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The interdisciplinary team's approach to lupus nephritis

Arthritis and Rheumatism Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA

F Pucino

Departments of Clinical Immunology and Pharmacy, Bethesda, Maryland, USA

N Sebring

Nutrition Department, Warren Grant Magnuson, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA

D Irby

Social Work Department, Warren Grant Magnuson, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA

M Perry

M Mattiko

Rehabilitation Medicine Department, Warren Grant Magnuson, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA

C Yarboro

Arthritis and Rheumatism Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA

The interdisciplinary team approach in assessment and treatment of patients with chronic disease in general and lupus nephritis in particular provides a global format for identifying the multiple problem areas that retard or prevent optimal patient functioning. These areas include the physical, emotional, economic, psychosocial, and functional. Benefits to the individual patient include a thorough multifaceted assessment by professionals who have the benefit of peer collaboration and validation. This increases the likelihood that the whole patient is considered, not just the problem of nephritis. For example, how does the patient and her or his family cope with the impact of such a disease and how, in turn, do the coping abilities of the patient and family affect the disease. The interdisciplinary team also assesses how the treatment strategies for each problem area influence each other. Finally, the interdisciplinary team serves as a positive role model for effective collaboration among health professionals and for students in their respective disciplines.

Key Words: chronic disease • interdisciplinary team • lupus nephritis

Lupus, Vol. 7, No. 9, 660-665 (1998)
DOI: 10.1191/096120398678920820


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