Mishel's Model of Uncertainty Describing Categories and Subcategories in Fibromyalgia Patients, a Scoping Review.

The aim of this review was to demonstrate the presence of categories and subcategories of Mishel's model in the experiences of patients with fibromyalgia by reviewing qualitative studies. Uncertainty is defined as the inability to determine the meaning of disease-related events. A scoping review of qualitative studies was carried out. Twenty articles were included, with sample sizes ranging from 3 to 58 patients. Articles from different countries and continents were included. Three categories of the model and eight subcategories could be shown to be present in the experiences of fibromyalgia patients through the scoping review. The first category, concerning antecedents of uncertainty in patients with fibromyalgia, is constituted by the difficulty in coping with symptoms, uncertainty about the diagnosis and uncertainty about the complexity of the treatment. The second concerns the cognitive process of anxiety, stress, emotional disorder and social stigma. The third category refers to coping with the disease, through the management of social and family support and the relationship with health care professionals.

Cuidados de higiene palpebral en pacientes con blefaritis / Care of the eyelids in patients with blepharitis

La blefaritis es una enfermedad crónica, muy frecuente, de la superficie ocular,que implica una gran variedad de procesos inflamatorios palpebrales ypresenta un amplio espectro de manifestaciones clínicas.Es importante que el paciente aprenda a reconocer la sintomatología y desarrollehabilidades de higiene palpebral y aplicación de medicación oftálmica,ya que esto constituye la esencia del tratamiento para el control de la enfermedad.La educación para la salud centrada en estos aspectos es la principal intervencióndel tratamiento enfermero de los pacientes con blefaritis, tanto en lasconsultas de oftalmología como en Atención Primaria.El propósito de este trabajo es mejorar el conocimiento de las enfermeras sobreel cuidado de estos pacientes, a partir de la descripción de cómo se realizael procedimiento de higiene palpebral según el tipo de blefaritis

Blepharitis is a commonly occurring chronic disease of the eyelid area that includesa variety of palpebral inflammatory processes with a wide spectrum ofclinical presentations.It is important for the patient to learn to recognise the symptoms so as to developbetter palpebral eye care techniques and the application of eye medication,as this constitutes the basic treatment for control of the disease.A health education that focuses on these aspects represents the main interventionof nursing treatment in patients with blepharitis, both in ophthalmologicoffices as well as in primary care.The purpose of this paper is to improve nursing knowledge on the care of thesepatients from a description on how the palpebral eye care procedure is performeddepending on the type of blepharitis