Question

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of fibromyalgia syndrome. The nurse at the clinic obtains a history and physical assessment of the patient. (Learning Objective 2)

a. On what areas should the nurse concentrate when interviewing the patient during the history process?

b. On what areas should the nurse concentrate when assessing the patient?

c.What diagnostic test are used with fibromyalgia syndrome?

Answer 1

a it is important when taking a patients history to collect alll necessary past medical history,as this disease can be easily mistaken and its complete initiation with regards to pathophysiology is unknown

b the 2010 American college of Rheumatology diagnostic criteria use symptom severity scores and the widespread pain index to provide numerical scores that can be tracked over time.individual clinicians can develop other scales based on numerical rating scales or visual analogue scale to provide quick means of assessing symptoms.But they are adaptable to different domains and can provide a distinct,comparable score to treat symptoms.A patient-centred management plan with proritized tteatment goals shouh be developed on the basis of this assignment.Health plan barriers may limit acces to nonpharmacological treatments therapies or fitness facilities.

c Doctors will not be able to detect fibromyalgia by checking blood or X-rays.Checking tender points on body helps in preventing ageingagnosing.These 18 points tends to be painful when pressed and may spread pain to other body parts