Source and Strength of Evidence for a Nursing Intervention to Manage Fatigue

Source and Strength of Evidence for a Nursing Intervention to Manage Fatigue

Introduction

The "abnormal fatigue" is a symptom of great breadth, in the sense that there are very many causes of the disease. Chronic Fatigue Syndrome / Myalgic Encephalomyelitis, is only one possible cause for this state of fatigue (Melnyk, 2011). Some clinical situations that occur with great fatigue, such as fatigue autoimmune diseases (lupus, arthritis, ulcerative colitis, Crohn's disease etc), of some neurological diseases, sports fatigue, secondary to alterations Sleep, the Fibromyalgia, Post-Traumatic Stress situations, the post-viral or parasitic infections, or even due to the use of certain drugs or toxic substances (such as antiretroviral drugs, beta blockers, antidepressants, biological drugs, alcohol, drugs, toxic exposure and chemical substances etc). Despite the great ignorance that still surround them, seem to have some common characteristics, regardless of diagnosis, cause it is a symptom that affects much quality of life of patients, and persistent evenly in all daily life activities (Nancy & Deborah, 2009).

A common feature of all is the mitochondrial involvement, which occurs either as cause or consequence of the underlying disease, nearly 60% of patients affected by persistent abnormal fatigue boxes (Steven, David, Benjamin & Steven, 2012). There is a clear scientific stream considers these abnormal fatigue boxes, which present with exercise intolerance, as a form of mitochondrial diseases in adults without phenotypic expression.

Roy Adoption model

An assessment is to evaluate the patient's behavior. Methods to collect patient information on four aspects of behavioral data through observation, conversation, check, and then determine its behavior is adaptive response or invalid response. Four main invalid responses should be considered:

(1) Physiological useless reaction of the functional aspects of

(2) Self-concept invalid reaction

(3) The role of the functional aspects of invalid reaction

(4) Interdependent invalid reaction.

Nursing diagnosis to complete an assessment and secondary assessment, nursing diagnosis for four reaction and pay attention to the priorities of the nursing diagnosis, arrangement should be based on the threat or impact of individual survival, growth, reproduction, and to develop their potential, consider the threat to individual life will be the biggest, you need to be addressed first nursing diagnosis listed first (Nancy & Deborah, 2009). Develop care target care goal is to improve the level of care and adapt to the object to promote nursing object physiological function, self-concept, role function and interdependence adaptive response, alter or avoid invalid reaction, so as to maintain the health of the recipients of health care.

The selection and implementation of the 5-care measures care measures should follow the basic view of the adaptation model to achieve the goals of care, mainly by controlling a variety of stimuli, and expand the area of nursing object adaptation (Steven, David, Benjamin & Steven, 2012). Control stimulus should address not only the major stimulus should also be noted that the control of the stimulation and inherent stimulus. Expanding adaptation region should be aware of the capabilities and features of the physiological regulation and psychological adjustment, given the ...