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I just simply told them what dr told me...i don't understand a lot of my RA conditions myself,so i just tell my family what dr tells me after each appointment...they will understand once they see the difference between your good and bad days...my children were young when i was diagnosed,now they're are grown...but they will know what they can and cannot do as far as childs play,just by watching your facial expressions...no child that i have ever known wants to cause mommy or grandma pain...RA is different for everybody who has it,and it's ever changing with it's symptoms,so some advice from someone who has been dealing with RA for years...keep all appointments,take your meds(if prescribed),and exercise as often as you can...