COMPLETE SOLUTION.
multiple sclerosis Answer - inflammation and destruction of the Myelin sheath
in the CNS
multiple sclerosis may effect Answer - visual field, muscle strength,
energy/fatigue, gait, coordination, paresthesias
multiple sclerosis nursing hypotheses Answer - self-care deficit, anxiety, fear,
grieving, powerlessness, risk for falls/injury, risk for ineffective realationship
Multiple sclerosis nursing solutions Answer - chronic: assistive devices, fatigue,
safety, strain, self-care
Exacerbation/acute: stressors(environmental, emotional, physical,
illness/condition)
Chronic MS action Answer - health promotion(illness, lifestyle), independence
promotion(mobility, activity planning)
Exacerbation/Acute MS action Answer - ADL assistance, Dignity promotion,
plan for discharge
Chronic MS evaluation Answer - decreased in exacerbation, delayed
progression of disease
, Exacerbation/acute MS evaluation Answer - shorten duration(steroids), return
to near-baseline, plan for next exacerbation
SUPER important Answer - early disease recognition, early diagnosis, long term
plan for success/management
Parkinson's disease Answer - Loss of dopamine producing neurons in the basal
ganglia, imbalance between dopamine and acetylcholine.
Parkinson's cues Answer - TRAP(Tremor, Rigidity, Akinesia, Postural instability)
depression, fatigue, pain, urinary retention, memory changes
Parkinson's nursing hypotheses Answer - unbalanced nutrition, self care deficit,
risk for compromised human dignity, risk for disturbed personal identity
Chronic/stable Parkinson's Answer - maximize independed, DRUS!
exacerbation of parkinson's Answer - identify the cause(illness, exhaustion,
dietary changes, medication toleralce
Parkinsons Evaluation Answer - Evaluate client's level of disability regularly
Assess emotional status
Determine if there are any therapy changes needed
lewy bodies Answer - Clumps of proteins observed in the surviving
dopaminergic neurons of Parkinson's patients