eTable 2. Check list for specialized rheumatological assistants (SRAs).
Patient name: | ID – No: |
How have you been since your last review? | |
Have there been any changes with regard to your rheumatism? ○ What is better? ○ What is worse? |
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Joint complaints: ○ at rest ○ during exercise ○ in the morning ○ in the evening |
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Do you have problems at work? | |
Have you been absent from work? | |
Have you been in hospital as an inpatient? If so: when, why, for how long? | |
Have you been to the eye doctor? | |
Have there been any new diagnoses or symptoms? ○ fatigue ○ fever ○ infections ○ cough ○ diarrhea |
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Has your family doctor performed any tests on you in the meantime? ○ blood pressure ○ cholesterol ○ blood sugar ○ other laboratory tests |
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Do you smoke? ○ if yes, how many cigarettes/day? |
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Current medication plan available? | |
If not: Which medications are you currently taking? ○ dose ○ when and how often ○ medication breaks? |
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Are you pregnant? Is pregnancy planned? |
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Current vaccination status? Please bring your vaccination card with you (1x per year) |
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Collect CRF questionnaires (case report form) Abnormal entries? |
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Examinations related to documentation in the CRF | |
Assessment of disease activity by SRA (to calculate Clinical Disease Activity Index [CDAI]) | |
Skin changes | |
Blood pressure | |
Heart rate | |
Height Weight | |
Preparation for examination by physician | |
Prepare laboratory requests | |
Prepare report for primary care physician | |
CDAI >10? Does a change in therapy seem appropriate? |
Yes: No: |
Prescriptions ready? | |
Examination by physician | |
Documentation of treatment ○ no change in treatment ○ change in treatment |
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Sign prescriptions | |
Sign report | |
Additional laboratory requests? | |
Follow-up discussion SRA / patient | |
Discuss medication plan, in particular, explain once again any change in therapy, mode of intake, etc. |
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Schedule next appointments | |
Where applicable, hand out report and prescription |