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NUR 211 Fibromyalgia Exam Questions And Accurate Answers
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NUR 211 Fibromyalgia Exam Questions AndAccurate Answers
Fibromyalgia Overview - ANSWER - Chronic pain syndrome
- Most complex pts. to care for
- Never pain free (won't be)
- Sometimes as nurses can judge when treating pts. with chronic pain
Fibromyalgia affects which gender more - ANSWER Affects women more than men
Nursing consideration regarding judgment of pts pain - ANSWER - Pain is subjective not
objective
- Just because we as nurses cannot see it doesn't mean it is not there
Pathophysiology - ANSWER - Not well understood but is related to a dysfunction in the
central nervous system pain processing
- There is an abnormality of pain amplification or abnormal sensory processing in the
CNS → leads to pt with FM to present with a lower pain threshold & creates a condition
of disuse hyperalgesia &/or allodynia
Hyperalgesia: Definition - ANSWER sensitivity to pain is extreme
Allodynia: Definition - ANSWER may have severe pain that others may not feel
Allodynia: Example - ANSWER Ex: If I hit my elbow on desk, I may not have a pain
response but someone with FM may have severe pain
, Fibromyalgia: Clinical Manifestations - ANSWER - Widespread pain
- Cognitive cloudiness (brain fog)
- HA
- Mood disorders (anxiety & depression)
- Overactive bladder
- Paresthesia
- Sensitivity to heat/cold
- Muscle stiffness
- Fatigue
- Digestive problems
Sleep disturbances (Insomnia)
why my anxiety & depression occur in these pts? - ANSWER always in pain :(
What digestive problems may these pts have - ANSWER - Abd. pain
- Bloating
- Constipation
- IBS
FIBRO acronym for s/s - ANSWER F - fibro FOG
I - insomnia
B - blues
R - rigidity
O - ouch
According to the American College of Rheumatologists → to dx a pt with FM their sx
must include: - ANSWER - Pain above and below the waist on both sides described as
centralized pain
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