Person-centred planning was adopted as government policy in the United Kingdom through the 'Valuing People' White Paper in 2001, and as part of 'Valuing People Now', the 'refresh' of this white paper in 2009.
Indiscriminate use of oral corticosteroids in an unsupervised manner may lead to steroid-dependence as well as increased risk of side effects. Even small doses of oral corticosteroids can produce serious side effects when used on a long term daily basis.Although there are many dosage schedules for short term oral corticosteroid treatment, a typical short term burst-dosage schedule for an adult might look like this: Day 1 40mg of prednisone.Day 2 30mg of prednisone. Day 3 20mg of prednisone.ral corticosteroids are sometimes also used to treat sinusitis or severe allergies. Corticosteroids decrease inflammation in the sinuses and nose. They are actually the most effective anti-inflammatory medications available.
Therefore, prednisone should be initiated as early as possible in the treatment of RA usually with another DMARD. Treatment of the inflammation in RA should not exceed 10 mg/day and often may need to be given in daily divided doses (5 mg BID). Supplemental daily calcium at 800-1,000 mg/day and vitamin D at 400-800 units/day should always be initiated with treatment. Tapering of prednisone should be done slowly using 1 mg decrements every couple weeks to a month. One should not deem it a failure to hold the patient on the lowest effective dose of prednisone. pmid: