Care Plan for Multiple Sclerosis

Running head: CARE PLAN FOR MULTIPLE SCLEROSIS
CARE PLAN FOR MULTIPLE SCLEROSIS
Name of the Student
Name of the University
Author Note:

1CARE PLAN FOR MULTIPLE SCLEROSIS
Nursing Diagnostic Statement 1
Patient has a risk for fatigue as evidenced by the long time spent on the wheelchair
before admission due to shift change of patient’s community nurse.
Expected outcome 1
Patient will show sign of better sense of increased energy and will express lack of
fatigue. Patient will also be able to maintain their desired level of daily activity.
Nursing Intervention 1
Nurse will study the patient and decide the need for aids regarding daily activities like
walkers or wheelchairs.
Rationale 1
Fatigue generally reduces the patient’s endurance level. Aids like walkers,
wheelchairs can help to lower the fatigue level and to improve the sense of comfort and
independence (Khan, Amatya & Galea, 2014). This will also improve patient’s safety.
Nursing Intervention 2
Nurse will use cooling vest to lessen the fatigue level.
Rationale 2
Study have shown that symptoms of multiple sclerosis get worsened with increased
temperatures. This phenomena have been reported by multiple sclerosis patients. Cold
temperature helps patients to tackle their symptoms better. Although, according to the
researchers this might be temporary. This is comparatively easier treatment, so researchers
have developed cooling vest in which cooling fluid pumps through the vest to reduce the
temperature of wearing patients (Sedal, Wilson & McDonald, 2014).

2CARE PLAN FOR MULTIPLE SCLEROSIS
Nursing Intervention 3
Nurse will accept and assist the patient when she is incapable to perform daily
activities.
Rationale 3
Patient with multiple sclerosis’ ability to perform daily activities varies from one
moment to another. Fatigue generally gets worse late in the afternoon along with the
increased body temperature (Nogueira et al., 2013). This may leads to patient’s inability to
perform daily activity. Accepting it without any judgement and providing the patient with
required care will help the patient with a sense of independence.
Nursing Intervention 4
Nurse will plan to accommodate rest period between activities and persuade to have
afternoon sleep.
Rationale 4
Taking a nap is an effective way to tackle fatigue related to fatigue. Short sleep break
helps to lessen the fatigue level of the patient and also helps to reduce the muscle
aggravation. At afternoon, most patient with multiple sclerosis complains about the
aggravation symptoms. Hence, a short nap in the afternoon often is helpful in tackling fatigue
(Clancy, Drerup & Sullivan, 2015). However, some patients reported that afternoon rest does
not restore their energy level. Fatigue does not damage and harms the nervous system.
Therefore, patient should not push themselves and rest between activities might be enough.
Nursing Diagnostic Statement 2
Patient has risk for acute pain as evidenced by pressure injury in right ischial
tuberosity, stage one and 7 out of 10 pain score at the time of admission.

3CARE PLAN FOR MULTIPLE SCLEROSIS
Expected Outcome 2
Patient will be in position to feel gradual relief or reduction of pain.
Nursing Intervention 1
Nurse will check the vital signs like increased respiration, hypertension and heart rate.
Nurse will check these signs even though the patient report no pain.
Rationale 1
First sign of acute pain is that changes in the vital signs like increased respiration,
hypertension and heart rate. Changes in these vital signs indicates discomfort and surge of
acute pain. Some patients may demonstrate lower blood pressure which generally returns to
normal with the reduction in pain (Gold et al., 2014).
Nursing intervention 2
Nurse will administer local pain relief method to injured area which is pressure injury
in right ischial tuberosity.
Rationale 2
Patient’s injury in her right ischial tuberosity, so local pain relief method like heat and
ice can be administered to lessen the pain. Ice and heat are effective in case of relieving pain
in joints and muscles. Relaxation methods and massage can also be applied to reduce the pain
or will help the patient to deal the pain better (Ehde et al., 2015). There is none conclusive
proof that shows that these measure help the patient to overcome their other multiple sclerosis
pain but these methods might be helpful to patient to deal with the pain better and enhance
their pain tolerance threshold.