheumatic Patient

1. Front Matter

   Pages i-xvi

   PDF

2. The Spectrum of Rheumatic Diseases

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 1-25

3. Investigations for Rheumatic Diseases

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 27-55

4. Treatment of Rheumatic Diseases

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 57-70

5. The Nursing Process and Rheumatology Nursing

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 71-129

6. Surgical Nursing

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 131-150

7. Physiotherapy and Occupational Therapy in the Management of Rheumatic Diseases

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 151-171

8. Patient Education

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 173-198

9. Clinical Assessments in Rheumatology

   • H. A. Bird, Patricia le Gallez, Jacqueline Hill

   Pages 199-236

10. Psychological Aspects

    • H. A. Bird, Patricia le Gallez, Jacqueline Hill

    Pages 237-243

11. Organisation and Development of Combined Care in the Outpatient Clinic

    • H. A. Bird, Patricia le Gallez, Jacqueline Hill

    Pages 245-259

12. Combined Care in the Community

    • H. A. Bird, Patricia le Gallez, Jacqueline Hill

    Pages 261-274

13. Clinical Research and Trial Methodology

    • H. A. Bird, Patricia le Gallez, Jacqueline Hill

    Pages 275-287

14. Back Matter

    Pages 289-303

    PDF

Gone are the days when the physician could act as God, the orthopaedic surgeon as the Lord God and the nurses as minister­ ing angels. The concept of a team approach with each discipline supplying special yet overlapping skills is accepted in principle, although not always in practice. Physiotherapists and occupational therapists resist integration of their training among the hierarchy; however, on the ground, these remedial therapists often do each other's jobs with remarkable amity. Elsewhere I have discussed whether we need multipurpose professionals or multiprofessional persons (Wright 1982). At Leeds the close collaboration that exists between rheumatol­ ogists and non-medically qualified professionals has resulted in a productive Bioengineering Group for the Study of Human Joints, a Clinical Pharmacology Unit of international renown and a Rehabilitation Unit that consistently produces bricks without straw. One aspect of this combined approach to patient care has been the development of the discipline of clinical nurse metrology (Bird et al. 1980). Skilled nursing sisters have worked in this capacity for a decade in Leeds. Their contribution has not only enhanced the reliability of the results of clinical trials in which they have been engaged, but it has been highly s;ost effective and greatly appreciated by patients. It has also measurably improved our patient education programme. Moreover, the posts have provided considerable job satisfaction. This book arises from the expertise gained during these pioneer years.

• Arthritis
• Patient
• care
• communication
• diagnosis
• inflammation
• joint
• muscle
• nursing
• pain
• physiotherapy
• rheumatic diseases
• rheumatism
• rheumatoid arthritis
• rheumatology

• Rheumatism Research Unit, University of Leeds, UK

  H. A. Bird, Patricia Gallez, Jacqueline Hill

• General Infirmary, Leeds, UK

  H. A. Bird

• Royal Bath Hospital, Harrogate, UK

  H. A. Bird, Patricia Gallez, Jacqueline Hill

Policies and ethics