SLIDE 1 Mr Dave Cox
Primary Care Liaison Coordinator Arthritis New Zealand Dunedin 8:30 - 9:25 WS #72: A Good Resource for Arthritis Patients 9:35 - 10:30 WS #82: A Good Resource for Arthritis Patients (Repeated)
SLIDE 2 Arthritis – what can be done? Dave Cox
Primary Care Liaison Coordinator Arthritis New Zealand
SLIDE 3
SLIDE 4
Content OA guidelines Gout Rheumatoid arthritis Arthritis New Zealand services Case study NGO engagement
SLIDE 5
OA management guidelineswww.bjchealth.com.au
SLIDE 6
Gout
SLIDE 7
SLIDE 8
Gout in New Zealand (1)
SLIDE 9
Gout in New Zealand (1)
SLIDE 10 Treat to target!
- Aim for target serum urate level of
<0.36mmol/l
- More recent British Society of
Rheumatology (2017) guidelines suggest aim for lower target (0.30mmol/l)
- Non-adherence to Urate Lowering
Therapy (ULT) is a challenge.
SLIDE 11
SLIDE 12 When to refer to a Rheumatologist
- Persistent hyperuricaemia or gout
attacks despite maximum tolerated ULT treatment.
- Doubt about diagnosis
- Failure to achieve prompt resolution
- f acute attacks
- Development of progressive bone
and joint damage on X-ray
SLIDE 13
Rheumatoid arthritis
SLIDE 15
Services provided by Arthritis New Zealand
SLIDE 16 Arthritis New Zealand
- 0800 663 463 Toll free
- Arthritis Educator service
- www.arthritis.org.nz
- Newly diagnosed service
- Support groups
- Advocacy service
- Research funding
SLIDE 17
Arthritis New Zealand website
SLIDE 18
Arthritis New Zealand – Interactive facebook sessions
SLIDE 19
Arthritis New Zealand
Point of care testing
SLIDE 20
Arthritis New Zealand
SLIDE 21 Gout management
An update Dave Cox
Primary Care Liaison Coordinator Arthritis New Zealand
SLIDE 22 Fibromyalgia management
An update Dave Cox
Primary Care Liaison Coordinator Arthritis New Zealand
SLIDE 23
Case study 55 year old female RA Self referral
SLIDE 24 Interventions
- 1. Discussed current treatment (Leflunomide).
- 2. Discussed self management.
- 3. Provide information.
- 4. Enrol onto water based exercise
programme.
- 5. Enrol onto Total Mobility Scheme.
- 6. Provide support group information.
- 7. Link to DIS Dunedin for assistive aids.
SLIDE 25
Arthritis New Zealand helpline 0800 663 463 Toll free
SLIDE 26 Reference
- 1. https://www.hqsc.govt.nz/our-programmes/health-quality-
evaluation/projects/atlas-of-healthcare-variation/gout/
SLIDE 27
Thank you
Questions?..........
