A survey to establish current practice in addressing work participation with inflammatory arthritis in the Irish clinical setting

Abstract

A total of 73 responses were received from 25 nurses, 18 doctors and 30 physiotherapists, indicating a response rate of approximately 22%.

The role of occupational therapy in providing vocational rehabilitation for inflammatory arthritis: A scoping review protocol

“…Advances in IA management have been achieved through improved rapid access pathways to drug therapy concurrent with novel developments in pharmacological options, both of which have significantly improved early and effective disease control and supported remission (Combe et al., 2017; Smolen et al., 2020). Despite these developments, IA has been found to have a widespread impact on people's participation in valued life roles (Codd, 2021). A person's life roles span across the domains of home, work and social life and are made up of essential, meaningful daily tasks which can be challenging to complete with IA.…”

“…In 2018, Codd et al. (2018) surveyed Rheumatology multidisciplinary team members' current practice in addressing IA work participation, finding the majority of their caseload was of working age but work ability was not being proactively addressed except by client initiation. Further to this, Codd, Coe, Kane, et al.…”

“…In 2018, Codd et al (2018) The focus of Occupational Therapy in clinical practice is on a person's occupational performance which explores the process of an individual's engagement in meaningful activities within their environment (Law et al, 1996). Occupational Therapy provides valued input to people with IA in engaging in their daily activities and life roles.…”

A multidisciplinary‐led early arthritis service to manage client‐identified participation restrictions in early inflammatory arthritis: A qualitative study of service user and staff perspectives

“…However, despite these recommendations there is considerable variability in levels of multidisciplinary team involvement, and delivery of multidisciplinary interventions within current rheumatology services. Available resources are reportedly conditional on geographical location and are often impacted by suboptimal staffing levels within services (Codd et al., 2018; EUMUSC.net, 2013; HSE, 2018; NAO, 2009; The Kings Fund, 2009; Ndosi et al., 2017). Furthermore, traditional early arthritis clinics typically operate a gatekeeper system that controls when a referral is made for multidisciplinary involvement with subsequent delays in access to these services and negative consequences for clients' health management and health outcomes (Codd et al., 2018; NAO, 2009; Ndosi et al., 2017; Segan et al., 2017).…”

“…Available resources are reportedly conditional on geographical location and are often impacted by suboptimal staffing levels within services (Codd et al., 2018; EUMUSC.net, 2013; HSE, 2018; NAO, 2009; The Kings Fund, 2009; Ndosi et al., 2017). Furthermore, traditional early arthritis clinics typically operate a gatekeeper system that controls when a referral is made for multidisciplinary involvement with subsequent delays in access to these services and negative consequences for clients' health management and health outcomes (Codd et al., 2018; NAO, 2009; Ndosi et al., 2017; Segan et al., 2017). Nurse‐led clinics have been reported as offering value to patient care by providing support with treatment and medication management, multidisciplinary team referrals, and self‐management (Doumen et al., 2021; Hehir et al., 2008; Larsson et al., 2012).…”