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Multiple Sclerosis (Nursing Assessment (Neuro Deficits, Secondary…
Multiple Sclerosis
Nursing Assessment
Neuro Deficits
Secondary complications
Lifestyle impact
Weakness
Bowel/bladder function
Mobility risks
pt/family coping
Identify triggers
Goals
promote mobility
avoid injury
achieve bowel/bladder continence
promote speech + swallowing
improve cog functioning
develop coping strategies
Types
Relapsing Remitting
Most common
Primary Progressive
Secondary Progressive
Progressive Relapsing
Treatment
Pharm: reduce freq/length of relapses and size of lesions
Glucocorticoids
IV administration
Hypergly
Emotional instability
Immuno suppression
Caution:
ELDERLY
DIABETICS
Interferon
SQ every other day
DECreased WBCs
Injection site rxn (beginning 4mnths)
Flu like symptoms
decreases relapse rate/severity
Symptom management
Benzos
Baclofen
Exercise!
What is it?
Immune mediated progressive demyelinating disease of the central nervous system
Risk factors
Women
20-40
Genetics
High Temp areas
Smoking
Manifestations
Fatigue
Depression
Weakness
Ataxia
Pain
Neuropathy
Spasms
Depends on location of plaque
Diagnosis
CT
MRI
Lumbar Puncture CSF
Look for white patches = MS plaques/lesions
Areas most targeted
Optic nerves
Brain
(cerebrum, cerebellum)
Brain Stem
Assessment
Nursing diagnosis
Interventions