Call for action: incorporating wellness practices into a holistic management plan for rheumatoid arthritis-going beyond treat to target.
autoimmune diseases
patient care team
physical therapy modalities
rheumatoid arthritis
Journal
RMD open
ISSN: 2056-5933
Titre abrégé: RMD Open
Pays: England
ID NLM: 101662038
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
22
09
2021
accepted:
23
11
2021
entrez:
11
12
2021
pubmed:
12
12
2021
medline:
5
1
2022
Statut:
ppublish
Résumé
This expert opinion article explores the strategy of adopting a holistic approach to the management of rheumatoid arthritis (RA) by incorporating the wellness practices of exercise, optimised sleep, optimised nutrition, mindfulness, social connectedness and positive emotions into the management plan. The aim is to attain optimal health for each patient beyond that achievable by limiting disease management to pharmacological treatment to attain the lowest achievable composite scores of disease activity, as recommended with the current treat-to-target approach, and addressing the recent recognition of pain control as a key patient-reported outcome. Incorporating wellness practices into a busy clinical setting requires creativity and customisation based on the individual practice setting and the individual needs of each patient. Such practices can help people living with RA to achieve optimum wellness through the introduction of measures-according to individual need-designed to improve the aspects of life most impacted for that person, thereby complementing treat-to-target and pain control strategies with pharmacological agents. Clinicians must consider wellness practices in addition to treat-to-target pharmacological agents for the holistic management of people with RA.
Identifiants
pubmed: 34893537
pii: rmdopen-2021-001959
doi: 10.1136/rmdopen-2021-001959
pmc: PMC8666892
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: PT: Research grants from Celgene and Galapagos and consultation fees from AbbVie, Biogen, Galapagos, Gilead, GlaxoSmithKline, Janssen, Lilly, Pfizer, BMS, Roche, Sanofi, Nordic Pharma, Fresenius and UCB. SJ has served as a consultant, member of advisory boards and/or speaker bureaus for Eli Lilly, Otsuka, Pamlab and Sunovion. MVdL reports educational grants and speaker’s–advisory fees from Eli Lilly and Company not related to this work. AL has been member of speaker bureaus for Lilly, Novartis, Amgen, Exage, Myria and Pfizer and a consultant for Amgen. WF, AQ and IdlT are employees of Eli Lilly and Company.
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