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Arthritis CNS Presentation

The Clinical Nurse Specialist (CNS) plays a key role in rheumatology by providing expert direct patient care, counseling, coordination of services, patient education, and research. The CNS manages symptoms such as pain, stiffness, and fatigue, provides education on drug treatments and self-management strategies, and offers ongoing support to minimize the emotional impact of rheumatoid arthritis. Studies show CNS involvement positively influences patients' perceived ability to cope with their condition and improves symptom management.

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77 views12 pages

Arthritis CNS Presentation

The Clinical Nurse Specialist (CNS) plays a key role in rheumatology by providing expert direct patient care, counseling, coordination of services, patient education, and research. The CNS manages symptoms such as pain, stiffness, and fatigue, provides education on drug treatments and self-management strategies, and offers ongoing support to minimize the emotional impact of rheumatoid arthritis. Studies show CNS involvement positively influences patients' perceived ability to cope with their condition and improves symptom management.

Uploaded by

Quek Quek
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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The Role of the Clinical Nurse

Specialist in Rheumatology
INTRODUCTION

 IDENTIFY KEY POINTS AND PROVIDE AN


OVERVIEW OF CNS ROLE IN
RHEUMATOLOGY
INFLAMMATORY PROCESS

 TRIAD OF PAIN

 STIFFNESS

 FATIGUE

 WEIGHT LOSS

 ANAEMIA
ROLE OF CNS

 EXPERT DIRECT CARE  COUNSELLOR


PROVIDER
 CO-ORDINATOR OF
 EDUCATOR SERVICES

 COMMUNICATOR  AUDITOR

 RESEARCHER  MANAGER OF PATIENT


LOAD/NURSE LED
CLINIC
 ESSENTIALS OF NURSING CARE

 ACTIVITIES OF DAILY LIVING

 PAIN MANAGEMENT

 TISSUE VIABILITY (patients on steroids)

 PATIENT EDUCATION

 TECHNICAL SKILLS
• INTRA-ARTICULAR INJECTIONS
 Specialist experience
 Physical/emotional and social needs
 Explain diagnosis
 Reduce anxiety fear
 Listen to concerns
 Provide information
 Support during periods of change
 Explain symptoms
 Strategies to reduce symptom impact
 Teach about drug treatments
 Pre treatment counselling/screening
 Drug regime
 Monitoring
 Shared care with GP
 Side effects
 Vaccines
 Pregnancy and fertility
 Ongoing Support
 Designated CNS
 point of direct contact
 Easy access
 Advice and support in managing symptoms
 Concerns regarding treatment
 Minimise emotional impact of condition
 Home and workplace
 Telephone advice lines
 Email access
TREATMENT

 USE OF DRUG TREATMENT


(DMARDS / NSAIDS / BIOLOGICS)
• TO IMPROVE SYMPTOMS AND REDUCE PROGRESSION
AND DEFORMITY

 EXERCISE
• TO MAINTAIN MUSCLE STRENGTH

 EDUCATION
• ENABLE PATIENTS TO DEVELOP SELF MANAGEMENT
STRATEGIES
 POSITIVE IMPACT ON  PATIENTS ADJUST BETTER
SYMPTOM MANAGEMENT TO IMPACT OF CARE

 SIMILAR EFFICACY  INCREASED PERSONAL


BETWEEN CNS AND CONTROL OVER RA
RHEUMATOLOGIST
 ABILITY TO WORK AS
 POSITIVELY INFLUENCE PARTNER WITH PATIENT
PATIENTS’ PERCEIVED AND THEIR FAMILIES
ABITLITY TO COPE WITH RA
HEALTHCARE PROFESSIONALS IN
RHEUMATOLOGY

 CLINICAL NURSE SPECIALISTS

 DRS

 PHYSIOTHERAPISTS

 OCCUPATIONAL THERAPISTS

 PODIATRISTS

 DIETICIANS
CNS AT UCLH
 LEAD NURSE/BIOLOGIC CNS
 RHEUMATOLOGY CNS
 RHEUMATOLOGY/OSTEOPOROSIS CNS
 ADOLESCENT CNS
 5 RESEARCH NURSES
 LEAD NURSE INFUSION CLINIC
 STAFF NURSES INFUSION CLINIC

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