Fibromyalgia
You're watching a preview. 300,000+ students are watching the full lesson.
Included In This Lesson
Study Tools For Fibromyalgia
NURSING.com students have a 99.25% NCLEX pass rate.
Outline
Overview
- Fibromyalgia
- Widespread pain
- Exact cause unknown
Nursing Points
General
- Stressors
- Trauma (physical or emotional)
- Autoimmune disorders
- Lupus
- Rheumatoid arthritis
- Affects autonomic nervous system
- Veins decreased ability to constrict -> low blood pressure and heart rate more common
- Affects neuroendocrine system
- Unable to suppress cortisol
- Nerve stimulation increased
- Brain pain receptors sensitive ->overreact to pain signals
- No test to confirm
- Genetic influences
- Mostly in women
Assessment
- Presentation (at least three months)
- Widespread pain
- Above and below waist
- Muscles
- Tendons
- Joints
- Restless sleep ->fatigue
- Memory issues
- Low blood pressure
- Low heart rate
- Depression and anxiety
- Widespread pain
Therapeutic Management
- Calm environment
- Therapeutic listening
- Medication
- Pregabalin
- Long term
- Calm overactive nerves
- Pain relievers (short term)
- Antidepressants
- Anti-anxiety
- Sleep medications
- Pregabalin
Nursing Concepts
- Comfort
- Widespread pain
- Coping
- Widespread pain and fatigue cause psychological stress
- Functional Ability
- Pain, depression, anxiety affect ADLs
Patient Education
- Manage Stress
- See psychological therapist
- Prioritize sleep
- Exercise
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
ADPIE Related Lessons
Related Nursing Process (ADPIE) Lessons for Fibromyalgia
Transcript
Hey guys! Welcome to the lesson on fibromyalgia.
So fibromyalgia causes widespread pain in the patient. The exact cause of fibromyalgia is unknown, but it is thought to start from a stressor like physical or psychological trauma, or autoimmune disorders like lupus or rheumatoid arthritis. Let’s explore how fibromyalgia affects the body.
So fibromyalgia affects the body in a few different ways. The autonomic nervous system is affected making it more difficult for veins to constrict causing low blood pressure and low heart rates in these patients. The neuroendocrine system is affected making it more difficult for the body to suppress cortisol. Think of cortisol as a stress hormone that is released during stressful situations making the body overly sensitive. Nerve stimulation is increased and brain pain receptors are overly sensitive causing the body to overreact to pain signals.
Fibromyalgia affects mostly women for unknown reasons. There is no test to confirm this disease, so instead it is a matter of ruling out other disease processes. There is thought to be genetic influences on people that get fibromyalgia. Let’s move on the the patient presentation.
So people with fibromyalgia have widespread pain in the locations of these red dots in this picture in the muscles, tendons and joints. These patients have a difficult time sleeping because of the constant pain, causing them to be tired. The lack of sleep, constant pain, and neurological effects cause memory issues. The lack of vasoconstriction cause low blood pressure and low heart rate. Guys, having this pain all the time and the lack of sleep is really emotionally exhausting for these patients, so they often have depression and anxiety. I have noticed that these patients are so much more sensitive to painful stimuli, like putting in an IV is a lot more painful for them. It is helpful to acknowledge that they have pain, let them know you understand and are here for them. Now let’s talk about how to help them manage this disease.
Guys, these patients have overstimulated nerves, so it’s helpful to provide a calm relaxed environment for them to decrease the anxiety and stress. Just be there for them and listen to their concerns, validate the way they feel as it is a disease that they don’t have much control over. The doctor may order medications such as pain relievers, antidepressants, anti-anxiety, or sleep medications. You will often see pregabalin ordered long term for these patients as it helps to calm the overactive nerves. Let’s move on to patient education.
We should discuss stress management with this patient to help the explore ways to decrease stress in their life that may worsen the fibromyalgia symptoms. Psychological therapists may help with the depression and anxiety that these patients experience. Let these patients know how important it is to prioritize sleep and take the time to exercise to help manage the psychological distress from the overactive nerves.
Our priority nursing concepts for the patient with fibromyalgia are comfort, coping, and functional ability.
Alright guys, let’s go over the key points. So the patient with fibromyalgia has widespread pain, and it is unknown what the exact cause is. There aren’t any tests to confirm this disease, but it is often related to autoimmune diseases like lupus and rheumatoid arthritis. Fibromyalgia affects the autonomic nervous system causing impaired vasoconstriction, and the neuroendocrine system causing increased cortisol in the body increasing pain. The patient will present with widespread pain throughout the body. They might have low blood pressure and heart rate from the decreased vasoconstriction. Depression and anxiety are common in these patients along with fatigue and memory loss. We should help these patients manage the disease by reducing stressors, and administering medications ordered by the doctor. Pregabalin is prescribed long term to help decrease nerve stimulation. Other pain meds may be provided short term. Depression and anxiety medications may be needed along with sleep aids. Educate your patient on the importance of managing their stress, keeping up with exercise, and prioritizing sleep to manage the depression and anxiety that go along with the widespread pain. They may need encouragement to follow up with a psychological therapist as well.
Well, I hope you have a good understanding on fibromyalgia! Now go out and be your best self today, and as always, happy nursing!
Study Faster with Full Video Transcripts
99.25% NCLEX Pass Rate vs 88.8% National Average
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
Med surg 2 (Endocrine, Gastro, Neuro and musculoskeletal)
Concepts Covered:
- Disorders of the Posterior Pituitary Gland
- Disorders of the Thyroid & Parathyroid Glands
- Disorders of Pancreas
- Prenatal Concepts
- Tissues and Glands
- Pregnancy Risks
- Health & Stress
- Emergency Care of the Cardiac Patient
- Vascular Disorders
- Terminology
- Studying
- Female Reproductive Disorders
- Disorders of the Adrenal Gland
- Endocrine System
- Oncology Disorders
- Eating Disorders
- Substance Abuse Disorders
- Shock
- Respiratory Disorders
- Male Reproductive Disorders
- Gastrointestinal Disorders
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Digestive System
- Newborn Complications
- Neurologic and Cognitive Disorders
- Emergency Care of the Trauma Patient
- Disorders of Thermoregulation
- Hematologic Disorders
- Lower GI Disorders
- Immunological Disorders
- Anxiety Disorders
- Endocrine and Metabolic Disorders
- Urinary Disorders
- Cardiac Disorders
- Central Nervous System Disorders – Brain
- Nervous System
- Intraoperative Nursing
- Medication Administration
- Urinary System
- Musculoskeletal Trauma
- Cognitive Disorders
- Acute & Chronic Renal Disorders
- Noninfectious Respiratory Disorder
- Somatoform Disorders
- Microbiology
- Adult
- Multisystem
- Neurological
- Emergency Care of the Neurological Patient
- Peripheral Nervous System Disorders
- Neurological Trauma
- Central Nervous System Disorders – Spinal Cord
- Neurological Emergencies
- Musculoskeletal Disorders
- Preoperative Nursing
- Skeletal System
- Musculoskeletal Disorders
- Communication
- Learning Pharmacology