Arthritis Risk Assessment (QMS-F054) ARTHRITIS RISK ASSESSMENT (QMS-F054) Updates Document Ref: QMS-F054 (Arthritis Risk Assessment) Version: 1.0 Confidentiality Level: HIGH (Medical Records) CQC Alignment: Effective (Assessing Needs) Service User Full NameService User ID NumberOperating Local Authority- Select -HaringeyIslingtonWaltham ForestBarnetOtherCare Funding & Financial Arrangements- Select -Local Authority Managed (Direct Commissioning)NHS Funded (Continuing Healthcare - CHC)Direct Payments (Personal Budgets)Self-Funded (Full Cost)OtherSECTION 1 - Diagnostic Baseline & Affected AreasPrimary Arthritis Diagnosis- Select -Osteoarthritis (Wear and tear)Rheumatoid Arthritis (Autoimmune)Psoriatic ArthritisGoutUndiagnosed chronic joint painPrimary Affected Joints (Select all that apply): Hands / Fingers Wrists Elbows Shoulders Neck / Spine Hips Knees Ankles / FeetSECTION 2 - Impact on Daily Living (ADLs)Dexterity Limitations (Upper Body): Unable to grip small items (e.g., cutlery, pens) Unable to manage buttons or zips on clothing Unable to open jars or bottles Unable to reach arms above head No upper body limitations identifiedMobility Limitations (Lower Body): Difficulty standing up from a chair Difficulty managing stairs Unable to weight-bear for longer than 5 minutes High risk of joint giving way (Fall risk) No lower body limitations identifiedMorning Stiffness Impact- Select -Severe stiffness lasting over 1 hour (Requires slow morning routine)Moderate stiffness lasting 30 minsMild / Occasional stiffnessNo morning stiffness reportedSECTION 3 - Flare-ups & Pain ManagementFrequency of Flare-ups- Select -Constant chronic painFrequent flare-ups (Weekly)Occasional flare-ups (Monthly or weather-dependent)Rarely / Well managedPhysical Pain Relief Strategies Application of prescribed topical anti-inflammatory creams (Must be on MAR chart) Use of heat pads / Hot water bottle (WARNING Use of cold packs / Ice Assisting with prescribed exercises (Must have formal OT/Physio care plan) Use of splints or joint supports Ensuring warm ambient room temperatureSECTION 4 - Risk Control & Sign-offSpecific Instructions for Care WorkersAssessor NameDate of AssessmentSave Arthritis Risk