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NCP Multiple Sclerosis

1. Assist with 1. To conserve bathing, dressing patient’s and other ADLs energy and as needed. prevent fatigue. Independent: 1. Monitor for 1. To evaluate signs of fatigue effectiveness and effectiveness of of interventions. interventions.

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Jaylord Verazon
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2K views2 pages

NCP Multiple Sclerosis

1. Assist with 1. To conserve bathing, dressing patient’s and other ADLs energy and as needed. prevent fatigue. Independent: 1. Monitor for 1. To evaluate signs of fatigue effectiveness and effectiveness of of interventions. interventions.

Uploaded by

Jaylord Verazon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NURSING CARE PLAN

ASSESSMENT NURSING PATHOPHYSIOLO OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


DIAGNOSIS GY
Fatigue related to Multiple sclerosis is Short Term: 1. Monitor vitals 1. To evaluate Short Term:
Subjective: increased energy needs characterized by an After 30 minutes of signs. fluid status After 30 minutes of
as evidenced by facial inflammatory response nursing intervention, and nursing intervention,
expression of client. that results in random the patient will be to cardiopulmon the patient will
or patchy areas of identify measures to ary response identified measures to
plague in the white improve sense of to activity. improve sense of
Objective: matter of the central energy. 2. Plan 2. To maximize energy.
 Lack of nervous system. The interventions to patient
energy myelin sheath is Long Term: allow patient participation. Long Term:
 Decrease damaged and its After 3 days of adequate rest After 3 days of
activity thickness is reduced. nursing intervention, periods, nursing intervention,
performance Myelin is responsible the client will be able schedule the client will
 weakness for the electrochemical to perform ADLs and activities for performed ADLs and
transmission of participate in periods when participate in
impulse between the activities at the client has the activities at the
brain and the spinal patient’s level of most energy patient’s level of
cord and the rest of the ability and will ability and will report
body. Impulses are report an improved 3. Encourage 3. To manage an improved sense of
still transmitted but are sense of energy. patient to do patients limit energy.
not as effective as whatever of ability.
before; overtime, they possible such as
may be completely self-care,
blocked. The areas walking within
particularly affected war premises
include optic nerves, and interacting
pyramidal tracts. with family.

4. Instruct 4. To conserve
methods to and maximize
conserve energy patient’s
such as sitting energy.
when doing
daily care or
other activities,
combining and
simplifying
activities and
taking frequent
short rest
periods during
activities.

5. Assist patient in 5. To protect


self-care needs client from
and with injury.
ambulation as
needed.

Dependent:
1. Provide 1. Presence of
supplemental hypoxemia/an
oxygen. emia reduces
available
oxygen for
cellular uptake
and
contributes to
fatigue.

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