Clinical Practices and Management Essential in Prevention and Control of Rheumatoid Arthritis Prevalence in Women

Topic: What are the best clinical practices and management essential in prevention and
control of Rheumatoid arthritis prevalence in women?
Assessment 3
Introduction
Rheumatoid arthritis (RA) is a systemic autoimmune disease that manifests itself
mainly through joint inflammations and other extra-articular symptoms. (Lawrence et al.
2008). The disease induces painful swellings especially at the joints and can also affect other
tissues. (Helmick et al 2008). The objective of this study review is the most appropriate
clinical practices and management procedures to help in reducing mortality rates especially
amongst women. I am interested in this topic because the prevalence of Rheumatoid arthritis
has been observed to be more in women than in other categories, (Anderson et al 2013). It is
therefore important for the general population to understand the nature of the disease and the
clinical interventions and management procedures that are currently on use to reduce the
prevalence of this disease, (Genest et al 2009). The aim of this review is to identify the best
clinical interventions and management procedures that are currently on use to curb the
prevalence of Rheumatoid arthritis among women.
Best Evidence
Best Practice Level of
Evidence
Study Design In-text Citation in
CDU APA 6th Format
i. The first evidence
was initiating
patient self-
management
initiatives.
1 1 Sue C. et al, (2012).
i. Early diagnosis 2 2 Sara, Carlomaurizio,

and treatment of
rheumatoid
arthritis
Serena & Roberto (2014)
Annotated Bibliography
i. Sue C. et al, (2012). Implementing a patient-initiated review system in rheumatoid
arthritis: a qualitative evaluation, BMC Health Services Research.
The aim of this study was to evaluate how a patient self-initiated system has been implemented
in a wider view. The study was called ‘Direct Access.’ Additionally the study aimed to
investigate and analyse the experiences of the staff and patients of the so called ‘direct Access’
system, and how it would help in management of diseases, including rheumatoid arthritis. For
conducting the research for the study, twenty three respondents with rheumatic arthritis were
followed up with health care professionals. Thematic analysis was employed in analysing
notes and interview data. From the result of this study, this evidence of self-initiated practice,
would result to increasing patient confidence and empowering them, and help the patient to
have an upper hand in taking care of their health. Furthermore, the patient will be able to set
his/her goals for going for regular check-ups and this will give the patients a sense of
responsibility towards their own condition. It was observed that there was a promotion in self-
management for chronic diseases in clinics.
ii. Sara Monti, Carlomaurizio Montecucco, Serena Bugatti and Roberto Caporali
(2014). Rheumatoid arthritis treatment: the earlier the better to prevent joint

damage 87(7), 659–673.
The aim of this review was to analyse the importance of treating Rheumatoid arthritis
early and the effect this would have on the outcome of diseases, with a specific view on the
prevalence of the disease among women. In this review, the authors have demonstrated that
early diagnosis and treatment of Rheumatoid arthritis, immediate treatment are the basic
initiatives towards realizing positive outcomes in the management of Rheumatoid arthritis.
The authors assert that the efforts that have been put forward to treatment of this disease
realize very little for the management of the disease. According to them, treating diseases with
the aim of its remission using carefully chosen protocols is the standard care on management
of disease. Integrated manual and automated literature searches were conducted using specific
search terms, and from the resulting findings, manual searches were conducted to sanitize the
resulting papers and put together relevant information on the chosen research topic. The
evidence brought forth by this work is that early diagnosis and early treatment is key to
helping improving all radiographic, prognostic, functional and socioeconomic outcomes. This
evidence will be very useful in managing Rheumatoid arthritis, especially amongst women.
iii. Sofia Ajeganova and Tom Huizinga (2012). Sustained remission in rheumatoid
arthritis: latest evidence and clinical consideration. Mayo Clinic Proceedings,
87(7), 659–673.
According to this research, sustained remissions should be the ultimate goal in
treatment and management of Rheumatoid arthritis. The aim of this research is to evaluate and
analyse the impact of early remissions towards realizing sustained remissions on Rheumatoid
Arthritis patients. They assert that sustained remissions are increasing with time, though they
may not have been common historically. They argue that sustained remissions can provide
anti-rheumatic drugs that are instrumental in modifying the disease. They further say that
sustained remission is characterized with positive outcomes in functionality and in favourable
reported outcomes from patients. The research methods used in this research paper is desktop