Mr Dave Cox Primary Care Liaison Coordinator Arthritis New Zealand - PowerPoint PPT Presentation

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)

Arthritis – what can be done? Dave Cox Primary Care Liaison Coordinator Arthritis New Zealand

Content OA guidelines Gout Rheumatoid arthritis Arthritis New Zealand services Case study NGO engagement

OA management guidelines www.bjchealth.com.au

Gout

Gout in New Zealand (1)

Gout in New Zealand (1)

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.

When to refer to a Rheumatologist • Persistent hyperuricaemia or gout attacks despite maximum tolerated ULT treatment. • Doubt about diagnosis • Failure to achieve prompt resolution of acute attacks • Development of progressive bone and joint damage on X-ray

Rheumatoid arthritis

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Services provided by Arthritis New Zealand

Arthritis New Zealand • 0800 663 463 Toll free • Arthritis Educator service • www.arthritis.org.nz • Newly diagnosed service • Support groups • Advocacy service • Research funding

Arthritis New Zealand website

Arthritis New Zealand – Interactive facebook sessions

Arthritis New Zealand Point of care testing

Arthritis New Zealand

Gout management An update Dave Cox Primary Care Liaison Coordinator Arthritis New Zealand

Fibromyalgia management An update Dave Cox Primary Care Liaison Coordinator Arthritis New Zealand

Case study 55 year old female RA Self referral

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.

Arthritis New Zealand helpline 0800 663 463 Toll free

Reference 1. https://www.hqsc.govt.nz/our-programmes/health-quality- evaluation/projects/atlas-of-healthcare-variation/gout/

Thank you Questions?..........