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The Symptom Management Theory was conceived in 1994 by the University of California, San Francisco, nursing faculty to create a collaborative framework to propel research and clinical intervention in symptom management[1] [2][3]. A symptom, although a subjective experience, encompasses both subjectively and objectively the following domains of functioning: biological, physiological and psychosocial[1]. The onset of a symptom is often the point of entry for individuals into the health care system; both assessment of the underlying mechanism and effective management intervention is imperative for comprehensive care[3]. The originators of this theory aptly noted that a synergistic approach to symptom management was needed as symptoms do not exist alone[3]. The experience of symptoms includes the interplay of 3 constructs: symptom experience, symptom management strategies, and system status outcomes; these which are encompassed by the reciprocal dimensions of nursing science: person domain, health and illness domain and environmental domain[4][1][2]. Underlying the premise of effective symptom management is the ability to address an individual’s knowledge of symptom appraisal and ability to self-manage[2][3] . Perhaps the most unique aspect of this theory is the paradigm shift with the patient at the helm of symptom management, and nurse scientists, clinicians and educators’ role as advocates in effective management strategies[1][3].

Sedentary Behavior (SB) anchors one end of the movement continuum and can be defined as behavior in a seated or reclined position with expended energy £1.5 metabolic equivalents of task (METS)[5].  There are separate and independent physiologic and psychological determent's from sedentary behavior that differ from a lack of physical[6]

  1. ^ a b c d Humpreys, J. Janson, S. Donesky, D.A., Dracup, K., Lee, K.A., Puntillo, K., & ... Kennedy, C. (2014). Theory of symptom management. InSmith and Liehr, M.J., P.R. (2014). Middle range theory for nursing. 3rd ed. New York, N.Y.: Springer Publishing Co. pp. 141–164.{{cite book}}: CS1 maint: multiple names: authors list (link)
  2. ^ a b c Larson, Patricia J.; Uchinuno, Atsuko; Izumi, Shigeko; Kawano, Ayako; Takemoto, Akiko; Shigeno, Miyuki; Yamamoto, Masumi; Shibata, Shuko (1999-12-01). "An integrated approach to symptom management". Nursing & Health Sciences. 1 (4): 203–210. doi:10.1046/j.1442-2018.1999.00027.x. ISSN 1442-2018.
  3. ^ a b c d e "A model for symptom management. The University of California, San Francisco School of Nursing Symptom Management Faculty Group". Image--the Journal of Nursing Scholarship. 26 (4): 272–276. 1994. ISSN 0743-5150. PMID 7829111.
  4. ^ Dodd, M.; Janson, S.; Facione, N.; Faucett, J.; Froelicher, E. S.; Humphreys, J.; Lee, K.; Miaskowski, C.; Puntillo, K. (March 2001). "Advancing the science of symptom management". Journal of Advanced Nursing. 33 (5): 668–676. ISSN 0309-2402. PMID 11298204.
  5. ^ Wullems, Jorgen A.; Verschueren, Sabine M. P.; Degens, Hans; Morse, Christopher I.; Onambélé, Gladys L. (2016-06-01). "A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures". Biogerontology. 17 (3): 547–565. doi:10.1007/s10522-016-9640-1. ISSN 1389-5729. PMC 4889631. PMID 26972899.{{cite journal}}: CS1 maint: PMC format (link)
  6. ^ Tremblay, Mark Stephen; Colley, Rachel Christine; Saunders, Travis John; Healy, Genevieve Nissa; Owen, Neville (2010-11-23). "Physiological and health implications of a sedentary lifestyle". Applied Physiology, Nutrition, and Metabolism. 35 (6): 725–740. doi:10.1139/h10-079. ISSN 1715-5312.

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