Table 4.

Twelve-Hour Fibromyalgia Treatment Program.58

Education (Completed by Registered Nurse, with Wellness Specialist for the Exercise Component)
Diagnosis and possible contributing factors
  Signs and symptoms
  Proposed models of pathophysiology
  Definition of self-management, focusing on what you can control
  Discuss the downward “cycle of pain”
  Learn new coping techniques to break out of the downward spiral
  Cognitive behavioral techniques, including confronting negative or perfectionistic tendencies and replacing them with more realistic and positive tendencies
  Education on stress management, relaxation, sleep hygiene, communication, energy conservation, time management, step-graded exercise, nutrition, mental fog, forgiveness, grief, humor, and planning of a difficult day
  Identifying patterns of “pushing through the pain” followed by a “crash and burn” tendency
  Modify behavior utilizing time management and planning daily activities
Practice sessions: Breakout sessions provided to practice specific relaxation techniques with the registered nurse, practice stretching and exercise education with the wellness specialist, and goal setting session with the registered nurse to set a plan in place for returning home
RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2015 April; 6(2): e0020. ISSN: 2076-9172
Published online 2015 April 29. doi: 10.5041/RMMJ.10204