January 2, 1960

Arthritis: General Principles, Physical Medicine, Rehabilitation

JAMA. 1960;172(1):114. doi:10.1001/jama.1960.03020010171029

Problems resulting from the presence of chronic forms of rheumatic disease often go far beyond matters which directly concern diagnosticians and clinical therapeutists. The well-rounded rheumatologist should have more than an acquaintanceship with symptoms, physical findings, and laboratory tests. Patients with rheumatic ailments not only need medication and reconstructive operations but they need guidance in regard to occupational and recreational activities. Psychological adjustments must be made with family members, business colleagues, neighbors, and friends. Jobs need to be changed. Crippled patients must learn to overcome disabilities and must be taught to eat, dress, walk, and get about. The patient with a chronic rheumatic disease must be helped and taught to help himself. The job is complex and the techniques involved are only now being evolved. Proper care of such patients requires the help not only of physicians but of psychiatrists, psychologists, social workers, physical therapists, brace makers, and many other

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