take it easy on yourself. prepare for sudden flares. make up meals and freeze them. have a buddy system to help with shopping, ect. don't worry so much about a clean house, just keep it organized when you can, and get help with the other.  if you hate asking for help, trade help with friends. ask if they need anything when you run to the store. share errands. to handle pain, try different topical creams. walmart has gloves without fingers and has a velcro strap. thy act like isotoner gloves and make my hands and wrists feel better. take a nap. try not to stress. meditate. i am going to look into biofeed-back. when you are in pain, your body uses a lot of energy. energy you need. eat well. take ALL your meds when you are supposed to. i fix a weekly dispenser so i don't have to think so much about them, and make it a habit. i keep them on the table so i won't forget. keep a buddy system. share with someone and trade feelings. most of all, find something you love to do and make time for it. and reach out and help someone else. this ALWAYS makes me feel better. i hope some of this helps. writin this down helped me to remember what I should be doing. thanks. Bonnie