MULTIDISCIPLINARY APPROACHES TO MANAGING HEMATOLOGIC AND FUNCTIONAL COMPLICATIONS IN RHEUMATOLOGIC DISORDERS: CONTRIBUTIONS OF RHEUMATOLOGY & INTERNAL MEDICINE, NURSING, AND PHYSICAL THERAPY

Abstract

Introduction: Rheumatologic disorders are complex, systemic conditions that often involve hematologic complications, functional impairment, and psychosocial burdens. Effective management requires multidisciplinary care integrating rheumatologists, internal medicine specialists, nurses, and physical therapists. This coordinated approach optimizes clinical outcomes, enhances treatment adherence, and addresses ethical and operational challenges in chronic disease management.

Aim of Work: This study examines the effectiveness of multidisciplinary approaches in managing hematologic and functional complications in rheumatologic disorders, focusing on the collaborative roles of medical, nursing, and physical therapy professionals. It also explores operational and ethical challenges in implementing integrated care models.

Methods: A mixed-method design was used, including structured questionnaires, interviews, focus groups, and clinical observations with rheumatologists, internists, nurses, and physical therapists. Data evaluated interdisciplinary collaboration in disease management, functional rehabilitation, and patient engagement.

Findings: Multidisciplinary care improved disease control, functional outcomes, and patient quality of life. Integration of medical, nursing, and physical therapy services enhanced symptom management, early detection of hematologic abnormalities, treatment adherence, and patient satisfaction. Ethical issues such as role clarity, informed consent, and equitable access were identified as critical for effective care.

Conclusion: Coordinated multidisciplinary care is essential for managing hematologic and functional complications in rheumatologic disorders, improving clinical and functional outcomes, and supporting holistic, patient-centered care. Clear role definitions, professional training, and institutional support are crucial for sustainable implementation.