Proper recognition of the deficiencies in social support is an unmet need in SLE 7 , 8. Furthermore, we suggest that future PROs may need to address the multiple etiologies that lead to erosions in social support. In conclusion, our data point to the potential impact of informational and appraisal support from family, friends, and physicians, as well as to the impact of public awareness campaigns, on health outcomes and have implications with both intervention and research.
In particular, interventions need to recognize the unique experiences of individuals with SLE, particularly regarding the ambiguity and uncertainty they experience. Within this context, interventions may need to consider developing the capacity of individuals with SLE to obtain informational and appraisal support within informal networks and enhancing physician skills in providing information and validation to individuals with SLE. All authors express their utmost gratitude to the individuals who participated in the study and provided their words, experiences, and insights into living with systemic lupus erythematosus SLE.
All authors were involved in drafting the article or revising it critically for important intellectual content, and all authors approved the final version to be published and take responsibility for the integrity of the data and the accuracy of the data analysis. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors.
Any queries other than missing content should be directed to the corresponding author for the article. Volume 1 , Issue 3. If you do not receive an email within 10 minutes, your email address may not be registered, and you may need to create a new Wiley Online Library account.
- What is lupus?.
- Grounds for Agreement: The Political Economy of the Coffee Commodity Chain.
- Rethinking Introspection: A Pluralist Approach to the First-Person Perspective (New Directions in Philosophy and Cognitive Science)?
If the address matches an existing account you will receive an email with instructions to retrieve your username. Original Article Open Access. Louis, Missouri Search for more papers by this author. Elizabeth A. Baker Corresponding Author E-mail address: elizabeth. Louis, Missouri Address correspondence to Elizabeth A. Louis, MO Alfred H. Kim Corresponding Author E-mail address: akim wustl.
The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Ra was supported by a Gina M. Kim participated in consulting, advisory boards, and speaker's bureaus for Exagen Diagnostics, Inc. No other disclosures relevant to this article were reported. Tools Request permission Export citation Add to favorites Track citation. Share Give access Share full text access. Share full text access. Please review our Terms and Conditions of Use and check box below to share full-text version of article. Conclusion Findings indicate that inadequate appraisal and informational support from informal and formal sources are salient factors influencing HRQOL among patients with SLE.
Introduction Systemic lupus erythematosus SLE is a chronic autoimmune condition with a paroxysmal and unpredictable disease course 1. Patients and methods Study design Using a phenomenological approach, we conducted semistructured, qualitative interviews with patients with SLE to better understand their experiences of being diagnosed and living with SLE.
Ethics approval This study was approved by the Washington University School of Medicine Institutional Review Board protocol ; initially approved June 1, , and last approved August 20, Data analysis Interviews were audio recorded, transcribed verbatim, and reviewed for errors before beginning analysis. They were asked broad questions such as the following: In what ways did the summary and themes represent their experiences?
Ambiguity, inconsistency, and lack of symptom predictability The respondents noted that the ambiguous, inconsistent, and unpredictable aspects of SLE had negative effects on their HRQOL both prediagnosis and postdiagnosis. Even [my rheumatologist] said that unless you do a specific type of test, it's not very reliable. I couldn't eat food that was prepared. I would react to stuff like an allergic reaction. I started to have a lot of pain in my body like fibromyalgia pain which I was diagnosed with after I [left my job].
I was passing out [from fatigue] when I got home…They [physicians] had no idea what was wrong with me. You just don't know. It's hit or miss. I don't know how I'll feel on any given day so it's hard to plan anything. Just because you feel fine [today], you don't [know] if you'll feel fine tomorrow. Your life is like…you don't know. Minute by minute. Just because I lose my hair…another patient with lupus may not lose their hair. I had trouble with my appetite [had trouble maintaining weight]. My friend's aunt [who has lupus], she's as big as this table.
Abbreviation: ANA, antinuclear antibodies. Postdiagnosis Subsequently, all interviewed respondents had been diagnosed with SLE, but this did not reduce the ambiguity associated with their symptoms, which were experienced in two ways. The worse symptom that I have is my joint pain.
Lupus—Real Life, Real Patients, Real Talk: Softcover Book
Lupus swelling…my ankle, my leg. It can go off at any time. I lost some friends. Because they thought I was lying [about my symptoms]. I can't walk. But I have no energy today. But I'm not. There becomes a trust issue in a relationship. What's wrong with your feet? You know. When I go down the street to the subway or something. I don't see flyers for it [lupus]. They [businesses] got a special sub [sandwich] or something for any fundraisers for other illness.
Why can't we do the same thing for lupus? They're places that do that [fundraising for lupus]. I don't understand. That's why I think people think it's a joke. That instead of a normal response to things, my body is attacking me instead…I'm honestly to the point where I'll briefly explain stuff [about lupus to other people] but I don't like that awkward crap that goes with it.
- Pdf Lupus: Real Life, Real Patients, Real Talk FOR KINDLE.
- [PDF] Lupus: Real Life, Real Patients, Real Talk Full Collection.
- Additional information?
- One Patient's Positive Perspectives!
They won't understand it [lupus] and I don't think they care. Why expose a part of my life when you [person with no knowledge of lupus] won't be around to pick me up when I fall. Not going to show that part of my life because you really don't care. I know what happens but I don't think I really understand…I have joint pains, skin rashes.
I just start breaking it down. But like I said, I don't even fully understand. Well, what does that mean?
Keep up to date with every new upload!
Well it means you have joint issues. What does that mean? That's [having symptom A, B, C] normal. Or what happens in another patient. With lupus, everyone is not the same. Family, friends, and partners Respondents noted a number of challenges in communicating their experiences of living with SLE to family members, friends, or partners.
Love Narratively? So do we.
Desire for validation Respondents indicated that their experiences were not validated by either their family, friends, or partners informal network or their health care professionals formal network. They don't have enough information. It's probably from past relationships. Confined to a bed, she rekindled her love for writing and embarked on a new and fulfilling career.
See All Customer Reviews.
Help Others Understand Your Lupus
Shop Books. Add to Wishlist.
USD Sign in to Purchase Instantly. Overview Life was progressing as expected; getting sick was never part of their plan. However, in its own distinct and sudden way, Lupus showed up in the lives of the men and women profiled in this book. Having been diagnosed at 14, she had spent nearly half her life dealing pain as well as difficulties caused by multiple surgeries which included having her aortic valve replaced and gallbladder removed. The Gladdens felt like they had seen and heard it all before from different specialists.
Deadra was frustrated by the fact that her pain never seemed to lessen despite years of different medications and surgeries. But the Gladdens say they felt that palliative care was different from the very first meeting when the team of palliative care specialists sat down with their whole family. Deadra immediately opened up to the palliative care team about wanting to be able to be more independent, have more control over her pain and return to her hobby of writing.
The palliative care team then helped map out a plan to first get her pain under control and then continued to talk through her goals to get her back to the things she enjoyed doing.
Lupus (SLE) | Causes, symptoms, treatment | Versus Arthritis
For people facing serious illness, traveling to the hospital for appointments can be a chore. When Deadra first came to palliative care, she had a long list of heavy pain medications she was taking. While they provided some relief, these types of drugs can come with their own side effects.
Recognizing that this was an area that could be improved, the palliative care team had ongoing discussions with Deadra, and based on those conversations, they altered the regimens, and in some cases, took medications away so she could be more active.
Related Lupus: Real Life, Real Patients, Real Talk
Copyright 2019 - All Right Reserved