Caring For Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

By Denise Kissell, BSDH, EFDA, MPH and Denise M. Messina, MDH, BS, RDH

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex, systemic condition characterized by fatigue, lasting 6 months or longer, and signs and symptoms that negatively impact daily life that are not relieved by rest. Chronic muscle pain, sleep disturbances, and influenza-like symptoms, such as tender lymph nodes and sore throat, are common. The cognitive impact of ME/​CFS, described as “brain fog,” increases sensitivity to light and sound, and hinders concentration, reading, communication, and memory. The severity of symptoms vary, but a marked decrease in activity due to post-exertional malaise (PEM) and fatigue is consistent. This condition can cause significant disability, thereby reducing the level of participation in family, social, and work activities.

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