Chronic fatigue syndrome by Mollie White https://padlet.com/molliewhite85/9yjhixphe1q7 Made with panache en-us 2019-03-25 16:08:37 UTC 2019-03-25 16:28:42 UTC hello@padlet.com Situation molliewhite85 https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344899669 Description of disease: series complex multi-system disease in which exertion of any sort can adversely affect multiple organs in a person.

common symptoms:
-fatigue
- post exertion malaise
- unrefreshing sleep 

]]> 2019-03-25 16:11:57 UTC https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344899669 Background raynamlucas https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344899700 Triggers:
-Microorganisms can be causative: herpes virus, epstein barr & retroviruses
-Changes in CNS have been suggested to cause this condition as well
-Immune system problems
-Hormonal imbalances

Risk Factors:
-Stress
- People in 40s and 50s
-Occurs more often in women

]]> 2019-03-25 16:11:59 UTC https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344899700 Assessment devynwieser https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344900315 Diagnosis
  • Profound fatigue lasting at least 6 mo.
  • post-exertional malaise
  • unrefreshing sleep
  • AND (one or the other)
    • cognitive impairment 
    • worsening symptoms upon standing 

***rule out other diseases because symptoms are difficult to differentiate (esp. Fibromyalgia)***

1. Physical examination
2. Diagnostic studies can be used to rule out other possible causes of the pts. symptoms 
3. No laboratory tests can diagnose 
]]> 2019-03-25 16:13:12 UTC https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344900315 recomendations molliewhite85 https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344901703 common meds
-anti-histamines: allergic symptoms
-decongestive: allergic symptoms
-NSAIDS: headache, joint aches, fever
- Tricyclics SSRI: mood and sleep problems
- Clonazepam- treats sleep disturbance and panic disorders

Nursing intervention
- graduated exercise program
- eating well balance: fiber and dark green vegetables
-behavioral therapy
- improve sleep environment

collaborative care
- therapist]]> 2019-03-25 16:16:03 UTC https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344901703 Fun Fact raynamlucas https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344904888 Sleeping doesn't help fatigue. People with this condition can sleep for 10, 12, 14 hours and still not feel refreshed. Those who suffer from chronic fatigue syndrome can also struggle with getting a restful night of sleep as well.]]> 2019-03-25 16:22:34 UTC https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344904888 Question raynamlucas https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344906439 How is chronic fatigue syndrome diagnosed?

A: New onset of persistent or relapsing fatigue must be present for at least 6 months, does not resolve with bed rest and reduces daily activity by at least 50%. Other chronic illnesses must be ruled out. Other symptoms are identified.]]> 2019-03-25 16:24:46 UTC https://padlet.com/molliewhite85/9yjhixphe1q7/wish/344906439