Population (Community)

Assessment Presentation:
Arthritis
Maegan Bell, MSN Nurse Practitioner Student
NURS 7356
 Impact of Arthritis
Background & why its important to healthcare:
Most common cause of disability
Millions are diagnosed each year in the US
Millions with arthritis report activity limitations
Costs healthcare billions of dollars each year
Visits, hospitalizations, surgeries, disability
Increased risk for developing or worsening co-morbidities
d/t functional limitations, decreased physical activity
*Vicious cycle in healthcare*
 Population
Population:
10 participants
Arthritis diagnosis
Rheumatoid,
osteoarthritis
Setting:
Hughston Orthopedic
Clinic, Columbus, GA
 Statistics

10 Participants
Gender
70% Female

Mean age: 65
Male; 30%
80% Caucasian

20% African-American
Female; 70%
70% OA

30% RA
 Goal
Decrease the growing impact
of arthritis on the healthcare
system today.

Ways to achieve goal:

Ensure patients with
arthritis have a proper
relationship with the
treating provider
Ensure patients have
resources available to
effectively manage the
disease
Objective 3. Before the patient
leaves:
1. While in the clinic: Ensure patient
Identify patients with arthritis satisfaction with
diagnosis for participation treatment choices/
Collect patient completed regimen
questionnaire
4. Before the patient
2. Before the patient leaves:
leaves:
Review the questionnaire
Connect the patient
Ensure patient comfort and
satisfaction with provider with proper resources
Gender/ race disparities
for effective self-
management
Handouts,
pamphlets, websites
Survey Tool - Patient Completed
Questionnaire Impact on ADLs
Loss of
Identified factors such as: independence
Type of arthritis & Onset Inactivity/ Immobility
Race, Age & Gender Depression status
Height and Weight Opinion on whether
Additional comorbidities their gender or race
Work Status has affected/impacted
their arthritis
Doctors and Hospital
treatment
related visits
Overall treatment
Daily Medications for
satisfaction
arthritis
Dependence
Population Health Disparities
In my population:
Race 2 participants (20%)
Specifically, African reportedly felt gender
Americans and affected treatment.
Hispanics Both were women
1 participant (10%)
Gender
reportedly felt race
Specifically, women affected treatment.
Obesity African-American
BMI >30 Average BMI
30.93
Factors affecting overall health
60% reported impaired
ADLs
ADLs: Inactivity, Immobility
70% had BMI >30
Obesity
30% had DMII
Diabetes
50% had a surgery r/t
Disability diagnosis

Depression 20% reported depression

Medication dependence 80% were on medication

r/t diagnosis
Chronic disease/
comorbidity 100% had other co-
morbidities
 Strategies for Clinical
AchievePrevention/
this by:
Proper diagnosis
Health Promotion
Increased provider
Early Identification awareness
Education Increase utilization and
distribution of resources
Increasing effective self- Effective management
management and treatment
Decrease gender and Key - *Proper
racial disparities education of both the
provider and patient*
Reduce financial cost/
burden of arthritis on
healthcare system
As future NPs, you are now
Aware of the impact of
arthritis on healthcare

Aware of the prevalence of

arthritis
Better understanding of the
importance of early
diagnosis and effective
treatment
Understanding of
the importance of
education with
both providers and
patients

More aware of health

disparities associated with
arthritis
Resources
Abney, J., Bolanos, A., Cruz, Y., Dykes, D.C., Fifield, J.,
Galloway, J., Wood, R. (2011). Proceedings from 2011
caucus on arthritis and musculoskeletal health disparities:
Movement is life: a catalyst for change. Washington, D.C.

Murphy, L., & Helmick, C. G. (2012). The impact of

osteoarthritis in the United States: a population-health
perspective. The American Journal Of Nursing, 112(3 Suppl
1), S13-S19. doi:10.1097/01.NAJ.0000412646.80054.21
THANK YOU!