Care at NUH

Medical - Rheumatology Nursing

Rheumatology Nursing

Rheumatology nursing is an integral part of the Division of Rheumatology, delivering tertiary care to patients dealing with autoimmune, soft tissue and metabolic bone diseases. Recognised as a centre of excellence by the Asia Pacific League of Associations for Rheumatology, we aim to achieve disease remission, preserve function and improve the quality of life for patients. 

We provide a range of specialised services, including the Outpatient Infusion Centre, One-stop Arthritis Clinic, Obstetric Rheumatology, Osteoporosis Clinic, Rheumatology Ultrasound Clinic and Allergy Clinic. A nurse-led immunotherapeutic clinic was introduced in 2021. 

We are one of the accredited rheumatology training centres for the senior residency programme. Beyond clinical care, our rheumatologists also conduct procedural work, such as joint injections and ultrasonography, and manage the allergy service for common allergies and procedural tests. 

Rheumatology Care Nurse Services 

Rheumatology nursing is challenging and exciting. Nurses play an integral role in the Rheumatology team. We have adopted increased responsibility e.g. leading immunotherapeutic medication monitoring clinic and providing monitoring in anti-coagulation therapy for patients with complex rheumatic diseases. Rheumatology nurses participate in disease monitoring, e.g. examining joints for disease through joint count assessment, mobility assessment, and capturing patient-reported outcomes. 

Rheumatology nursing involves various responsibilities, including leading immunotherapeutic medication monitoring clinics, providing follow-up care in nurse-led clinics and conducting joint count assessment, mobility assessment, and capturing patient-reported outcomes.  

Our rheumatology nurses support rheumatologists by:       

  • Educating patients about their diseases; 
  • Assisting patients in understanding and managing immunosuppressive treatments; 
  • Supporting patients in coping with chronic diseases and managing their conditions effectively; 
  • Assisting in the planning and administration of biologic drugs, providing injection training or administering specific injections, like subcutaneous biologics; 
  • Acting as the point of contact for patients in the rheumatology clinic through a nurse-led helpline; and 
  • Supporting inpatient nurses in specialised therapeutic infusions using established guidelines. 
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National University Health System
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