abbreviated MS, also known as disseminated sclerosis or encephalomyelitis disseminate
usually diagnosed between ages of 20 and 40, and in 2–3 times as many women asmen.
is an autoimmune condition in which the immune system attacks the central nervoussystem (CNS), leading to demyelination
damages the myelin sheath and neurons
this damage slows down or blocks messages between your brain and your body, leadingto the symptoms of MS
damage to the myelin sheathaffects the areas of the brain and spinal cord known as the white matter
• Visual disturbances, which may include eye pain, distortion or loss of vision in one eye, or impairment of color perception• Difficulty walking or performing tasks that require coordination• Loss of sensation• Fatigue and/or weakness• Loss of bowel or bladder control
Impaired Physical Mobility related to neuromuscular impairment, decreased strengthand fatigue
>Encourage and facilitate early ambulation and other ADLs when possible.>Facilitate transfer training by using appropriate assistance of persons or devices whentransferring patients to bed, chair, or stretcher.>Encourage appropriate use of assistive devices in the home setting.>Provide positive reinforcement during activity.>Allow patient to perform tasks at his or her own rate.>Keep side rails up and bed in low position. This promotes a safe environment.>Turn and position every 2 hours or as needed.>Maintain limbs in functional alignment (e.g., with pillows, sandbags, wedges, or prefabricatedsplints).>Perform passive or active assistive ROM exercises to all extremities.>Encourage coughing and deep-breathing exercises.>Encourage liquid intake of 2000 to 3000 ml/day unless contraindicated.>Initiate supplemental high-protein feedings as appropriate.>Set up a bowel program (e.g., adequate fluid, foods high in bulk, physical activity, stoolsofteners, laxatives) as needed.>Administer medications as appropriate. Antispasmodic medications may reduce musclespasms or spasticity that interfere with mobility.