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Rheumatic Heart Disease IV: Nursing Management

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...

Rheumatic Heart Disease III: Medical Management

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...

Rheumatic Heart Disease I: Introduction

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

Peripheral Artery Disease IV: Nursing Management

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...

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Updated: May 29, 2026

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain

Published on: May 16, 2025

Rheumatologists' Perceptions of Nurse-led Telephone Consultations for Patients with Rheumatoid Arthritis in Japan.

Mie Fusama¹, Hideko Nakahara², Izumi Kobayashi³

¹Department of Nursing, Kansai University of International Studies, Miki, Hyogo, Japan.

Modern Rheumatology

|May 28, 2026

Summary

Rheumatologists largely support nurse-led telephone consultations for rheumatoid arthritis patients, viewing them as beneficial for patient satisfaction and care access. Those with dedicated rheumatology nurses showed higher agreement on nurse roles.

Keywords:

consultation nurse rheumatoid arthritis rheumatologist telemedicine telephone

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Last Updated: May 29, 2026

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain

Published on: May 16, 2025

Area of Science:

Rheumatology
Nursing Practice
Healthcare Management

Background:

Nurse-led telephone consultations are increasingly utilized in chronic disease management.
Understanding rheumatologists' perspectives is crucial for optimizing these services in rheumatoid arthritis care.

Purpose of the Study:

To evaluate rheumatologists' perceptions of nurse-led telephone consultations for rheumatoid arthritis patients.
To identify differences in perceptions between rheumatologists working with and without rheumatology care nurses.

Main Methods:

A web-based questionnaire was administered to rheumatologists regarding nurse-led telephone consultations.
Responses from 129 rheumatologists were analyzed, comparing those with and without rheumatology care nurses.

Main Results:

A high percentage of rheumatologists agreed with nurses handling telephone consultations (87.6%) and their contribution to patient satisfaction (89.9%).
Rheumatologists with rheumatology care nurses demonstrated significantly higher agreement on various aspects of nurse-led consultations.
Key benefits identified include improved patient access, triage, prompt responses, and reduced unnecessary visits.

Conclusions:

Most rheumatologists perceive nurse-led telephone consultations positively, facilitating person-centered care and economic benefits.
These consultations are seen as valuable for managing daily life issues, psychological support, and self-injection techniques in rheumatoid arthritis patients.