Poor sleep also limits patients' ability to cope with their disease. This can be a vicious cycle in people with Rheumatoid Arthritis. Arthritis-related inflammation causes pain and stiffness, which interferes with sleep, which further aggravates inflammation.

Many factors affect sleep quality in people with Rheumatoid Arthritis, including how long a patient has had arthritis, disease activity, pain level, depression symptoms and adherence to medication. Arthritis interferes with our circadian rhythms, or our internal 24-hour clock, affecting how much sleep we get and the quality of our sleep. The genes that control this body clock can activate a protein called TNF-alpha (tumor necrosis factor), which increases inflammation and causes Rheumatoid Arthritis patients to experience more pain and stiffness in the morning.

The number of hours of reported sleep the previous night is a highly significant predictor of the current day's pain frequency. Less than six, or more than nine, hours of sleep are associated with greater next-day pain. Some pain medications are also associated with increased sleep disturbance.

Clearly, consistently getting a good night's sleep should be an integral part of every patient's overall arthritis treatment. Pain-related sleep disturbances can also be a good barometer as to how a patient is responding to treatments for chronic pain.

Physicians have several treatment options that may help patients with arthritis sleep better at night...

Click here to read more from Quality Health

Resources

INGHAM REGIONAL MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 230167 Title: INGHAM REGIONAL MED...

ProviderNumber: 230167

Title: INGHAM REGIONAL MEDICAL CENTER

Address1: 401 W GREENLAWN AVE

City: LANSING

State Code: MI

Zip Code: 48910

County: INGHAM

Phone Number: 5179756000

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: No Different (Number of Patients: 113; Rate: 126.22; Lower Est.: 83.08; Higher Est.: 169.36)

Collapsed lung due to medical treatment Compared to National Average: No Different (Number of Patients: 11009; Rate: 0.29; Lower Est.: 0; Higher Est.: 0.58)

Breathing failure after surgery Compared to National Average: No Different (Number of Patients: 1948; Rate: 7.15; Lower Est.: 2.98; Higher Est.: 11.32)

Serious blood clots after surgery Compared to National Average: No Different (Number of Patients: 3784; Rate: 6.22; Lower Est.: 3.14; Higher Est.: 9.3)

A wound that splits open after surgery Compared to National Average: No Different (Number of Patients: 256; Rate: 2.27; Lower Est.: 0.25; Higher Est.: 4.29)

Accidental cuts and tears from medical treatment Compared to National Average: Worse (Number of Patients: 11467; Rate: 3.19; Lower Est.: 2.23; Higher Est.: 4.15)

Serious Complications Compared to National Average: No Different (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: No Different (Number of Patients: 60; Rate: 4.14; Lower Est.: 2.02; Higher Est.: 6.26)

Deaths after admission for broken hip Compared to National Average: No Different (Number of Patients: 98; Rate: 2.9; Lower Est.: 1.33; Higher Est.: 4.47)

Deaths from Certain Conditions Compared to National Average: No Different (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 6; Usually: 22; Always: 72
Doctors communicated well - Sometimes/Never: 6; Usually: 19; Always: 75
Receive help as soon as they want - Sometimes/Never: 14; Usually: 28; Always: 58
Pain was well controlled - Sometimes/Never: 8; Usually: 27; Always: 65
Explained about medicines before giving it to them - Sometimes/Never: 25; Usually: 20; Always: 55
Clean room and bathroom - Sometimes/Never: 11; Usually: 22; Always: 67
Area around their room were quiet at night - Sometimes/Never: 15; Usually: 36; Always: 49
Provided recovery at home instructions - Yes: 82; No: 18
Hospital rating (O to 10; 10 highest) - 6 or lower: 12; 7 or 8: 25; 9 or 10: 63
YES, would recommend the hospital: 68
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 63

Percentage of Patients who would recommend the hospital: Definitely Recommend: 68; Probably Recommend: 25; Not Recommend: 7

Surgery patients given the right antibiotic to prevent infection: 93% (Number of Patients: 980)

Patients treated at the right time within 24 hrs before or after: 89% (Number of Patients: 225)

Outpatients having surgery who got an antibiotic at the right time: 84% (Number of Patients: 541)

Outpatients having surgery who got the right kind of antibiotic: 91% (Number of Patients: 526)

EATON RAPIDS MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 231324 Title: EATON RAPIDS MEDICA...

ProviderNumber: 231324

Title: EATON RAPIDS MEDICAL CENTER

Address1: 1500 S MAIN STREET

City: EATON RAPIDS

State Code: MI

Zip Code: 48827

County: EATON

Phone Number: 5176632671

Hospital Type: Critical Access Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - NA; Stroke Care - NA; Nursing Care - NA

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Doctors communicated well - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Receive help as soon as they want - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Pain was well controlled - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Explained about medicines before giving it to them - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Clean room and bathroom - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Area around their room were quiet at night - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Provided recovery at home instructions - Yes: N/A; No: N/A
Hospital rating (O to 10; 10 highest) - 6 or lower: N/A; 7 or 8: N/A; 9 or 10: N/A
YES, would recommend the hospital: N/A
Number of completed Surveys: N/A

Patients who gave their hospital a rating of 9 or 10 on a scale:

Percentage of Patients who would recommend the hospital: Definitely Recommend: N/A; Probably Recommend: N/A; Not Recommend: N/A

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: 94% (Number of Patients: 51)

Outpatients having surgery who got the right kind of antibiotic: 98% (Number of Patients: 51)

CLINTON MEMORIAL HOSPITAL

from: Medicare.govHospitalCompare_General

ProviderNumber: 231326 Title: CLINTON MEMORIAL HO...

ProviderNumber: 231326

Title: CLINTON MEMORIAL HOSPITAL

Address1: 805 S OAKLAND

City: SAINT JOHNS

State Code: MI

Zip Code: 48879

County: CLINTON

Phone Number: 9892246881

Hospital Type: Critical Access Hospitals

Hospital Ownership: Proprietary