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Rheumatoid Arthritis Essay

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New criteria for identifying rheumatoid arthritis (RA) earlier in the disease progression was developed by the European League Against Rheumatism (EULAR) and American College of Rheumatology (ACR) in 2010 to allow for earlier intervention and treatment strategies therefore improving outcomes (Aletaha et al., 2010; de Hair et al., 2012; Villeneuve, 2013; Wasserman, 2011). This paper will explore prevention and treatment strategies for Rheumatoid Arthritis (RA).
Rheumatoid Arthritis Prevention Strategies
RA prevention strategies include the implementation of conventional and biologic disease-modifying antirheumatic drugs (DMARDs) (Bykerk & Massarotti, 2012, Heidari, 2011). Conventional DMARDs also known as traditional DMARDs are intended …show more content…

DMARDs are considered the foundation of treating RA with an aim to achieve remission, where the patient does not exhibit any signs of the disease within the body, with early DMARDs initiation demonstrated to be cost-effective (Arthritis Foundation, n.d.; Heidari, 2011; Wasserman, 2011). The early initiation of DMARDs has shown to reduce progression of radiologic damage such as joint erosions by 60% (Luime et al., 2016; Wasserman, 2011). Luime et al. (2016) reported treatment initiation should begin within three to four months of the onset of symptoms and benefits are dependent on how early treatment is initiated.
In 2015, the ACR conducted a systematic review of the literature evaluating the benefits and risks of treatment options and established a guideline for initiating treatments for early diagnosed RA patients defined as having RA symptoms or the disease for less than six months and for established RA patients defined as having RA symptoms or the disease for greater than six months or having met the 1987 ACR RA classification (Singh et al., 2016). Physicians should not consider the guidelines as prescriptive but a tool for discussion with the patient to determine an appropriate treatment course considering the patient’s wishes and the decision should be shared between the physician and the patient (Singh et al., 2016). Treatment strategies are based on each RA patient and are dependent upon disease severity and tolerance of medications. Typically, a RA patient

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