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Lupus

LUPUS: A Patient Care Guide for Nurses and Other Health Professionals is an update of Lupus Erythematosus: Handbook for Nurses by Terri Nass, RN, which provided health care professionals with a comprehensive and detailed review of lupus. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) is pleased to have had the opportunity to update the Handbook with the gracious permission of Ms. Nass.

Lupus erythematosus is a complex and challenging disease that affects the lives of many thousands of individuals and their families. It is multidimensional, with physical, emotional, and psychosocial aspects that require, in turn, multidimensional and patient-centered treatment and support strategies. This comprehensive guide brings together information on a wide variety of issues that health professionals need to know about in order to provide those treatment and support strategies for their patients with lupus. The guide covers general background on lupus, new advances in research, laboratory tests used to diagnose and evaluate lupus, care of the lupus patient, medications used to treat lupus, psychosocial aspects of lupus, and patient education and information.

A key element of the guide is that it contains information useful to the whole patient care team: nurses, physicians, physical and occupational therapists, social workers, and patients themselves.

Many people worked on this revision to incorporate the immense knowledge obtained over recent years on lupus and its management and to create a reader-friendly and useful book. We wish to thank all those who have played a role in bringing this guide to fruition, in particular the Task Force on Lupus in High Risk Populations, which was led for a time by Lawrence E. Shulman, MD, PhD, the founding director of NIAMS, and which contributed much to ensuring that lupus remains in the public eye and on the research docket. In addition, we thank Constance Raab and Barbara Weldon in the NIAMS Office of Communications and Public Liaison (OCPL) for supporting the update of this guide, and Ann Taubenheim of Cygnus Corporation for directing the project. Jacquelyn Jones-Gibson, RN, BSN, identified areas to update, and Julia Freeman, PhD, and Anne Brown Rodgers edited the manuscript. Phyllis Payne, MPH, wrote, Chapter 2, Advances in Lupus Research, and Carolyn M. Albright, MS, RN, wrote, Chapter 5, Medications Used To Treat Lupus, and Chapter 7, Patient Information. Ann Taubenheim and Carolyn Albright significantly revised, Chapter 4, Care of the Lupus Patient. Carolyn H. McGrory, MS, RN, Roberta Horton, MSW, ACSW, and Anne Brown Rodgers contributed to the revision of, Chapter 6, Psychosocial Aspects of Lupus. Melanie C. Bacon, MPH, RN, thoroughly reviewed the material on nutritional considerations in the treatment of lupus.

We would also like to thank the reviewers for their careful study of the manuscript and their constructive suggestions for ensuring its accuracy and comprehensiveness. In addition to the reviewers named, more than a dozen members of the National Black Nurses Association read the manuscript. We appreciate their comments and ideas.

We also appreciate the National Institute of Nursing Research, NIH, for their comments on and support of the Lupus Guide. We thank the NIH’s Office of Research on Women’s Health and Office of Research on Minority Health for having participated in the lupus task force and for their generous support of the Lupus Guide and of our work in lupus and other research areas of mutual interest. We appreciate the active role of the Lupus Foundation of America (LFA) in the task force. We would like to thank the SLE Foundation, Inc., for helping to subsidize the printing of the guide. Printing was managed by Janet Howard, OCPL, NIAMS.

We hope that nurses and other health professionals across the country will find this new guide informative and useful as they work with people with lupus and their families.

 

Outline  Credits  Acknowledgments  Introduction  PDF  
 1. Erythematosus  2. Advances  3. Tests  4. Care  5. Medications 
6. Psychosocial Aspects  7. Patient Info.  8. Resources
January 26, 1999