Tag: prepare

Saturday, November 21st, 2009

Preparing for Thanksgiving with Rheumatoid Arthritis

Thanksgiving

The past several years I have hosted Thanksgiving dinner.  I really enjoy spending time with those I love most and taking some time to reflect on what I am most grateful.  This year I will again host our Thanksgiving dinner and what I have learned over the past few years and through a fair amount of trial and error is that planning is key to a successful day.

Planning is important for anyone hosting Thanksgiving dinner, but when you have rheumatoid arthritis you really need to plan well in advance.  If you don’t allow enough time to get things like cleaning and shopping you run the risk of overdoing it and ending up out of commission for the big day.  I try to start preparing 2 weeks ahead.

During the first week of preparation I try to make sure that all the dishes, glassware and silverware are all clean and polished.  I also iron the table linen and work on a centerpiece for the table.  Some of the housecleaning that can be done during the first week of preparation include cleaning out any cobwebs and washing windows. I plan the menu and start grocery shopping.  I try to split the grocery shopping for Thanksgiving between 2 weeks so that I am not overwhelmed on either week and it also spreads out the cost over two weeks. If something is forgotten in week one, there is always week two to pick it up.  I put the leaf into the dining table during this week as well.  If you have a separate dining room I would recommend setting the table for Thanksgiving during this week.  We use our dining room daily so that isn’t an option for us so I have to wait until the night before to set the table.

The weekend before Thanksgiving I get my husband and kids together and everyone gets assigned cleaning tasks.  This includes cleaning the bathroom, vacuuming and dusting and polishing the furniture.  Because everyone gets a chore I am not overwhelmed and the tasks get done fairly quickly.  I know that this sounds a little early to clean but I leave the day before to do the touch up cleaning.  A quick dusting and a once over with the vacuum the night before is all we will need.

When it comes to the cooking, I used to cook everything and our guests just showed up and enjoyed the meal and our company.  After overdoing it the first Thanksgiving after my rheumatoid arthritis diagnosis, I have changed the way dinner is done. Since RA, I have asked that our guests prepare one of their favorite side dishes and dessert.  Everyone has happily brought their special recipes and it leaves me with less work to do. Tuesday and Wednesday before Thanksgiving I do any baking that  is my responsibility.  On the Wednesday before Thanksgiving I do any prep work for the next day such as cutting celery and onions for the stuffing and peeling in cutting the squash.  I just keep the prepared items in zip tight bags and it makes the few things I have left to do on Thanksgiving go a lot faster.

On Thanksgiving morning I prepare the stuffing and stuff the turkey before putting it in the oven. There have been years that I was completely unable to lift the turkey in and out of the oven.  I found that using my wrist guards helped support my wrists while lifting the turkey.  There was one year that even with the wrist guards on I could not trust the strength in my hands to get the turkey in the oven.  That year I had to ask for help, there was no other option.  The only vegetable that I don’t prepare ahead of time is the potatoes.  So all I have to do Thanksgiving is the turkey and peel and cut up the potatoes for mashing.  If my hands are bothering me I am not shy about asking for some help from my family.  The rest of the meal has been prepped so all I need to do is put it on the stove or pop it into the oven.

The first few years after my rheumatoid arthritis, when I tried to prepare for Thanksgiving in just the days before or even the week of, I found that I was too sore and tired to enjoy the day.  In giving myself an extra week to prepare for Thanksgiving dinner I am not feeling stressed which will make my RA worse and I haven’t overdone it which will make my RA worse and I can concentrate on my family and friends and showing my gratitude for them.

I hope that everyone celebrating Thanksgiving has a wonderful day with their friends and family!

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Wednesday, August 19th, 2009

Hurricane Preparedness and Rheumatoid Arthritis(RA)

Getting ready for a big storm can take extra time when you have rheumatoid arthritis (RA). And with hurricane season in full swing and it seems the tropics are starting to become more active, it is a good idea to make sure that you are prepared now in case a hurricane should strike your area.  Those of us on the east coast of the United States are used to getting things ready for the hurricane season and there are many things to stock up on. It is important to make sure that you have everything you may need in case you loose power for an extended length of time. Do not wait until the last minute to get ready.

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Plan Ahead: Things take longer when your joints are stiff and sore so make sure that you are ready long before the storm is in your path.

Prepare: Put together a Hurricane Supply Kit. Keep the kit in an easy to access location.  Make sure to include:

  • Water: You will need 1 gallon of water per person, per day
  • Food: You will need non perishable food, make sure to include a non electric can opener and paper plates, cup and plastic utensils
  • First Aid Kit: Make sure to include at least a 7 day supply of any prescription medication you may need as well as any adaptive equipment you may need. Remember the extreme changes in barometric pressure in a hurricane are likely to cause swelling in those effected by barometric pressure like me. Some medications require refridgeration, so in addition to making sure you have an ample supply, it might be a good idea to look into a gas powered generator and make sure that you have gas on hand to run it.
  • Ice: If you are not directly on the coast and there is no need to evacuate, you may need ice to keep perishables cold. Put a thermometer in the cooler to make sure the temperature does not go above 40 degrees farenheight
  • Clothing: Put together some seasonal clothing for you and your family members, remember rain gear and sturdy shoes.
  • Flashlight: Several flashlights with plenty of batteries
  • Telephone: Make sure that your cell phones are fully charged and you land line has a corded phone plugged into the jack.
  • Cash: You may not have access to a bank or ATM for a while so it is a good idea to keep some cash on hand in case you need it.
  • Radio: Keep a battery powered radio on hand so you can keep up to date on any news should you loose power.
  • Important Documents: Should you need to evacuate, put your important documents in a water-tight plastic zip bag (i.e. insurance cards, medical information, etc…)
  • Fuel Vehcle: Make sure that your vehicle is filled up with gas prior to the storm.
  • Pets: If you have a pet, make sure that you have plenty of food and water for them as well. Keep an additional leash and/or crate for travel if necessary.
  • Blankets/Bedding: Blankets and pillows, etc…
  • Escape Plan: Should you need to evacuate, have a plan. Decide ahead of time where you will go and how you plan to get there. Have an alternate location and route marked out as well.

Find help: Call around and find a handyman or neighbor that would be willing to help board up things should a hurricane strike your area.  It is important to ask for help when you need it and things like taping windows or hanging plywood may  be too much especially if you are flaring.

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Thursday, August 13th, 2009

Rheumatoid Arthritis: Take Control, Be Your Own Health Advocate

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Becoming your own health advocate can sound like a daunting task, but it really is an important part of taking control of your disease.  No one knows your body better than you do. It is up to you to communicate what is going on with your doctor(s) and other health care professionals. One of the most important things that you can do for yourself in taking charge of your health care is to find a doctor that you feel comfortable with. Find one that listens to what you are telling them and respects you. If you don’t feel your doctor is listening to you and respecting you, it may be time to look for a new one.  They are supposed to be working for you in your best interest, if you feel that they aren’t, find a new one.

Once you feel comfortable with your choice of doctor, the next important step is to be prepared. Do some research on your condition. Make a list of questions to bring with you to the doctor’s office. List the questions in order of importance to you.

Bring a note pad with your questions to the doctors office with you. Ask questions and write down the doctor’s answer. It’s really easy to forget what the doctor said when you are sitting there in a paper dress. If additional testing is needed, ask why and how the procedure will work. Most importantly, make sure that you understand the answer to your questions.  If you don’t understand, make sure to communicate that with the doctor so that they can explain things in a way that you can understand.

Keep a health journal. Log how you are feeling from day to day. Write down any changes to your diet or medications. Report to the doctor anything that is out of the ordinary. Keep a record of all the medications that you are taking and from which doctor. If another doctor or specialist changes your medication or you start taking any supplements, write it down to share at your next visit.

Don’t be afraid to get a second opinion. Or even a third opinion if necessary. This is your body and your good health. It is up to you to make sure that the professionals that you see are working with you to maintain your health.

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