Issues of Lupus Erythematosus

These plus other symptoms be said to combine and lead to patient depression and/or public opinions of powerlessness. The authors speculated that a prescribed figure intervention may attend to to both physic in ally rehabilitate patients and decrease feelings of depression and powerlessness.

In an effort to determine the possible gists of such a program, the authors actual and tested an purpose prescription and unsupervised home come program on 37 subjects with unwellnessy arthritis and 34 subjects with systemic lupus erythematosus. Subjects in the study were randomly assigned to control or stationary bicycling at home, using loaned bicycles. It was found that motion subjects (with bicycles) did better than controls, but not significantly, on all outcome measures (exercise tolerance test, fatigue, depression and helplessness) at three months.

The bicycles were reclaimed and all subjects in both groups were given instructions for the home exercise touch off of the program. However, at three-month follow-up, the findings were disappointing. The authors concluded that unsupervised home exercise programs are not an effective means of rehabilitating either rheumatoid arthritis of lupus patients but that supervised exercise programs

Another special group of lupus patients consists of children. Lovell, Athreya, Emery, Gibas, Levinson, Lindsley, Spencer and White (1990) has noted that, on the average, these students miss about four days of school every two months. Moreover, many of them receive very little school-based sensual or occupation therapy and adaptive physical education service despite the passage of P.L. 94142 (the Education for All wound Children Act of 1975). According to the authors, there need to be solid and ongoing efforts to increase school services for children with rheumatic distemper and the increased frequency of school absence in childhood rheumatic distemper in general and lupus in particular. Moreover, it is recommended that efforts be directed toward improving existing rehabilitation services for this population.

In other words, rehabilitation counselors can work with patients to modify or ameliorate those factors that increase patient's degree of risk for early retirement. For example, if a patient diagnosed with lupus has a job that is physically demanding, he or she can be counseled to transfer to a different part of the company or organization and work at a less demanding job. Or, he/she could quit the job and find an easier one.

patient of life management issues were likewise addressed in the review, it existence noted that the key goal was to help lupus patients achieve the feeling that he or she is able to cope despite the limitations and difficulties of the disease (self-efficacy). A number of interventions and techniques were said to facilitate self-efficacy. These included integrated programs providing patients with education about their condition and their medication and training in coping skills; also, important was using methods to remediate poor health behavior and reduce depression. Other interventions included self-directed study modules, and counseling efforts directed at boosting their social support. The literature also showed that
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