A patient tells the nurse that every time she "gets on track" to manage her symptoms of fibromyalgia, something else happens with an elderly parent and she has to "start all over" with the management of the symptoms
Which of the following should the nurse discuss with this patient? 1. Discuss strategies to help with the care of her elderly parent.
2. Explain that missing exercise is not going to exacerbate the symptoms.
3. Suggest she talk with her health care provider about taking Lyrica so the symptoms will go away.
4. Remind the patient that life cannot be predicted, and caring for an elderly relative must be a priority.
Discuss strategies to help with the care of her elderly parent.
Rationale: Anxiety and depression must be controlled in order to control fibromyalgia. The patient would benefit from a discussion of strategies to help with the care of her elderly parent. A steady, continuing exercise regimen is needed to control symptoms, so the nurse should not suggest that missing exercise is not going to exacerbate the symptoms. Lyrica has helped to reduce pain and improve sleep in patients who have taken the medication for 6 months; however, it is uncertain if the medication will make the symptoms disappear in all patients. Suggesting that her elderly parent's needs are a priority does not address the patient's concern.
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