Abstract
Rheumatoid arthritis (RA) is a chronic, systemic disorder which primarily affects the joints. Although advances in its health treatment are being made, the disorder continues to be disabling. Rates of disease-related work loss are high, but few persons receive VR services. Since decline in function is gradual, the opportunity to prevent work disability exists. Useful vocational rehabilitation strategies are those that help individuals: (a) better manage disease symptoms and reduce overall energy demand; (b) retain their current jobs through obtaining reasonable accommodations; (c) identify jobs suited to current or future limitations and the training needed to obtain them; and Cd) enhance their ability to advocate for their own needs. © 1998 Elsevier Science Ireland Ltd
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