Rural Rheumatoid Arthritis: Delays in care cause damage and disability

2.50
Hdl Handle:
http://hdl.handle.net/10755/308318
Category:
Abstract
Type:
Presentation
Title:
Rural Rheumatoid Arthritis: Delays in care cause damage and disability
Author(s):
Rawdon, Joseph C
Lead Author STTI Affiliation:
Beta Delta-at-Large
Author Details:
Joseph C Rawdon, DNP (c), APRN-CNS, MS, joe.rawdon@okbu.edu
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

heumatoid Arthritis (RA) is a disease for which there is no cure.  RA affects 1-2% of the general population and touches all ethnic groups, sexes, and age groups.  The progressive nature of the disease coupled with patient care issues highly influence patient outcomes.  Fifty-percent of patients have irreversible joint damage 2 years from the onset of symptoms.  There has been a growing emphasis on diagnosing and treating RA early and intensively to secure positive patient outcomes.  For rural Oklahoma providers and patients, the circumstances surrounding RA are truly unique.  Rheumatology care providers are sparse, and wait times can vary from a few months to more than 1 year.  1.3 million Oklahomans face a health care provider shortage related to their rural setting; a (geographical) proximity to care deficit exists.  Of primary care providers, one-third are not familiar or are uncomfortable with managing RA, so even if care is accessible, RA might not be addressed.  A review of literature was completed for strategies addressing RA in the rural health care setting.  No items were identified.  Past positive outcomes associated with the implementation of critical pathways suggested a comprehensive pathway for RA would be beneficial.  The purpose of this project was to develop and implement a RA critical pathway for rural health care providers to serve not only as an evidenced based plan of care until specialty care can be accessed, but to function as a comprehensive longitudinal care-tool, modeling care for the RA patient in the rural health setting.  The primary capstone objective was to see improvement in at least one of the four established RA management categories.  This pilot study was implemented at two rural clinics.  Of items analyzed to help determine if the objective had been reached, five out of seven analyses provide confirmation the objective was achieved.
Keywords:
Rheumatoid Arthritis; Critical Pathway; Rural Health Care
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRural Rheumatoid Arthritis: Delays in care cause damage and disabilityen_GB
dc.contributor.authorRawdon, Joseph Cen_GB
dc.contributor.departmentBeta Delta-at-Largeen_GB
dc.author.detailsJoseph C Rawdon, DNP (c), APRN-CNS, MS, joe.rawdon@okbu.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308318-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>heumatoid Arthritis (RA) is a disease for which there is no cure.  RA affects 1-2% of the general population and touches all ethnic groups, sexes, and age groups.  The progressive nature of the disease coupled with patient care issues highly influence patient outcomes.  Fifty-percent of patients have irreversible joint damage 2 years from the onset of symptoms.  There has been a growing emphasis on diagnosing and treating RA early and intensively to secure positive patient outcomes.  For rural Oklahoma providers and patients, the circumstances surrounding RA are truly unique.  Rheumatology care providers are sparse, and wait times can vary from a few months to more than 1 year.  1.3 million Oklahomans face a health care provider shortage related to their rural setting; a (geographical) proximity to care deficit exists.  Of primary care providers, one-third are not familiar or are uncomfortable with managing RA, so even if care is accessible, RA might not be addressed.  A review of literature was completed for strategies addressing RA in the rural health care setting.  No items were identified.  Past positive outcomes associated with the implementation of critical pathways suggested a comprehensive pathway for RA would be beneficial.  The purpose of this project was to develop and implement a RA critical pathway for rural health care providers to serve not only as an evidenced based plan of care until specialty care can be accessed, but to function as a comprehensive longitudinal care-tool, modeling care for the RA patient in the rural health setting.  The primary capstone objective was to see improvement in at least one of the four established RA management categories.  This pilot study was implemented at two rural clinics.  Of items analyzed to help determine if the objective had been reached, five out of seven analyses provide confirmation the objective was achieved.en_GB
dc.subjectRheumatoid Arthritisen_GB
dc.subjectCritical Pathwayen_GB
dc.subjectRural Health Careen_GB
dc.date.available2013-12-19T17:29:45Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:45Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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