Nonpharmacologic Management
Diet
The NP needs to assess the nutritional and dietary status of RA patients. Symptoms can be worse in people who are overweight as a result of increased strain on the joints. Eating a diet that is high in fiber, low in fat and sugar, and contains plenty of fruit and vegetables can help maintain a healthy weight and provide the body with needed vitamins and minerals.[8] Patients with RA are at risk for developing osteoporosis, so it is especially important to consume a diet high in calcium and vitamin D. Anemia of chronic disease is also common in individuals with RA. A diet high in iron is essential to combat anemia.[8] Antioxidants found in fruit and vegetables help destroy inflammatory chemicals and may also improve RA symptoms.[9]