Discuss an interesting or difficult case you encountered in the clinical rotation as a family nurse Practioner student. How did you use evidence to support your actions?
Fibromyalgia patient
A 34 year old hispanic female patient, woman presented with a complex set of symptoms that seemed unrelated. She complained of chronic fatigue, joint pain, gastrointestinal disturbances, and frequent headaches. It was clear that she was suffering and seeking a diagnostic and treatment of her symptoms.
Evidence-based practice……..which involves integrating the best available evidence with clinical expertise and patient values. I started by conducting a comprehensive assessment and family history, lifestyle factors, and a thorough physical examination. I also asked her about any recent life changes or stressors that could contribute to her symptoms.
Based on her clinical symptoms, the primary differential diagnosis was fibromyalgia, other differential diagnosis are chronic fatigue syndrome, irritable bowel syndrome, and migraines. To support my actions, I sought out evidence from reputable sources, such as peer-reviewed journals, clinical guidelines, and expert recommendations.
