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Managing the All-Too-Real Symptoms of Fibromyalgia Syndrome

By Sylvia Foley, AJN senior editor

Capture (click image to expand)

Fibromyalgia syndrome (FMS) is one of the most common rheumatic disorders, affecting as many as 15 million people in this country, the vast majority of them women. People with FMS typically experience chronic widespread pain, as well as various concurrent symptoms that can include fatigue, cognitive disturbances (such as memory problems, confusion, and difficulty concentrating), distressed mood (especially anxiety and depression), nonrestorative sleep, and muscular stiffness. One study found that up to 65% of patients experienced lost workdays as a result.

Yet as author Victoria Menzies reports in one of our January CE features, “Fibromyalgia Syndrome: Current Considerations in Symptom Management,” many health care providers “doubt the syndrome’s validity.” Diagnosis is often delayed for years.

Menzies provides a concise overview of the illness, which has no known cure, and then focuses on what can be done to alleviate symptoms and improve patients’ quality of life. Here’s a brief overview of the article:

Symptom management appears to be best addressed using a multimodal approach, with treatment strategies tailored to the individual. While medication may provide adequate symptom relief for some patients, experts generally recommend integrating both pharmacologic and nonpharmacologic approaches. Some patients may benefit from the adjunctive use of complementary and alternative medicine (CAM) modalities. Because symptom remission is rare and medication adverse effects can complicate symptom management, […]

A Nursing Perspective on a Recent NEJM Palliative Care Article

Pam MolloyBy Pam Malloy, RN, MN, FPCN, director and co-investigator of the ELNEC Project, American Association of Colleges of Nursing (AACN), Washington, DC.

I just read a New England Journal of Medicine article by Drs. Craig D. Blinderman and the late J. Andrew Billings that came out on Christmas Eve, 2015. “Comfort Care for Patients Dying in the Hospital” was a thoughtful, informative article and I am grateful that it appeared in a journal that wasn’t focused solely on hospice/palliative care.

2016_ELNECLogoWhile the information in the article is essential for all health care professionals, I would like to take this opportunity to remind my nursing colleagues that we have a tremendous opportunity and privilege to plan, provide, and orchestrate the care that was described in this article—and we have been doing so for some time.

Nurses spend more time at the bedside and out in the community assessing and managing patients with serious, complex illness than any other health care professional. Our interdisciplinary colleagues depend on our assessments and we play a major role in developing plans of care with our diverse team. We are there having difficult conversations with patients—many times in the middle of the night when they cannot sleep.  We […]

Protect Yourself, Protect Your Career: Get Informed About Nurse Licensure

Edie Brous, JD, MS, MPH, RN, is a nurse and attorney in New York City and the coordinator of AJN‘s Legal Clinic column.

By Daniel X. O'Neil/via Flickr By Daniel X. O’Neil/via Flickr

I just came back from speaking at a conference where I had the same experience I have every time I speak with nurses about licensure issues. Participants say I am telling them things they didn’t know before.

Nurses who have been in practice for decades didn’t know their state requires nursing board notification of name or address changes within a certain number of days. They didn’t know that criminal convictions, even unrelated to nursing practice, can lead to disciplinary action on their nursing licenses. They didn’t know that it is considered professional misconduct to default on child support payments. They didn’t know that discipline in one state can result in discipline in another state, even when the license in that second state is inactive or expired.

Misconceptions about state boards of nursing. Many nurses do not understand the mission of the nursing board and think that the board is supposed to be an advocate for individual nurses or for the nursing profession. In fact, the board’s mission is to protect the public. Members of the board of nursing are not there to advocate for you, but to protect the public from you when […]

2016-11-21T13:01:39-05:00December 18th, 2015|career, Nursing, nursing perspective|2 Comments

Inside an Ebola Treatment Unit: A Nurse Shares Her Experiences in Liberia

By Sylvia Foley, AJN senior editor

“It is extraordinarily difficult to establish an IV line in a dehydrated patient by generator-powered light while double gloved, with one’s goggles fogging.”—Deborah Wilson

Author Deborah Wilson at the Foya ETU cemetery. Photograph by Marcos Leitão.In one of this month’s CE features, “Inside an Ebola Treatment Unit: A Nurse’s Report,” author Deborah Wilson offers readers a rare look from the frontlines of the 2014 Ebola epidemic. Her stories about her patients and colleagues are as compelling as they are informative. Here’s a short overview of the article:

In December 2013, the first cases of the most recent outbreak of Ebola virus disease (EVD; formerly known as Ebola hemorrhagic fever) emerged in the West African nation of Guinea. Within months the disease had spread to the neighboring countries of Liberia and Sierra Leone. The international humanitarian aid organization Médecins Sans Frontières (MSF; known in English as Doctors Without Borders) soon responded by sending staff to set up treatment centers and outreach triage teams in all three countries. In August 2014, the World Health Organization declared the outbreak an international public health emergency.

In September 2014, the author was sent by MSF to work as a nurse in an Ebola treatment unit in Foya, Liberia for five weeks. This article describes her experiences […]

The Stay-at-Home Nurse

“You may not always take your work home with you, but you take your nurse self everywhere.”

Diane Stonecipher, BSN, RN, lives in Austin, Texas.

by rosmary/via Flickr by rosmary/via Flickr

The proverbial “what do you do?” always flummoxed me. My answer was usually some variation on this: “I used to be a nurse, but I have not worked outside the home while I’ve been raising my sons.”

But most people stopped listening after the “I used to be.” Sure, I could recite some things that I had done during the intervening years, but they were not really vocations I could make a claim to.

Even my children, who I had after first being a nurse for 15 years, never thought of me as a nurse. I did not leave the house for work, I did not get paid, I did not gripe about my job (in front of them), and I was available to them 24/7.

There are many professions that lend themselves to being a good mother. There are many interests, talents, and personalities that contribute to good mothering skills. Look at nature and you will see incredible maternal gifts in every species.

Still, I can’t help but think that I have been a better mother because I am a nurse and that my children have benefited in […]

2016-11-21T13:01:41-05:00December 4th, 2015|career, narratives, Nursing, nursing perspective|3 Comments
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