Rheumatology Practice in Occupational Therapy: Promoting Lifestyle Management -- Copyright -- Contents -- Notes on contributors -- Preface -- Chapter 1 Living with a rheumatic disease: the personal perspective -- 1.1 Introduction -- 1.2 Living with a rheumatic condition -- Medical management -- Psychological impact -- 1.3 Developing new skills and learning -- 1.4 Summary -- Resources -- National Rheumatoid Arthritis Society -- Healthtalkonline -- References -- Chapter 2 Living with rheumatic diseases: the theoretical perspective -- 2.1 Introduction -- 2.2 Understanding and being understood -- Biographical disruption -- Legitimation -- Narrative reconstruction -- Interruption, intrusion and immersion -- 2.3 The impact of a rheumatic condition on a person's sense of self -- The presentation of self -- The contextual self -- The loss of self -- 2.4 The experience of living with a rheumatic condition -- Definitions of coping, strategy and style (Bury 1991) -- Mastery and occupational gain -- 2.5 Acknowledge the loss, promote the gain -- References -- Chapter 3 Understanding rheumatic diseases: the occupational therapy perspective -- 3.1 The centrality of occupation -- 3.2 Occupational potential -- 3.3 Occupational science -- 3.4 Understanding need -- Action identification -- 3.5 Occupational identity -- 3.6 Occupational adaptation -- 3.7 Occupational balance -- 3.8 Occupational gain -- 3.9 Clinical reasoning - the thinking that guides practice -- 3.10 Personal perspectives -- Student occupational therapist -- Specialist rheumatology occupational therapist -- Occupational therapy researcher -- Resources -- References -- Chapter 4 Managing rheumatic conditions: the policy perspective -- 4.1 Introduction -- 4.2 Increase in the ageing population -- 4.3 Increase in long-term conditions.

Promotion of effective management of people with long-term conditions -- Promotion of healthier lifestyles -- The integration of mental health support -- 4.4 The delivery of efficient client-centred approaches to health and social care -- Integrated care -- client-centred approaches to working -- 4.5 Shaping policy to meet the needs of people with rheumatic conditions -- 4.6 Conclusions -- Resources -- Websites -- References -- Chapter 5 Occupational therapy assessment and outcome measurement -- 5.1 Introduction -- 5.2 Outcome measurement: the policy context -- The outcomes agenda -- Patient reported outcomes -- Shared decision making -- 5.3 The occupational therapy assessment process -- Timing and duration -- Setting -- Involvement of others -- 5.4 Commonly used data-collection tools -- An occupational focus -- Narrative interviews -- Observational assessment -- Standardised assessments -- Standardised structured observational assessments -- Generic assessments -- Disease-specific assessments -- Dimension-specific assessments -- Population-specific assessments -- Patient-generated assessments -- 5.5 Factors influencing the choice of data-collection tool -- Choosing standardised assessment tools -- Who was involved in developing the assessment? -- How much confidence can I have in the assessment? -- Is the assessment culturally relevant? -- Other considerations -- Outcome Measures in Rheumatology -- 5.6 Summary -- Resources -- References -- Chapter 6 Psychological approaches to understanding and managing rheumatic conditions -- 6.1 Introduction -- 6.2 Health psychology and biopsychosocial perspectives -- 6.3 Coping with illness -- 6.4 Transactional model of stress -- 6.5 Self-efficacy and hardiness -- 6.6 Locus of control -- 6.7 Crisis theory -- 6.8 Coping styles -- 6.9 Moving beyond coping: hope -- 6.10 Conclusion -- Resources -- References.

Chapter 7 Approaches to promoting behaviour change -- 7.1 Introduction -- 7.2 Relevance to occupational therapists -- 7.3 Health behaviour change -- Unrealistic Optimism theory -- 7.4 Social Cognition theories -- The Theories of Reasoned Action and Planned Behaviour -- 7.5 Implications for practice -- Health Beliefs Model -- 7.6 Implications for practice -- The Trans-Theoretical Model -- 7.7 Motivational interviewing -- 7.8 Clinical example of the TTM -- Pre-contemplation -- Contemplation -- Preparation -- Action -- Maintenance -- 7.9 Limitations of the TTM -- 7.10 Conclusion -- Resources -- References -- Chapter 8 Joint protection -- 8.1 Introduction -- 8.2 What is joint protection? -- 8.3 The aims of joint protection -- 8.4 Why and when to use joint protection -- 8.5 Joint protection and energy conservation principles -- Joint protection -- Energy conservation -- 8.6 Understanding and perceptions of joint protection -- Benefits of joint protection -- Barriers to joint protection -- 8.7 Goals of joint protection education -- 8.8 Evidence for joint protection effectiveness -- Usual joint protection education -- Behavioural joint protection education in RA -- Joint protection combined with other interventions in RA -- Joint protection in hand OA -- 8.9 The Looking After Your Joints Programme and the Lifestyle Management for Arthritis Programme -- 8.10 Teaching joint protection -- Applying the Transtheoretical Model to joint protection -- Social cognitive theory applied to joint protection -- Cognitive-behavioural approaches and goal-setting in joint protection -- Educational approaches in joint protection -- Psychomotor skills teaching applied to joint protection -- Assessing joint protection education -- 8.11 Practical techniques -- 8.12 Conclusion -- Resources -- Websites -- References -- Chapter 9 Pain management -- 9.1 Introduction.

9.2 What is pain? -- 9.3 Pain and rheumatology -- 9.4 Living with rheumatic pain -- 9.5 Pain assessment -- 9.6 Pain and occupational therapy -- 9.7 Patient education -- 9.8 Fatigue management -- 9.9 Sleep hygiene -- 9.10 Medication -- 9.11 Changing behaviour -- Pacing -- 9.12 Vocational rehabilitation -- 9.13 Psychological interventions -- Cognitive behavioural therapy -- Stress management -- Relaxation -- Mindfulness -- 9.14 Social support -- 9.15 Summary -- Resources -- References -- Chapter 10 Maintaining independence -- 10.1 Introduction -- 10.2 What is assistive technology? -- 10.3 Reducing non-use of assistive technology -- Classification of AT -- 10.4 Matching person and technology -- 10.5 Applying the MPT to AT for people with rheumatic conditions -- Person-related factors -- Product-related factors -- Environment-related factors -- 10.6 Assistive technology outcomes -- Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) -- Psychosocial Impact of Assistive Devices Scale (PIADS) -- 10.7 Methods of obtaining AT -- The retail model -- The Self-Assessment Rapid Access Project (SARA) -- Trusted Assessor Framework -- 10.8 Commonly used AT and home adaptations for people with rheumatic conditions -- 10.9 Inclusive design -- Inclusive design: products -- Inclusive design: built environment -- 10.10 Conclusion -- Resources -- References -- Chapter 11 Vocational rehabilitation -- 11.1 Introduction -- 11.2 The importance of employment -- 11.3 The current context of vocational rehabilitation -- 11.4 Predictors of work disability and work instability -- Disease characteristics -- Job characteristics -- Socio-demographic variables -- 11.5 Vocational rehabilitation -- 11.6 Occupational therapy and vocational rehabilitation -- Timing of interventions -- Work assessment -- Work interview and job analysis -- Worksite assessment.

11.7 Work evaluation and monitoring -- 11.8 Condition-specific interventions -- 11.9 Work-specific interventions -- Job modification -- Environmental adaptation -- Return to work -- 11.10 Advice on redeployment or retraining -- 11.11 Counselling and advocacy -- 11.12 Post-work support -- 11.13 Summary -- Resources -- References -- Chapter 12 Rheumatology splinting -- 12.1 Introduction -- 12.2 Splinting rationale -- Pain management -- Function -- Joint protection -- Post surgery -- 12.3 Clinical decision making -- Disease management -- Management of the client -- Management of mechanical dysfunction -- 12.4 Approaches to evaluation -- Issues to consider when evaluating splints -- 12.5 Splint construction -- Off-the-shelf splints -- Custom-made splints -- 12.6 Summary -- References -- Chapter 13 Maintaining a sense of self -- 13.1 Introduction -- 13.2 Impact of rheumatic conditions on body experience -- 13.3 An introduction to strategies to increase confidence in personal presentation and clothing style -- Opening conversations -- Strategies -- 13.4 The impact of rheumatic conditions on personal and sexual relationships -- Impact on personal relationships -- Impact on sexual relationships -- Addressing sexual relationships issues in practice -- 13.5 Conclusions -- Resources -- Books & Publications -- Websites -- Associations -- References -- Index.