I don’t know how to handle this Nursing question and need guidance.
Fibromyalgia is known to be a chronic condition that causes pain all over the body. According to The Centers for Disease Control and Prevention (CDC, 2017), this condition affects about 4 million adults in the United States which is about 2% of the adult population. Fibromyalgia can affect people of all ages, including children. People are usually diagnosed in their middle age and an individual is most likely to have it as they age. The cause of fibromyalgia is unknown at this time, but it can be treated and managed. Researchers believe stressful or traumatic events, such as car accidents, repetitive injuries, and illnesses such as viral infections may contribute to its cause. Genetics can also play a role in diagnosis. Fibromyalgia can be hard to diagnose, so a provider will most likely take a detailed history including family and social history. X-rays and blood tests will be ordered to rule out other diseases and disorders.
Individuals with fibromyalgia usually present with pain and stiffness all over the body. According to Villafaina, Collado-Mateo, Fuentes-García, Cano-Plasencia, and Gusi (2019), individuals may also present with fatigue, anxiety, and depression, problems sleeping, headaches or migraines, problems with memory and concentration, possible numbness and tingling in hands and feet, pain the face and jaw, and abdominal pain with bloating and constipation. According to Konak and Sert (2019), with fibromyalgia pain, every patient has a different pain level that is influenced by various factors. Determination of pain level and its causes enables effective disease management and sustainable high-quality healthcare. Medications such as pain relievers, anti-anxiety, and antidepressants are given to treat symptoms along with medications specifically approved to treat fibromyalgia. Lifestyle changes are encouraged. According to the (National Library of Medicine [NLM], 2020) getting the right amount of hours of sleep, exercising regularly, managing stress, having a healthy diet, and learning to pace yourself should all be apart of patient education. Providers also recommend talk therapy so patients can learn strategies to deal with pain, stress, and negative thoughts. Alternative medicine such as massage therapy, chiropractic therapy, and acupuncture are all recommended to help with pain and managing symptoms.
Centers for Disease Control and Prevention. (2017). Fibromyalgia. Retrieved from https://www.cdc.gov/arthritis/basics/fibromyalgia.htm
Konak, H., & Sert, H. (2019). Pain levels in female patients with fibromyalgia and affecting factors. International Journal of Caring Sciences, 12(1), 224–230.
National Library of Medicine. (2020).Fibromyalgia also called: Fibro FMS. Retrieved from https://medlineplus.gov/fibromyalgia.html
Villafaina, S., Collado-Mateo, D., Fuentes-García, J. P., Cano-Plasencia, R., & Gusi, N. (2019). Impact of fibromyalgia on alpha-2 EEG power spectrum in the resting condition: A descriptive correlational study. BioMed Research International, 1–6. https://doi.org/10.1155/2019/7851047