Summary
Summary Fibromyalgia Cheat Sheet for Nursing
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Nursing care and summary of fibromyalgia
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fibromyalgia* widespread , non articular musculoskeletal pain and fatigue ,
with multiple tender points
* clients experience non restorative sleep .
morning stiffness ,
irritable bowel
syndrome ,
and
anxiety
* affects 2.1 . of Canadians
etiology and pathophysiology
* research continues to focus on
identifying underlying causes and pathophysiological mechanisms
of central
* there is
general agreement that
fibromyalgia is a disorder
processing with neuroendocrine and
neurotransmitter dysregulation
recent illness trauma serve susceptible
* a or
may as a
trigger in persons
of P
* multiple physiological abnormalities : increased levels substance in the spinal cord
low levels of blood flow to thalamus
dysfunction of hypothalamic-pituitary-adrenal ( HPA ) axis
low levels of serotonin and tryptophan
abnormalities in cytokine function
may be a genetic susceptibility
clinical manifestations
widespread burning pain
pain worsens and improves throughout the
day
difficult to discriminate pain
head or facial pain originates from stiff or painful neck & shoulder muscles
non restorative sleep
fatigue
É of
temporomandibular joint dysfunction ( affects clients in
fibromyalgia)
point tenderness varies
cognitive effects →
range from difficulty concentrating to memory lapses
feelings of being overwhelmed when dealing with multiple tasks
migraine headaches
depression and
anxiety
numbness and tingling in hands or feet
restless
legs syndrome
irritable bowel syndrome
urinary urgency and frequency
difficult menstruation in women
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