TAILIEUCHUNG - Foot health education for people with rheumatoid arthritis: the practitioner’s perspective

Older people without adequate retirement savings will have trouble just making ends meet. Many will need long- term care, but few seniors will be able to afford it. As a result, they will have to rely on their families for support. This will put a strain on working families, who are already struggling to cope with stagnant wages, rising living costs, and the lingering effects of the Great Recession. It will also make it more difficult for younger family members to save for their own retirement. In addition to the strain on families, the retirement crisis will have. | Graham et al. Journal of Foot and Ankle Research 2012 5 2 http content 5 1 2 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access Foot health education for people with rheumatoid arthritis the practitioner s perspective Andrea S Graham1 2 Alison Hammond 1 and Anita E Williams1 2 Abstract Background Patient education is considered to be a key role for podiatrists in the management of patients with rheumatoid arthritis RA . Patient education has undoubtedly led to improved clinical outcomes however no attempts have been made to optimise its content or delivery to maximise benefits within the context of the foot affected by rheumatoid arthritis. The aim of this study was to identify the nature and content of podiatrists foot health education for people with RA. Any potential barriers to its provision were also explored. Methods A focus group was conducted. The audio dialogue was recorded digitally transcribed verbatim and analysed using a structured thematic approach. The full transcription was verified by the focus group as an accurate account of what was said. The thematic analysis framework was verified by members of the research team to ensure validity of the data. Results Twelve members all female of the north west Podiatry Clinical Effectiveness Group for Rheumatology participated. Six overarching themes emerged i the essence of patient education ii the content iii patient-centred approach to content and timing iv barriers to provision v the therapeutic relationship and vi tools of the trade. Conclusion The study identified aspects of patient education that this group of podiatrists consider most important in relation to its content timing delivery and barriers to its provision. General disease and foot health information in relation to RA together with a potential prognosis for foot health the role of the podiatrist in management of foot health and appropriate self-management strategies were considered to be key aspects of content .

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