Transcript Multiple sclerosis

Nursing Interventions
 Goals:
 Health
prevent exacerbations
manage symptoms
improve function
Teaching
Incorporate patient and family
Include whole health team
Importance of avoiding stress/extreme
temperatures
 Promote
mobility
ROM and stretching exercises
Modify activities to prevent fatigue
Use of adaptive devices
Medications
 Promote
Cognitive / Emotional Functioning
Maintain organized environment
Create lists to assist patient
Use of calendar and clock
Teaching memory exercises/ mnemonic
 Speech
Therapy-exercises and evaluate for
dysphagia
 Sexuality
Dysfunctioning
Encourage communication between partners
Provide counseling
Meds
 Vision
Encourage use of eye patch when needed
 Bowel
and Bladder Dysfunction
Maintain appropriate diet and fluid intake
Catherization as needed
Modify activites
Bowel and bladder toileting schedule
Meds
 Nutrition-
diet, herbs
 Stress
reducers- meditation, yoga,
biofeedback
 Symptom
management- acupuncture,
homeopathic, chiropractic
 Impaired
urinary function r/t sensory motor
impairment
 Fatigue
r/t disease process
 Self-care
deficit r/t neuromuscular
impairment