Rheumatologist in Dubai Healthcare City

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August 2017

arthritis Learning to Cope as a Partner Carer

For spouses and partners, it is important that you do not neglect your own needs whilst looking after your loved suffering with severe arthritis. The role of carer can be stressful and demanding which, if not carefully managed, can affect your own health and general well-being. Of course, it is a rewarding role and one that many get a huge amount of satisfaction from. But, as a partner-carer, you need to take time out for yourself.

There are networks that can help – but don’t forget your family and friends. Don’t cut yourself off from others. Spend leisure time with your children, socialize with your friends and undertake some form of activity. Exercise can help or try a new hobby. Accept that there will be times when you feel frustrated or tired. This is an entirely normal reaction and means that you are basically, human. Allow yourself to feel like this and try and do something to take your mind off things. Says Scott R. Beach, PhD, director of the Survey Research Program at the University of Pittsburgh and lead author of a 2005 study on care provider behavior: “Use all the available carer services in your area. Or if you have any family members who can help out for a few hours a day, use them, so you can get away for a while. Don’t try to do everything yourself.”

Arthritis and Stretching 1

Staying in one position for too long can make joints stiffer. When working at a desk or watching TV, make sure to get up every 15 minutes to do stretching and get your body moving. Adjusting your position frequently can keep you from getting achy too. Even simple exercises are ideal for reducing the symptoms of arthritis as well as ensuring that the joints remain flexible and mobile. The issue of mobility is a vital one as this will help to strengthen the muscles surrounding the joints which keep them in place.

The old saying ‘use it or lose it’ is particularly relevant to arthritis sufferers. Exercise confers a range of benefits which include weight management, healthy heart and lungs, increased energy levels and improved mental well-being. Experts recommend that we all exercise for a minimum of 30 minutes a day at least five times a week. If this sounds a lot then break these 30 minutes up into three, ten-minute sessions. You may find this easier to do as well as fitting in better with your lifestyle. But try not to overdo exercise. If you are stiff and sore, then this to be expected but if this is worse than before you started then it is a sign of having overdone things. Many arthritis sufferers find that exercising little and often provides the best results.

July artworks hbmcBe a smart shopper 2

Before your trip to the shops, make a list of items you need. When possible, go to shops you’re familiar with, so you won’t spend extra steps walking around, looking for what you want. Importantly, take your time. When you’re in a rush, you’re more likely to put unnecessary strain on your joints, wear yourself out, or become overwhelmed, so budget an extra half-hour to get your shopping done. Also, take short breaks before and after you go to the store to put a warm or cold compress on troublesome joints. Although taking short breaks may seem like it will take you longer to complete a task, they can help conserve your energy, keep you from getting overly fatigued, and ultimately be easier for your joints.

Opt for paper bags over plastic so you can clutch heavy grocery bags with your arms instead of straining your hands. If you do need plastic, loop the armholes through your forearm – just don’t let them slide into your elbows, which aren’t as good at supporting weight. And minimize. Buy small packages that are easy to lift. Remember, this isn’t the only time you’ll have to pick that item up. You’ll have to lift it each time you use it at home too. Keeping your shopping trips short can also reduce joint strain. Go to the store more often for fewer items instead of putting it off until you have a long grocery list. And buy pre-prepared food items. You can cut down your cooking efforts by purchasing foods that are already washed and trimmed or chopped. Most stores offer fresh fruits and vegetables that are already peeled and diced into bite-size pieces. You can ask an employee at the butcher counter to slice or cube meats so they’re ready to cook when you are.

If possible, ask a friend or family member to accompany you, or ask a store employee to help with things that are bulky, heavy or hard to reach. Also, consider taking advantage of the home delivery services that many supermarkets and stores now offer – especially if you’re having a symptom flare. And choose wisely when buying your groceries. Healthy foods, such as fish, olive oil, fruits, and vegetables, are high in antioxidants that may help reduce inflammation, while processed foods may increase inflammation. By changing one or two shopping habits might make a noticeable difference in your levels of pain and stiffness after a trip to the shops.

Arthritis Organize Your Home for Better Accessibility

Keep items you use often within easy reach so you don’t need to bend and stretch to get your hands on what you need. Also, consider stocking up on supplies that you use in different rooms – so you can keep one set in each spot. For instance, keeping cleaning supplies in both the kitchen and the bathroom will make it easy to grab those cleaners when you need them. Small areas of clutter can easily become mountains of stuff if they’re not contained. Assess your home and identify clutter hotspots. Place a decorative container where you tend to empty your pockets. Organize bills and mail in a folder. Designate a place for your keys and mobile phone.

Take a look at items you frequently use and where you keep them. Then, reorganize in ways that make sense for you. If there’s an item you often use in your living room, but it’s stored in your bedroom, move it to your living room so it’s always at hand. You can also keep items you frequently use, such as a laptop, on a cart with wheels and move it from room to room as needed. Whether opening medication bottles or food containers, RA can make these such tasks difficult and painful. Ask your pharmacist to dispense your medications in easy-open bottles, Also, use openers that make the job easier. For example, there’s the Dycem Bottle Opener which helps remove childproof tops. A nutcracker or pliers with a long handle can assist in loosen bottle caps.

Many larger department stores and online suppliers sell a tool called a reacher. It can help you grab items located high up. Keep one handy in your home to reach items easily when no one is around to help. If you find yourself frequently using the reacher to perform the same task, consider moving the object to a more convenient location. Having arthritis can increase your risk of falls. Look around your home and get rid of anything that can cause you to trip. Pick up clutter on the floor. If you have rugs, make sure they’re secured to the floor. Use nonslip mats in showers and bathtubs. In the kitchen, there are countless tools and assistive devices available to make the preparation of meals easier. Replace your troublesome gadgets with those that make your life easier. Look for pots and pans with two handles instead of one. Use magnetic measuring cups and spoons that stick together so they’re easier to find in crowded drawers. Really, the list of gadgets out there is almost endless.

July artworks hbmcBreathing Exercise  2

As already discussed, stress is never pleasant and it can be particularly problematic for people with RA. High levels of stress can exacerbate its symptoms and increase inflammation. Fortunately, there are many self-help strategies that can overcome stress. Meditation is well recognized by medics, psychologists and of course followers of the Buddhist faith alike – and breathing exercises, particularly the practice of deep breathing – is at the forefront of such tried and tested methodology.

The simple act of breathing in and out may seem straightforward, but the way you choose to do so can make a big difference. For instance, taking shallow breaths into the top half of the lungs can be very energizing, while deep breathing into the diaphragm can help you focus your body and mind.

Breathing even deeper into your abdomen has been hailed as an important healing technique for centuries in yoga and meditation practices – there’s bound to be a meditation group where you live which you can join. When you begin to breathe with more control, patience, and deliberation, you can also change the way your body experiences and relays sensations, including pain. Deep, slow breathing activates a relaxation response, which automatically relaxes the tension in your muscles and deactivates the stress receptors. With each deep breath, you’re delivering more oxygen to your muscles, which lets those fibers release and relax.

Focusing on your breath invites you to shift your attention without forcing you to concentrate too much, and that is a great recipe for happy distraction. As you get the hang of your deep belly breathing, your thoughts will grow quieter and you’ll begin to enjoy the rhythm without critiquing your state of mind or body. As any chronic pain patient knows, distraction can be an excellent tool for pain relief. So, when you combine the physiological benefits of deep breathing (deactivating the stress receptors) with the natural distraction that comes along, you’ll be pleasantly surprised at how quickly your pain seems to dull and dissipate. Try this:

  • Open your mouth and exhale. Now, close your mouth and take in a long, slow lung-full of air through the nostrils.
  • Keep your mouth closed and breathe out again through the nose – long, slow and controlled. With each inward breath, imagine that you are pushing the air into the center of your body and then out through the fingers and toes.
  • Each time you breathe in and out, that is considered a round. Do at least 7 or 8 rounds. You can stop once you begin to feel the relaxation radiate through your body and mind or continue with a few more similar breathing exercises for deeper relaxation.
  • While you’re doing this, close your eyes if possible. This enhances the benefits of each breath – it immediately activates the alpha brainwaves and prompts relaxation.

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