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Multiple Sclerosis Ppt

Multiple Sclerosis Ppt

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Published by Nefely Joy Go

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Published by: Nefely Joy Go on Jan 12, 2011
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02/21/2013

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MULTIPLE SCLEROSIS

MULTIPLE SCLEROSIS PATHOPHYSIOLOGY .

MULTIPLE SCLEROSIS ‡ Autoimmune process and infectious agent Activates T-Cells Macrophages enter the brain from peripheral circulation .

MULTIPLE SCLEROSIS Initiates inflammation Release of cytokines and activated T-lymphocytes Demylination and destruction of oligodendrocytes .

MULTIPLE SCLEROSIS Formation of plaque in the myelin sheath Scarring and destruction of myelin sheath and axon .

Scan bladder to confirm postvoid residual (PVR) volume. catheterize the bladder using sterile technique in the hospital. 6. Instruct client on self-catheterization with a clean catheter. Toilet every 3 hr while awake.MULTIPLE SCLEROSIS Impaired urinary elimination related to bladder dysfunction Interventions: 1. 3. Maintain fluid intake of 2000ml/24hr. 4. 2. . Assess skin for incontinence associated dermatitis with each voiding. 5. If PVR is >100ml.

Teach client to consume a high-fiber diet and 2000ml of fluid. .suppositories or digital stimulation 45min after breakfast. Develop a bowel program with . 5. 2. Perform manual disimpaction if other methods do not work. 3.MULTIPLE SCLEROSIS Constipation related to immobility and demyelination Interventions: 1. Avoid routine use of enemas and laxatives 4. Assess normal bowel movement pattern.

Teach client to plan activities during peak energy periods. . Facilitate sleep by reducing nighttime interruptions. 4. 2. Plan for rest periods during the day. noise and light. Keep the environment cool.MULTIPLE SCLEROSIS Fatigue related to fatigue and muscle weakness Interventions: 1. 3.

6. 4. Assess degree of muscle spasticity. Avoid intense aerobic exercise. spasticity and ataxia Interventions: 1. 2. contractures. . Stretch muscles and perform ROM on joints. 7. 5. Administer antipasmodics as ordered. 3. Consult with physical therapists for mobility aids. Consult with occupational therapists for utensils and splints. Position in neutral alignment.MULTIPLE SCLEROSIS Impaired physical mobility related to weakness.

Evaluate the client s support systems. . Assist client to accept dependence on others. Assess for the presence of depression and any previous treatment for depression.MULTIPLE SCLEROSIS Situational self-esteem related to loss of independence and fear of disability Interventions: 1. 3. Assess the client s problem-solving strategies. 4. Provide experiences that increase the client s autonomy 5. 2.

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