Rheumatoid Arthritis Management Guidelines

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Questions and Answers

All acts have a social dimension because of what?

  • virtue of our social beings (correct)
  • the privacy of our lives
  • center of social system
  • social relationships

Considering the impact on others, society, and the environment is important when:

  • social relationships
  • choosing an action (correct)
  • being a holistic person
  • relating to one another

Our ability to choose indicates we are human, but our freedom is not boundless because:

  • humans can act immediately
  • of internal forces
  • of external forces (correct)
  • of what we do to others

Empathy involves 'learning to be in the shoes of another person'. What does this mean?

<p>feeling what they feel (D)</p> Signup and view all the answers

The phrase 'two opposing classes argue on whose muse excel in the contest' relates to:

<p>intersubjectivity (A)</p> Signup and view all the answers

What is involved when someone is able to compassionately identify another human's feelings?

<p>empathy (B)</p> Signup and view all the answers

Subjectivity, referring to things that we believe true, is based on:

<p>objectivity (D)</p> Signup and view all the answers

What ability helps a human person to communicate while identifying the feeling of another person?

<p>empathy (A)</p> Signup and view all the answers

The core of being relational involves what quality?

<p>relationship (D)</p> Signup and view all the answers

Justifying or proving someone's views or a transactional approach are related to what?

<p>transactional approach (C)</p> Signup and view all the answers

Flashcards

Subjectivity

Refers to things that we believe is true based on our experiences.

Empathy

The ability of the human person to communicate while at the same time identifies the feeling of the other person.

Choices

Man's attempt to balance one force against the other in any aspect of life.

simple formula which facilitates movement and makes responsibility prioritizing comprehensibile for everyone

Freedom = Responsibility

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The meaning of being relational

Being relational means interacting others as we would treat a true friend

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Relational Approach

A relational approach includes empathy and sincerity to others or expressing their feelings.

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Good

Good mean many things, it can mean "empathy"or learning to be in the "shoes of another person" and ask "what will you feel".

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Study Notes

EULAR Recommendations for Rheumatoid Arthritis Management

  • Treatment goal is remission or low disease activity
  • Closely monitor and adjust treatment
  • Engage in shared decision-making with patients
  • Start DMARDs immediately after diagnosis
  • Methotrexate is the first-line DMARD
  • If methotrexate is not suitable, leflunomide or sulfasalazine can be used
  • Glucocorticoids may be used short-term until DMARDs take effect
  • If the initial DMARD is insufficient, add or switch DMARDs
  • Biological DMARDs are considered after the first DMARD fails
  • Always combine biological DMARDs with methotrexate if using them
  • Use biological DMARDs alone if methotrexate is not an option
  • DMARD tapering can be considered after sustained remission

ACR Recommendations for Rheumatoid Arthritis Management

  • Treatment should be tailored to the individual based on disease activity, prognosis, and other patient factors
  • DMARDs should be initiated promptly after diagnosis
  • Methotrexate is the preferred initial DMARD
  • If methotrexate is contraindicated, consider leflunomide, sulfasalazine, or hydroxychloroquine
  • Short-term glucocorticoids can be used as a bridge to DMARD effectiveness
  • If the initial DMARD doesn't achieve the target, add or switch DMARDs
  • Biological DMARDs should be considered after failure of the first DMARD
  • Consider cost, patient preference, and comorbidities when using biological DMARDs
  • Tapering of DMARDs can be considered after sustained remission

Comparison of EULAR and ACR Recommendations

  • DMARD Choice:
    • EULAR: Methotrexate first-line, then leflunomide or sulfasalazine if methotrexate is contraindicated
    • ACR: Methotrexate preferred, then leflunomide, sulfasalazine, or hydroxychloroquine if contraindicated
  • Combination:
    • EULAR: Biological DMARDs are used with methotrexate unless contraindicated
    • ACR: Factors, like cost, patient preference and comorbidities should be considered when using biological DMARDs
  • Glucocorticoids:
    • Both: Short-term glucocorticoids can be used as a bridge
  • Tapering:
    • Both: Tapering of DMARDs can be considered after sustained remission

Additional Notes

  • Early diagnosis and treatment are key
  • Both guidelines prioritize methotrexate as the first-line DMARD
  • Both guidelines differ in second-line DMARD recommendations
  • Consider biological DMARDs after failure of the first DMARD
  • Taper DMARDs only after remission
  • Treatment decisions should be made with a rheumatologist, considering each unique case

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