Scenario development

Ellie has some questions about her medication. She read on the methotrexate insert that the medication is a ‘chemotherapy’ tablet. She is concerned about this and would like more information. (Link to patient information on methotrexate from NRAS: http://www.nras.org.uk/methotrexate-in-rheumatoid-arthritis)

Ellie also says that she might want to have more children in the future, and wants to understand if that would be possible, as the specialist nurse advised her she must not get pregnancy on methotrexate.

Discussion point:

Ellie is a piano teacher. How might rheumatoid arthritis impact her work?