#Managing Symptoms
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The Art of Pacing: Managing Chronic Fatigue Syndrome with Skillful Means
There is a rhythm to living with chronic illness, one that requires a kind of surrender. Those who walk the path with myalgic encephalomyelitis or chronic fatigue syndrome soon learn that pacing is not merely a strategyāit becomes an art form, a way of listening, of harmonizing with the bodyās quiet whispers before they become cries. To pace oneself is to acknowledge the bodyās finite energy, toā¦
#Body awareness#chronic fatigue#chronic fatigue syndrome#chronic illness#chronic illness blog#chronic pain#Cognitive difficulties#energy conservation#energy management#Fatigue management#holistic healing#living with chronic illness#managing symptoms#ME/CFS#ME/CFS support#mindfulness for chronic illness#Myalgic Encephalomyelitis#pacing#post-exertional malaise#rest and recovery#self-care#self-compassion#skillful means#sustainable energy management#Tibetan Buddhism#upaya#wellness strategies
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I realize that a part of me pushing myself to do things might be internally ableist, but due to my auDHD, Iām really trying to just push myself to do things that will be beneficial later (and allowing myself to give up once Iāve started something and decided I donāt like it)
#audhd#itās a start?#managing symptoms#healing#neurodivergence#self love#Iām also chronically ill with other things
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To all of my folks out there who are on clonidine: please do not skip your doses
It is not that you will simply feel your symptoms again like I had thought, but it can really fuck with your blood pressure and heart rate, which I learned the hard way
#medication tw#clonidine#tourettes syndrome#managing symptoms#blood pressure#disclaimor this isnt official medical advice or anything#just a friendly reminder and pontential warning
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Caring for loved ones as they age can be challenging, especially when it comes to identifying early signs of dementia. Many families rely on trusted adult care in Vancouver, Washington to help manage their aging relativesā needs. Spotting the early indicators of dementia can make a significant difference in ensuring the best possible care for your loved one and improving their quality of life.
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Egret Nurse
design from The Wildercourt (a graphic novel I am working on and hope to have finished in 2025)
#art#wildercourt#egret#bird#person#monster#healthcare is a demanding profession and she's a hard-working woman#especially when you are working to ease and manage the symptoms of [redacted redacted redacted]
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Magnesium Body Butter: Alleviating Pain and Multiple Sclerosis Symptoms
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09/29/2024
My gf and I got sick with covid over the weekend
It's been 3 days and we're still battling symptoms, my job gave me a week off but that comes with missing all the hours/money I would have gotten so that means my upcoming check is going to be very small
We are running out of food and necessities for recovery, as it stands we really need help with getting enough $ for:
Groceries
Dog food
Covid tests
Medicine
Dealing with the illness has already been hard enough so any help is greatly appreciated!! We're both immuno compromised so the tests and medicine are super important !!
In total we would need about $500 to cover the cost of everything
Please do not tag this as anything specific so as to ensure the most visibility
Appreciate you all ā¤
CA: $lezsalt or $sleepyhen
Vm: wildwotko
Dm 4 PPL
#sorry we are poor#anything helps#we are very fortunate that symptoms have been manageable all things considered#it would mean so much for yall to come through for us rn
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I think it would really benefit people to internalize that mental illnesses are often chronic and not acute. Some of us will never be able to jump the hurdle of managing illness, much less sustaining a sense of normalcy. Many of us will never "recover," will never manage symptoms, will never even come close to appearing normal - and this is for any condition, even the ones labeled as "simple" disorders or "easy-to-manage" disorders.
It isn't a failure if you cannot manage your symptoms. It isn't a moral failure, and you aren't an awful person. You are human. There's only so much you can do before recognizing that you cannot lift the world. Give yourself the space to be ill because, functionally, you are.
#mental health#mental health advocacy#like... anxiety and depression are often concieved of as simple and easy to manage...#...but that isn't the case for so many of us. anxiety and depression just have a lot more research invested into them...#...and while i wish this were the case for literally every other condition it does alter people's perception of you to some extent...#...so while this is NOT solely about anxiety or depression it includes us...#...my anxiety and depression and PTSD have *destroyed* my life. this is chronic and will probably be life-long...#...and that isn't my fault. i've done the fucking work but guess what? that doesn't account for the fact that I Am Just ILL#the least we can do for each other is to be compassionate#be compassionate to those who cannot heal. be compassionate to the people who can't manage their lives. this world is scary enough#recognize that management of symptoms is something not all of us can do - even IF their condition is labeled as 'easy to manage'#i allowed myself to feel angry that i can't heal 'normally' and that was unfair as fuck toward myself#and i NEED people to internalize this so that MAYBE this could help somebody else who is where i was#i NEED them to understand that it's okay that they are where they are - sometimes shit just doesn't turn out how you expect or want#don't beat yourself over you being a person. you are struggling enough. you deserve to rest. just rest please#and just... give yourself space
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Hot take, anyone who thinks Dick Grayson has a persistent case of anger issues just doesn't know what anger issues are.
Does he get angry? Yes (I sure would hope so since he's a human being). Would I call it anger issues? No, not really.
#if you disagree please show me your evidence#because I keep seeing examples of 'anger issues' from Dick that are literally a common emotional response to a very damaging event#or straight up mental control#'anger issues' is not even a medical term#is just an underlying symptom to many different disorders#do we really think someone who has trouble managing their anger could ever become a trusted leader to multiple teams?#someone who people know they can rely on?#everyone has moments in which they find harder controlling their emotions because they're going through immense stress or anxiety#but that doesn't define you nor does it always mean it's part of a disorder#and I'm not saying dick grayson doesn't have any issues#nobody could lead his life and be completely mentally stable#but out of all the things I would think he has#an anger management disorder wouldn't be my first guess#dick grayson#nightwing#robin#dc comics#dc#dick grayson āanger issuesā
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Sudden strong urge to write a song that sounds like a love song but is actually describing the symptoms of POTS (and/or is talking about salt? maybe?) despite not having song-writing skills This impulse brought to you by the realization that both things are sometimes described using phrases like heart flutter* and weak in the knees and how many times I say things like "I want to but my heart won't let me" or "my heart is telling me not to go" (meaning "my heart rate is too high") *I thought about this one too many times and now the phrase makes no sense but I think it's a real phrase?
#the person behind the yarn#also brought to you by the phrase 'coal mine canary of a heart'#which popped into my head because my heart rate right now is a little absurd#but I am having no other symptoms (besides fatigue)#which tells me something is wrong and getting wronger but idk what yet#hence the canary comparison lol#also I just think this would be a funny concept if I could manage it#as someone who has POTS and is ace
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ADHD isn't silly or quirky. it can hinder productivity, create a cycle of overcommitting and overextending to keep up with life, can give rise to feelings of guilt for things like resting and overall impacts relationship health (just to name a few). it's hard to manage and it's miserable.
#I make fun and light of it to cope because I do have it. people who don't#do your research#talk to your ADHD loved ones and lay off the jokes#it's rude and mean and makes you look that much more insensitive and uneducated. it's not cute. help us out.#adhd#there's so many symptoms that are hard to manage on the daily#and it's a whole other level if you've got other conditions mental illness or trauma
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Post: you NEED to eat more than 2 types of vegetables I DONT CARE IF YOURE AUTISTIC IM AUTISTIC TOO AND CAN DO IT WHICH MEANS YOU DEFINITELY CAN TOO!!! Just find a way to make them taste good Its literally sooo easy!!!!
The notes: yeah! Here's some ways you can do that: *lists 1000 mouth torturing methods*
#no thank you methinks ill continue only letting corn and broccoli infiltrate my diet#i hate when one autistic person manages to get over/find away around one of their symptoms (sensory issues here) and decides to make it#other autists problems lmao#is onion and peppers veggies if so i also eat those
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Team āCatherine Todd deserves the world and a nuanced limited series that explores poverty and the broken American healthcare systemā
#my art#catherine todd#jason todd#baby jason protection squad#back at it again with my catherine n baby jason content#Batman#bruce wayne#like I like to think that Catherine also had a chronic illness/disability as well and#because of how awful the healthcare system is couldnāt manage her symptoms well since post 18 didnāt have insurance consistently#and as she got older and sicker she couldnāt get on disability while married#and may not have gotten on Medicare or some other program a couple months before dying#like sheās got a kid to take care of she HAD to make money#Jason was her priority and maybe she wasnāt perfect but she loved him damnit#I have a lot of feelings about Catherine Todd ok???#dc comics
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Non-ADHD and non-autistic disabled people whose only idea of ADHD and autistic people is shaped by media depictions of a nerdy white boy or a quirky goth girl with low support needs: "Yeah ADHD and autism are destigmatized and we should ignore people with ADHD and autism in favor of real disabilities. I am very smart and progressive."
Lateral prejudice towards other disabled people will get us nowhere.
#actually disabled#ableism#lateral ableism#autistic people face disproportional police violence#especially if they're not white#I know people who have been severely hurt socially financially and mentally because of their adhd and/or autism#there's a literal anti-vax movement of people who think autism is worse than polio and measles and shit#adhd and autism are not destigmatized#just because a handfull of privileged adhd and/or autistic people managed to succeed and mask very well#doesn't mean that's the majority of the adhd and/or autistic experience#there's a reason autism was classed as a schizophrenic disorder for a long time#because the outward symptoms of autism and schizophrenia can be very similar#parents of adhd and autistic kids talk openly about wanting to murder their children and some even succeed in doing so#and people sympathize with them#autism and adhd can manifest in auditory processing disorders and communication disorders#which to a non-professional appear indistinguishable from physical hearing impairements and neurological disabilities#adhd symptoms can be so similar to brain cancer that I know someone who died because his cancer was caught so late#actually autistic
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I JUST FOUND OUT I CAN BIKE WITHOUT* PAIN!!!!! I JUST FOUND OUT I CAN BIKE WITHOUT PAIN!!!!!!! I NOW HAVE TWO PHYSICAL ACTIVITIES I CAN DO WITHOUT PAIN!!!!!!! I CAN BIKE WHEN IM NOT FIGURE SKATING!!!!!!! IM GENUINELY SOBBING RIGHT NOW THIS IS SUCH A MASSIVE THING FOR ME YOU DONT UNDERSTAND
* = check tags for explanation
#My chronic pain has been getting so much worse lately#Dislcoations are also happening more often#And as someone who used to be insanely athletic Iāve been grieving so heavily for who I used to be and what I used to be capable of#I used to be able to run a marathon easily and now *walking* is painful#I use a cane most days now#My literal only freedom is while figure skating#And to discover thereās another thing I can do? I feel like Iām getting a piece of myself back even while my health is getting worse#This feels so euphoric#But knowing I be active by skating? Itās been my life line. And now I can bike!#And I just donāt know what to say#Also for clarification I can bike now but itās still painful to a degree: Figure skating is not painful for me#But biking still has a level of pain but so far itās not like āIām completely unable to do thisā pain instead itās like#āWow yeah this is painful but everything is and this is a pain I can manage to deal with because Iām being active and that makes me happyā#ykwim?#Oh and new symptoms of paralysis. Iāll make a post about that too. My luck is awesome /s#Chronic illness#Fibromyalgia#hEDS#Cane user#dynamic disability#Disabled#Chronic pain#Disability#Chronically ill
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Hey so your post about pain management as a bedside nurse is so important to my own nursing practice that I've considered printing it out so I can have it to hand all the time. So thanks for that. Also, how do you deal with assignments that are busy enough that pain management is harder than it should be? I'm coming up on two years as a nurse and I feel like I take it personally when I am too busy to adequately manage my patients pain. I'm also coming from a newly unionized hospital where the ratios are still horrendous (I do 1:10 on med surg) and I'm hoping once we can enforce our staffing grids it'll be better but idk I'm burning out and I love my job so much and I really respect your nursing philosophy? I guess. Sorry for the word vomit it's been a crazy shift.
I've been trying to think of how to answer this since I got it. It's just such a horrendous ratio. With ten patients a shift, that's like six minutes an hour for each in a fantasy world where there's no charting and everything is exactly where you need it to be. I feel like I don't have great insight into this because the most med surg patients I've had assigned is five. Ten patients to one nurse is just a raw deal for everyone. Like christ no wonder you feel like you're burning out! I'll give you what thoughts I have and hopefully other people can chime in if they have suggestions. But that's such a hard patient load.
When I've been super swamped, I've found that's when being really explicit about your thinking with the patient helps. Like if I have to dash into a room and then dash back out, I'll make sure the board is updated with the next medication time and that the patient knows when the medication is going to kick in. I'll also provide call light parameters. I have a lot of success telling people, "the med should be doing something by 5:30. If I haven't checked in with you by then, and the pain is unchanged or barely changed, hit your call light and we'll try the next step. Also hit your call light if you feel any sudden change, like now you're nauseated or you have a headache or the type of pain changes or something just feels very wrong. Is there anything you need before I step out of the room?"
I like to be explicit about when to call me because I think there's two directions call light usage can go wrong: someone calls all the time, or someone never calls. With someone who calls all the time, I find that telling them when I'll be back and that I want them to call me if I'm not takes away some of that anxiety that can causes some people to call frequently. Often those patients are afraid that if they aren't on the call light, they're gonna get ignored.
For the other type of patient, the one that doesn't call, I want to make explicit that it's GOOD AND NORMAL TO CALL YOUR NURSE WHEN YOU HAVE SYMPTOMS. We've all had that patient at the end of shift who goes, "btw the gnawing pain in my leg is now a 10/10" and you're like "what gnawing pain sir?? you've literally never mentioned it before now?? I don't have any meds for that lemme page super quick????" These patients can get into pain crises easily because they don't ask for help until something is unbearable. In addition to pain crisis bad, it takes a lot more time to deal with something unbearable than it does to deal with something uncomfortable.
On that note, are you spending your very limited time efficiently? To me, that actually means spend more time talking with patients, at least up front. Manage expectations, make sure people know what to expect. Having conversations with patients that are like, "You just had surgery, it's not gonna happen that we get you completely painless. We want to get you to a manageable pain level that allows you to do whatever it is you most want to do this shift." (For me on nights, that's usually sleeping at least a little, but sometimes the realistic goal you make together is that you will feel at some point better than you feel right now.) "You have this medication scheduled, and you have this one available every X hours when your pain is severe. Is there anything you know that helps you deal with pain?"
Also establish if patients want to be woken up for certain prn medications or if they're sleeping, to let them sleep. With some patients, I will advise them to get woken up for pain medication because I know that they're going to need consistent control to avoid a crisis. (Crises take so much time!)
When I'm crunched for time, I'm fond of bringing in an ice pack and being like "if it works, great, if it doesn't, just take it off, either way here it is." Sometimes I'll do the same with a warm blanket. If I know my patient needs to take pills, I'll bring a cup of water with me into the room. If there's a basic prn like melatonin or tylenol that I think they might want, I'll pull them in advance. If the patient doesn't want them, I return them next time I'm in the med room. (Obviously, don't do this with controlled substances. It's super easy to forget to return them, and not returning opioids is one of those whoopsies people get fired over.)
Decision making takes time. Walking to go get stuff takes time. I want to save the time it takes to assess if the patient needs those things and then walk off to fetch them by just having the things already. If your tightest resource is time, be liberal with resources you can spare. If you're stuck with a patient, do you have anyone you can delegate a prn med pass to? Do you know how to do the absolute minimum charting you need to? Do you have flushes and alcohol wipes and whatever other most common things you need? And since you can't hoard time, if you've got some to spare, ask yourself if there is anything you can do now that will save you time later. If you have five free minutes now and an incontinent patient, getting them up to the bathroom now can save you from taking the time for incontinence care and a bed change later on when they've also sundowned and decide they hate everything but most of all you.
So much of this answer I realize is investing as much time upfront as you can, which I realize is so hard when you are so busy. It sucks immensely that prepping takes much less time than not being prepared does when you don't always have time to prep. Plus when you invest that time to pain plan with patients and do small preventative interventions, I think it also provides some psychological comfort that helps with pain. You're letting them know you're invested and you care and you have a plan, even if you don't have all the time you'd like. That can mean better pain control, which can mean needing to spend less time in that room overall, meaning you can save six whole minutes at some point and maybe even, if we're feeling crazy, get a chance to indulge in that greatest of indulgences: just a real leisurely on-shift piss.
#nursing tag#i hope this helps at all i know how much it sucks to end a shift like 'cool. i didn't help my patients. feel great about that.'#it sucks when you don't have enough time to take care of people because you have too many people to take care of#anyway also thank you re: pain post compliment. and also thank you re: getting to talk about pain mgmt again#marge simpson holding potato voice: i just think [nursing process and symptom management] is neat!
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