About
A chronic, debilitating autoimmune disease affecting the myelin sheaths and axons of the central nervous system, often with periods of remission and exacerbation occurring with greater frequency.
Assess
Muscle weakness, fatigue, visual changes, ringing in ears, dizziness, slurred speech, difficulty swallowing, numbness or tingling, tremors, impaired coordination
Complications
Disease progression, exacerbations. immobility
Diagnosis
- Impaired physical mobility related to neuromuscular impairment
- Activity intolerance and Fatigue related to weakness
- Self care deficit related to impaired physical mobility
- Ineffective coping related to chronicity of disease state
Goals
- The client will maintain mobility and accommodate for impaired mobility.
- The client will verbalize understanding of disease and treatment modalities.
Interventions
- Maintain clutter-free environment free from physical barriers.
- Accommodate for visual changes as needed.
- Initiate intermittent straight catheterization as necessary and teach client to manage techniques.
- Assist client with ADL's, as needed.
- Administer medications ( immunosuppressants, steroids, muscle relaxers, etc.) as ordered.
- Teach client side effects and adverse reactions of medication therapy.
- Teach client techniques to maintain mobility and prevent atrophy ( including range of motion exercises).
- Encourage active participation in ADL's as much as the client is able to tolerate.
- Encourage active participation in physical therapy and/ or occupational therapy.
- Teach client and family about the disease process and exacerbations and to avoid stress, infection, illness, over exercising, and extreme temperature changes.
- Monitor for signs/ symptoms of complications.
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