Sources of evidence

Management of lupus is ideally multidisciplinary, involving the Consultant Rheumatologist, Specialist Nurse, Physiotherapist and Occupational Therapist.

In many areas of the country there are now Lupus Nurse Specialists, whose role is to provide advice, counselling, education and information. This is important at initial diagnosis and at times of acute flare.

Advice lines provide contact with Specialist units. The patient and family are able to have consultations with the Specialist Nurse and discuss the condition, and management options in detail.

The disease varies from person to person and their needs may include rehabilitative treatment.

Graded exercise programmes help improve cardiovascular fitness and in some cases reduce fatigue. This is through Physiotherapy assessment.

The Occupational Therapist, after assessment, helps the person manage their fatigue and the impact on their activities of daily living.

Amended November 2008