1. Gabriela Valdovinos

2. What is Fibromyalgia?  “Fibromyalgia syndrome (FMS) is characterized by the presence of widespread musculoskeletal pain and tenderness, stiffness, fatigue, sleep disturbance and functional impairment.” Ryan, S. (2011). Fibromyalgia: an overview and comparison of treatment options. British Journal Of Nursing, 20(16), 991-995.

3. Symptoms  Intense pain Burning, aching, throbbing, stabbing  Sleeping problems Limited time of deep sleep  Fatigue Profound exhaustion Wierwille, L. (2012). Fibromyalgia: Diagnosing and managing a complex syndrome. Journal Of The American Academy Of Nurse Practitioners, 24(4), 184-192. doi:10.1111/j.1745-7599.2011.00671.x

4. Diagnosis  No laboratory test  Pain present for 3 consecutive months  All four body regions affected  Of 18 tender points 11 must be affected http://fmaware.org/PageServerda3b.html?pagename=fibromyalgia_diagnosed Wierwille, L. (2012). Fibromyalgia: Diagnosing and managing a complex syndrome. Journal Of The American Academy Of Nurse Practitioners, 24(4), 184-192. doi:10.1111/j.1745-7599.2011.00671.x

5. Treatment  Medication  Therapeutic methods  Proper nutrition  Exercise Coaccioli, S., Varrassi, G., Sabatini, C., Marinangeli, F., Giuliani, M., & Puxeddu, A. (2008). Fibromyalgia: nosography and therapeutic perspectives. Pain Practice, 8(3), 190-201. http://fmaware.org/PageServerf195.html?pagename=fibromyalgia_treated

6. Depression as a result of FMS  “Depression is a prominent feature in fibromyalgia syndrome. Patients with fibromyalgia syndrome who are obese, with poor sleep quality, and those who have recurrent episodes of binge eating are at greater risk to develop depression.” Senna, M., Ahmad, H., & Fathi, W. (2013). Depression in obese patients with primary fibromyalgia: the mediating role of poor sleep and eating disorder features. Clinical Rheumatology, 32(3), 369-375. doi:10.1007/s10067-012-2132-z

7. References  Coaccioli, S., Varrassi, G., Sabatini, C., Marinangeli, F., Giuliani, M., & Puxeddu, A. (2008). Fibromyalgia: nosography and therapeutic perspectives. Pain Practice, 8(3), 190-201.  http://fmaware.org/PageServerda3b.html?pagename=fibromyalgia_diagn osed  Ryan, S. (2011). Fibromyalgia: an overview and comparison of treatment options. British Journal Of Nursing, 20(16), 991-995.  Senna, M., Ahmad, H., & Fathi, W. (2013). Depression in obese patients with primary fibromyalgia: the mediating role of poor sleep and eating disorder features. Clinical Rheumatology, 32(3), 369-375. doi:10.1007/s10067-012-2132-z  Staud, R. (2010). Pharmacological treatment of fibromyalgia syndrome: new developments. Drugs, 70(1), 1-14. doi:10.2165/11530950- 000000000-00000  Wierwille, L. (2012). Fibromyalgia: Diagnosing and managing a complex syndrome. Journal Of The American Academy Of Nurse Practitioners, 24(4), 184-192. doi:10.1111/j.1745-7599.2011.00671.x