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Interviews Osteoarthritis (Measures (Additive tools (Handle & grip…

- - - - Swelling of fingers and joints
      - Deformity is spreading over fingers and worsening
      - Change of hand appearance
    - - Triggers of pain
        
        Pressure on hand or finger
        
        Long or extensive activities
        
        Weather
        
        Cold and/or wetness
        
        Specific hand motions
        
        Opening & screwing
        
        Writing
        
        Lifting & holding (of heavy objects)
        
        Strong or hard grabbing
      - Pain after awakening
      - Pain while hand in resting position
      - Steady pain
    - - Steady coldness in hands
      - Awkward warmness in hands
    - - Closed hand won't open anymore
      - Immobliity of a finger
    - - Stiffness in the morning
  - - - Weather dependent
      - Heat
      - Coldness
      - Cold draft
      - Cold wetness
- - - - To cope with disease and its disorders
      - Increasing pain
      - Reduced sensitiveness
    - - Focused on other diseases
      - Underrate diseasre in the beginning
      - Laziness
  - - - Possible measures unkown
      - Little or no medical knowledge
  - - - Medical examination delivered no useful result
      - Regular blood tests
      - Examinations important to recognize progress of disease
      - Interested in regular strength tests
    - - Denial to take medication
      - No effect of medication
      - Medication suppresses pain and progress of disease
    - - Helping hints from doctor
      - Information through doctors
      - Advices from doctor aren't obeyed
      - Doctor wasn't a help or couldn't provide help
      - Demotiviation through doctor
      - High costs for specific doctors
      - Hard to find specialized doctors
    - - Problematic to diagnose osteoarthritis
      - Hard to link disorders to osteoarthritis
      - Wrong diagnosis, e.g. rheuma or gout
    - - Reduced offers on therapys
      - Therapys are time consuming
      - Therapys not available for home or self-application
      - Physical therapy helps
      - Galvanic bath can help
      - Paraffin bath helps
      - Moor(bath) helps
      - Physiotherapy helps
    - - Longer cures not possible
  - - - Exercising helps
      - Exercising reduces disorders
      - Exercises relax hands
      - Exercise increase mobility of hands
    - - Informations about exercises lost
      - Pain while exercises
      - Exercises time consuming
      - Exercises stressful
      - Exercise don't change deformation
      - Exercsies targeting wrong joints
  - - - Usage of tools at home and at work
      - Satisfied with usage of tools
      - Usage of a tool if normal way is not possible
    - - From Health Professional
      - Ordered via catalog
      - Orthopedic shop
      - Internet
    - - Availablitiy depends on location
      - Costs
      - Usage uncomfortable or not practicable
      - Wear of tools
    - - Usage of objects depends on their grip
      - Own selection of objects with better grip (e.g. pen, knife)
      - Easier to work with lighter objects
      - Easier to work with thicker, bigger grip
      - Grip extensions help
      - Round grips better as angular ones
      - Avoiding too slim or too thick pen
    - - Ergonomic devices make work easier
      - Fewer offerings and higher costs
      - Easier to use touchscreens
    - - Cold pack helps to cool hands
      - Applying warming pack helps
      - Warm, heated bed helps
      - Heated grips for motorcycle
      - Warm water
        
        Warm water is comfortable and helps
        
        Easier to work under warm water
        
        Warm shower helps
        
        Warm hand baths help
        
        Warm hand bath in vibrating tub
    - - Electric replacement of a normal tool
      - Electric tooth brush helps, but is heavier
      - Electronic writing instead of hand writing
      - Self investigation via the Internet problematic
    - - Easier packaging helps
      - Using of glas and cap opener
      - Using adhesive foil
        
        Adhesive foild don't help for big glases or if strength is needed
      - Using pliers, scissor, knife or fork to open packaging
    - - Splints are uncomfortable to use
    - - Wearing gloves helps
      - Gloves against coldness
      - Easier to work with gloves
    - - Ball
      - Clay
  - - - Doing activities slower and more carful
      - Thoughtful acting & doing
      - Intuition if an activity is feasible
      - Breaks while doing an activity
      - Separation of work into smaller pieces
      - Suppressing pain
    - - Dropping things because of changed hand posture
      - Changed hand posture extends activities
      - Trying until having a good handling of a object
      - Change of technique for grasping
      - Harder grasping
      - Load distribution on hand
      - Change of hand posture to avoid pain or spasm
    - - Alternate use of both hands
      - Change on better hand
      - Using both hands
      - Help through 2nd hand
    - - Avoiding specific activities
      - Avoiding specific motions
      - Avoiding specific objects
      - Not every activity can be avoided
    - - Protection of hands helps
      - Change to easier daily life
      - Relief of problematic hand and fingers
      - Protection if acute problems raise
      - Waiting until problems are over
- - - - Habituation to OA
      - Adaption of life(style)
  - - - Problems making a fist
      - Problems holding a finger up
      - Pain during resting position, e.g. sleeping
    - - Pinch grip hurts
      - Awkward grasping
      - Harder grasping is painful
      - Problems grasping small objects
    - - Problems lifting objects
        
        Lifting small objects
        
        Lifting heavy objects
      - Problems holding objects
        
        Holding heavy objects
        
        Holding objects with 2 fingers
        
        Longer holding of objects is painful
      - Dropping objects
        
        Embarrassing to drop objects
        
        Dropping caused by pain
        
        Dropping of heavy objects
        
        Dropping due to bad graps
    - - Pain while carrying
      - Carrying heavy objects not possible anymore
      - Problems carrying many objects
    - - Problems using/twisting a key
      - Harder to open doors or windows
      - Harder to open packaging
      - Problems opening bottels
      - Lack of strength to open things
  - - - Harder to press small buttons
      - Problems clicking mouse
      - Problems using keyboard
    - - Afraid of loosing skill to write
      - Longer writing hard
      - Reduced quality of handwriting
    - - Housekeeping needs more time
      - Cleaning
        
        Polishing glases or dishes not possible anymore
        
        Problems to clean car
        
        Problems stashing stuff
        
        Cleaning stresses joints
        
        Painful to clean small objects
        
        Problems to clean windows
      - Uncomfortable to work with wet hands
      - Painful to work with cold water
      - Hard to lift and carry a tub of water
    - - Problems lifting and carrying dishes or pots
      - Harder to agitate or whisk
      - Problems cutting hard things
    - - Harder to put on make-up
      - Harder to brush teeths
    - - Problems with dressing and tying shoes
      - Rings and watch don't fit anymore
    - - (Specific) Gardening activities not possible anymore
      - Painful to pull out weeds
      - Problems harvesting vegetable
    - - Harder to do hardicraft activities
      - Harder to repair things
      - Problems using tools
        
        Tool with small grip harder
        
        Holding a screw
      - Problems to tighten screws
      - Problems to do stiching
    - - Problems turning wheel
      - Cold air from air conditioner
      - Problems using the gear switch