Not all arthritics are affected by the same outcomes nor are they affected to the same degree. For some, disability, either physical or psychological, is the most troublesome. For others, their inability to lead a more active life is the main concern. The nurse caring for the arthritic patient can play an important role in diminishing the potential negative impact of these disease consequences. With education and counseling, she can provide the patient with an intelligent understanding of the disease. Anxiety can be reduced if the patient is aware of disease characteristics and possible outcomes. Disability and pain can be minimized, personal and social adjustments can be made in a supportive environment, and realistic expectations can lead to an increased quality of life.