Nursing Assignment on Multiple Sclerosis: Clinical Reasoning Cycle and Self-Management Interventions

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student:
Name of the University:
Author Note:

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NURSING ASSIGNMENT
Introduction
A potential disease of the nervous system, mainly causing disability of the system is
referred to as Multiple sclerosis. This disease effects the protective sheath of the brain and
thus severely affecting the cells of the immune system. Individuals at times also suffer from
paralysis along with loss of vision and loss of functioning of the brain (Sanai et al., 2016).
The case presented here shows that the patient has been diagnosed with multiple sclerosis six
years ago. However his symptoms show signs of reoccurrence of multiple sclerosis.
Therefore this paper, through the implementation of a clinical reasoning cycle will highlight
the nursing care plan that will be required for proper management of the health condition of
the patient. Additionally the paper will discuss the nursing priorities that are well identified
from the case presented in order to manage the condition of the patient. The paper shows that
using the self-management interventions, the health deficits of the patient can be addressed.
These self-management interventions have proved to be helpful for such patients as they have
shown to decrease the anxiety and depression in patients hence improving their psychological
well-being.
Clinical reasoning cycle
Through the use of the clinical reasoning cycle, the following assessments are accrued
out. In order to collect cues and process the given information evaluation is conducted
considering each aspect of the clinical reasoning cycle:

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NURSING ASSIGNMENT
1. Consider the patient
The patient here is Mr. Dinh Nguyen, who is a widower of 83 years of age. Six years prior he
had been diagnosed to have Multiple Sclerosis. He was additionally diagnosed to have
osteoarthritis four years back, however right now it was controlled taking drugs. In the year
1976, Nguyen's moved from Vietnam.
Dinh currently lives alone in his own two story home where already he had lived with
his partner , Ngoc. She had died a year back. Dinh stayed independently after the demise of
his partner. With the expansion of his pain, his confinement had expanded. There was a
evident decrease in his wellbeing alongside the declining of his intensifications because of
MS. Dinh and Ngoc were childless, in this manner Dinh had no close family. Be that as it
may, Dinh had a sibling, Bao, who alongside his family lived close by. Anyway Dinh did not
want to get involved with them and did not need trouble them. Dinh had a little wage which
he got from his self-guided superannuation hence was sufficiently cautious with his cash. His
funds were sufficiently only to cover his costs. He took relaxes once consistently, anyway
this year he was not able do as such because of his weakened mobility.
2. Collection of cues
Aside from being determined to have multiple sclerosis, he was likewise diagnosed to
have osteoarthritis. He experienced different issue like some obscured vision alongside
confront deadness that happened regularly. Furthermore he regularly had sensations like
"electric stun" while moving his head and neck. This sensation regularly went down his back
and into his legs. This affected his versatility and step in a serious way. This is making his
day by day tasks troublesome like cooking, washing and dressing. Acts like twisting down to
do up his shoe bands have turned out to be most hard to perform. There were likewise evident
scenes of urinary incontinence which Dinh had begun encountering recently. Dinh has seen