Continuous Education Module: Nursing Management: Chronic fatigue syndrome

[Andy]

GENERAL PURPOSE: To gain knowledge about CFS, including the pathophysiology, clinical manifestations, diagnostic criteria, and management strategies. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Summarize the epidemiology, pathophysiology, and clinical manifestations of CFS. 2. Identify the appropriate diagnostic and treatment approaches for patients with CFS.

Open access, https://journals.lww.com/nursingmanagement/Fulltext/2020/10000/Chronic_fatigue_syndrome.10.aspx

 

[MeSci]

Open access, https://journals.lww.com/nursingmanagement/Fulltext/2020/10000/Chronic_fatigue_syndrome.10.aspx

There appear to be errors from the outset. E.g.

CFS is also referred to as
fibromyalgia

CFS is more likely to be diagnosed in patients who are
male.

???

Ah - one is supposed to select one answer out of three?

 

[Andy]

Ah - one is supposed to select one answer out of three?

I'm assuming so.

 

[Trish]

All I can see is a set of 20 rather odd multiple choice questions. For several of them I think there is more than one answer, and for others no answer.
The 'correct' answers are not given.

 

[MSEsperanza]

Seems to belong to this article:

https://journals.lww.com/nursingmanagement/Fulltext/2020/10000/Chronic_fatigue_syndrome.4.aspx

Edit: Forum thread here: https://www.s4me.info/threads/article-chronic-fatigue-syndrome-2020-bush.16922/

TEST INSTRUCTIONS

• Read the article. The test for this CE activity is to be taken online at http://nursing.ceconnection.com.
• You'll need to create (it's free!) and login to your personal CE Planner account before taking online tests. Your planner will keep track of all your Lippincott Professional Development online CE activities for you.
• There's only one correct answer for each question. A passing score for this test is 14 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.

PROVIDER ACCREDITATION
Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour, and the District of Columbia, Georgia, and Florida CE Broker #50-1223.

Payment: The registration fee for this test is $12.95.

The journal is owned by Wolters Kluwer Health

https://en.wikipedia.org/wiki/Wolters_Kluwer

 

[Trish]

Bits of the article are fine. Other bits are rather odd and lacking evidence.

At least it doesn't recommend CBT/GET, and says there is no proven treatment.

From a nursing perspective it seems quite good - longer recovery from surgery, not looking ill doesn't mean not ill, may need help with personal care etc.

Paints too rosy a picture, I think - suggests 50% get better enough to return to work.

 

[DigitalDrifter]

While assessing the patient's medical history, he reveals experiencing fatigue that doesn't improve with rest and can't be explained by an underlying medical disorder. This description is

1. 1. the hallmark of CFS.
   2. a rare symptom of CFS.
   3. not associated with CFS.

Looks like they're using the Oxford criteria. Not impressed. No mention of harm from exercise.