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Nursing Intervention

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Fibromyalgia (FM) is a chronic illness. The illness is characterized by widespread pain with trigger point tenderness, fatigue, and non-restorative sleep disturbances (Wassem, Beckham, and Dudley, 2001, 33). Wassem et al offer insight for developing nursing intervention for those with orthopedic problems. Wassem et al conducted a study to determine if the intervention schedule is useful in helping nurses expand their interventions with FM patients. The authors define their purpose as follows, “This was a test to detect whether a 4-week cognitive behavioral nursing program was effective in increasing adjustment to FM and if the treatment effect would last over time” (Wassem et al., 20001, 33).

The study design was a control and treatment group experimental longitudinal study with outcome measures obtained at pretest and every 3 months for 1 year (Wassem et al., 2001). The sample population consisted of 71 patients; 88% were female and both male and female groups had a mean age range of 51 years (Wassem et al., 2001, 36). The mean numbers of years with FM among the sample was 8, with a degree of disability mean of 5 (Wassem et al., 2001, 36). Questionnaires used four instruments that were fashioned to measure adjustment, self-efficacy, symptom severity, and demographic/FM characteristics. The Self-efficacy for Adjustment Behaviors Scale (SEAB) was used. In order to test the validity of the construct, SEAB scores were corr

. . .
ence in their life. The researchers concluded that customizing treatment based on psychosocial profile would lead to enhanced treatment efficacy. It is notable that the literature in these four areas is mixed but suggests that FM patients can engage in moderate aerobic exercise safely without exacerbation of their symptoms and that a comprehensive plan of management is necessary for this patient population so that they might better adjust physically, emotionally, and socially. While the exercise and/or education-only programs are cost effective, they are not effective in helping FM patients to manage their illness. The comprehensive programs at Seattle and Portland are more successful but expensive due to the use of multiple specialists. This problem is compounded by the fact that few FM patients have the resources nor the opportunity to relocate for extended periods of time to the west coast for treatment. Nursing Intervention: Fibromyalgia Rehabilitation Program (FM-REHAB) This article reports the results of a nursing intervention program that incorporates the successes of previous work in this area. Most important, the FM REHAB program is unique in that it focuses on the management of the primary symptoms (pain,
. . .

Some common words found in the essay are:
Impact Questionnaire, Scale SEAB, Likewise Martin, Self-efficacy Bandura's, Cote Moldofsky, Beckham Dudley, Components FM-REHAB, Dietary Supplements, Methods Procedures, Sample Ninety-three, et al, fm patients, wassem et al, wassem et, fm-rehab program, symptom management, treatment programs, nursing intervention, pain fatigue, al 2000, adjustment behaviors, et al 2000, et al 1999, health care provider, pain fatigue sleep,
Approximate Word count = 6721
Approximate Pages = 27 (250 words per page)

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