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F. Other Organ Systems
F.4 Rheumatology
Content
Areas
- Osteo
and rheumatoid arthritis
- Physical
activity limitations and/or interventions
- Herbal
supplement-nutrient/drug interactions
- Complementary
and alternative therapies
- Physical
activity
- Medical
nutrition therapy
| After
training, the learner will be able to: |
| Knowledge
Objectives: Residents |
- Compare
and contrast the pathophysiology of osteoarthritis and rheumatoid
arthritis and explain the relative influence of nutritional
status on the progression of each disease.
- List
the common pharmacologic agents used to treat rheumatoid
arthritis, and identify the most common drug-nutrient interactions.
- Given
a patient history that includes rheumatoid disease the use
of nutrient and herbal supplements, evaluate the appropriateness
of this dietary regimen, and provide evidence-based nutritional
advice about their chosen supplements.
- Effectively
communicate with patients with rheumatoid disease to provide
accurate nutritional information and dispel misinformation,
including information about dietary supplements and fad
diets.
- Monitor
weight changes in a patient with rhematologic disease and
recommend a diet and physical activity plan to maintain
a healthy weight.
- Identify
the most commonly used dietary supplements and diets used
by patients with rheumatoid diseases, and evaluate the scientific
evidence for the efficacy of each.
- Cite
at least three examples of dietary supplements for which
there is sufficient scientific evidence to warrant their
use in the treatment of rheumatic disease.
- Describe
the changes in body composition and eating behavior typically
associated with active rheumatic disease.
- Evaluate
the evidence that supports the use of complementary and
alternative medicine to treat patients with rheumatoid disease.
- Summarize
the benefits of incorporating physical activity in the treatment
of patients with rheumatoid disease.
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| Knowledge
Objectives: Specialists |
- Describe
how to tailor a nutritional management plan to the physical
limitations and rehabilitation program of patients with
ankylosing spondylitis, polymyositis and osteoarthritis.
- Explain
how schleroderma and ALS alter nutritional status.
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| Practice
Behavior Skills: |
- Given
a patient with rheumatic disease, employ specific effective
counseling techniques matched to the patient’s status,
including assessing stage of change, goal setting, problem
solving, self monitoring, positive reinforcement, and stimulus
control.
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| Attitude
Objectives: All Learners |
- Demonstrate
appropriate sensitivity to rheumatic disease patients with
physical limitations.
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