Exploring Irritable Bowel Syndrome

Illustration by Sara Jarret.

Irritable bowel syndrome (IBS) is one of those conditions that is maddening for patients and clinicians alike. Its pathophysiology is unclear, the symptom picture varies widely from patient to patient, there is no test to confirm the diagnosis, and treatment is directed at managing symptoms because there is no cure.

To make things even more difficult for the person with IBS, there is a recognized psychological component of the disease. Therefore some friends, family members, and clinicians might tell people with IBS that their suffering is “all in their head.” And yet there is demonstrable proof (via neuroimaging studies) of differences in central processing mechanisms related to the “brain–gut axis” between people who have IBS and those who do not.

Kristen Ronn Weaver and colleagues explore these and other aspects of IBS in a clinical feature article in AJN’s June issue. The authors review the latest findings related to IBS etiology and pathophysiology, the relationship between IBS symptoms and stress, and the updated Rome IV criteria that help guide diagnosis. Of particular interest is the authors’ presentation of research confirming the value of several nonpharmacologic interventions, including dietary modifications, probiotics, moderately increased physical activity, yoga, and traditional Chinese medicine.

See “Irritable Bowel Syndrome” in the June issue to learn more, and to find out how nurse-led initiatives can lead to long-term health benefits for people with IBS.

 

2017-06-26T09:07:44-04:00June 26th, 2017|Nursing, patient experience|0 Comments

June Issue Highlights: Understanding Antipsychotics, Talking to Pregnant Smokers, IBS Basics

The June issue of AJN is now live. Here are some articles we’d like to bring to your attention.

CE Feature: Mental Health Matters: Antipsychotic Medications

In recent years, more adults—and teenagers—are taking at least one type of psychotropic medication, the majority of which are prescribed by primary care and family physicians. This first article in a series on commonly used psychotropic medications for the treatment of mental illness reviews the mechanisms of action, adverse effects, and contraindications of first-generation typical and second-generation atypical antipsychotics.

CE Feature: Original Research: The Experiences of Pregnant Smokers and Their Providers

According to the Centers for Disease Control and Prevention, 10.7% of women nationwide reported smoking during their last trimester. The U.S. Department of Health and Human Services’ initiative Healthy People 2020 targets tobacco use, including smoking during pregnancy, as a continuing major health concern in this country. Yet bringing the U.S. Public Health Service’s 2008 clinical practice guideline, Treating Tobacco Use and Dependence, into routine prenatal care remains challenging.  The authors of this study conducted focus groups of pregnant smokers and their providers, most of whom were RNs, to better understand their experiences and to gain insights to help providers best deliver the stop-smoking message.

Clinical Feature: 

2017-05-30T11:44:24-04:00May 30th, 2017|Nursing|0 Comments

Domestic Abuse Patient

By Karen Roush, MS, RN, FNP-C, clinical managing editor

All rights reserved. Photos by author. All rights reserved. Photos by author.

It’s the end of October—Domestic Violence Awareness Month. I want to tell you a story about a patient I had in the Adirondacks in upstate New York.

The young woman was back for the third time that month. The previous week, complaints of vague abdominal symptoms had brought her in; this time, it was frequent headaches. Even as I performed a neurologic exam, I suspected I wouldn’t find  anything.

“So, how’s everything at home?”  I asked, after assuring her there was no sign of a neurologic issue.

“Same,” she told me. “Yesterday I forgot to get his cigarettes and [expletive]! you’d a thought I killed someone.”

“Did he hurt you?”

“No. Just twisted my arm a little. I’m fine.”

But she wasn’t fine. She suffered from anxiety, headaches, chronic back pain, and irritable bowel syndrome. She had been through numerous diagnostic evaluations, including invasive procedures, and had tried multiple medications.

She was 25 and had three children. I’d brought up the subject of intimate partner violence after her second visit, but it wasn’t until she’d been seeing me for a few months that she felt safe enough to talk about it. Her […]

2016-11-21T13:06:11-05:00October 29th, 2013|nursing perspective|2 Comments

AJN’s July Issue: Caring for Veterans, Managing IBS, Reducing Readmission Rates, More

AJN0713.Cover.OnlineAJN’s July issue is now available on our Web site. Here’s a selection of what not to miss.

On our cover this month, U.S. Air Force first lieutenant Georganne Hassell is photographed during a presence patrol in Qalat City in southern Afghanistan. According to a 2011 U.S. Department of Veterans Affairs report, America’s Women Veterans: Military Service History and VA Benefit Utilization Statistics, by 2035, women will make up 15% of all living U.S. veterans. For more on the health issues of women troops and women veterans, see this month’s editorial.

And for an overview of how to recognize and assess veterans’ unique health care issues, such as posttraumatic stress disorder (PTSD), military sexual trauma, chronic pain, and traumatic brain injury, see our continuing education (CE) feature “Enhancing Veteran-Centered Care: A Guide for Nurses in Non-VA Settings.” This article, which also lists useful resources offering tools, educational materials, and veteran services, can earn you 3.1 CE credits. If you’re reading AJN on your iPad, you can listen to a podcast interview with the authors by clicking on the podcast icon on the first page of the article. The podcast is also available on our Web site.

The prevalence of irritable bowel syndrome (IBS) is estimated to be around 5% to 10% in North American, and it is diagnosed more often in people under the age of 50. No single drug effectively relieves all IBS symptoms. “Managing […]

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