She has undertaken specialist qualification at advanced level. Understands the diagnostic criteria for rheumatological and musculoskeletal conditions, differential diagnoses and risk factors. Understands the individual and national health burden of rheumatological conditions and how this impacts patients and services. Understands the differences between delivery of care in a paediatric, adolescent, young person and adult care setting. A well-trained specialist that understand the aetiology biology and pathophysiology of MSK and rheumatological conditions, and treatment pathways. Understands treatment pathways and explains these to other colleagues and people with rheumatological conditions and their carers. Understands the risk factors for prolonged corticosteroid use and impact upon children and young people’s growth, weight, skin and pubertal development. Understands the difference between paediatric and adult-onset disease and what happens to their disease through a lifetime course.
She understands the importance of screening and regular review for evidence of other developing conditions. Understand red flags. Understands normal, osteopenia and osteoporosis and osteoarthritis and resulting treatment options. Can interpret infection risks and implications for patient treatment and escalates to appropriate healthcare professionals.
She can autonomously co-ordinate care of patients with complex autoimmune diseases. Promotes rheumatology nursing practice as part of local health service delivery, utilising strategies for influencing national and local policy. Acts as national resource, expert, adviser, researcher and author. Leads education strategy in rheumatology for the organisation ensuring there is provision of education for those encountering children, young people and adults with symptoms of rheumatological conditions.