Deborah Darnell University of Central Florida NGR5800

 Affects 10-20% adults worldwide (Ronnevig, 2009).

 Diagnosis based on symptomology since diagnostic examinations usually negative  Symptoms include: abdominal pain, diarrhea and or constipation, distension, and bloating  Patients face frustration, lack of control, disruption of daily routines

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Purpose:

To provide a basis for understanding of how varied symptoms and associated experiences affect patients. To encourage development and design of effective interventions to prevent, ameliorate, or manage the negative effects associated with symptoms (Lenz, 1997).

Physiologic TIMING Psychologic DISTRESS SYMPTOMS INTENSITY Situational QUALITY Performance

    Physiologic factors: pain, constipation, diarrhea, bloating, urgent bowel movements Psychologic factors: Feelings of frustration, loss of control, anxiety Situational factors: Disruption of ADLs and normal lifestyle Performance factors: Fear of traveling long distances, being away from restroom, untimely BMs lead to isolation

Pain, diarrhea, bloating Frustration, loss of control TIMING DISTRESS SYMPTOMS INTENSITY Isolation Disruption of ADLs QUALITY

 Research suggests patients suffering with IBS can experience some relief of symptoms with dietary modifications, stress relief, and continued caregiver support (Ronnevig, 2009).

  Nutritional teaching Stress reduction teaching   Proper prescribing of medications Allowing patient expression of concerns

 Brant, Beck & Miaskowski (2010) suggest that improving patient outcomes is the ultimate goal of symptom management research (Brant, Beck,& Miaskowski, 2010, p. 238).

 Interventions should:    Promote self-esteem Incorporate self-efficacy  Increase healthcare interactions Incorporate attitudinal and motivational behaviors

 Advanced practice nurses should become familiar with the dimensions of symptom burden experienced by patients with IBS in order to properly assess and treat patients with IBS.

   Recognize symptoms as subjective Understand the meanings attached to symptoms experiences Focus on physical, psychological and situational factors

Brant, J.M., Beck, S., & Miaskowski, C. (2010). Building dynamic models and theories to advance the science of symptom management research. Journal of Advanced Nursing, 66(1),228-240 doi:10.0000/j.1365-2648.2009.05179.x

Farrell, D., & Savage, E. (2010). Symptom burden in inflammatory bowel disease: Rethinking conceptual an theoretical underpinnings. International Journal of Nursing Practice, 10.1111/j.1440-172X.2010.01867.x

16, 437-442 doi: Lenz, E.R., Pugh, L.C, Milligan, R.A., Gift, A., & Suppe,F. (1997). The middle-range theory of unpleasant symptoms: An update. Advances in Nursing Science, 19(3), 14-27. Retrieved from http://ovidsp.tx.ovid.com.ezproxy.li

b.ucf.edu/ Ronnevig, M., Vandvik, P.O., & Bergbom, I. (2009). Patients’ living with irritable bowel syndrome. Journal of Advanced Nursing, 85. doi: 10.1111/j.1365-2648.2009.05030.x

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