Rheumatoid arthritis: the role of early intervention and self-management.

2009 has seen the publication of a number of key documents relating to the care of people with rheumatoid arthritis (RA). The National Institute of Health and Clinical Excellence issued guidance on the management of RA in adults while the King's Fund and National Audit Office have reported on the services that are available for people with RA. This paper will provide an overview of these reports and their implications for primary care. The role of early identification, referral and diagnosis will be explained as well as the treatment options available. The role of self-management and how community nurses can facilitate self-management will be discussed.