Nursing Case Study on Multiple Sclerosis: Assessment, Intervention, Pain Management, and Impact on Family

Running head: NURSING CASE STUDY
Nursing case study
Name of the student:
Name of the university:
Author note:

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NURSING CASE STUDY
Table of Contents
Question 1:.......................................................................................................................................2
Question 2:.......................................................................................................................................3
Question 3:.......................................................................................................................................4
Question 4:.......................................................................................................................................5
Question 5:.......................................................................................................................................6
Question 6:.......................................................................................................................................8
Question 7:.....................................................................................................................................10
Question 8:.....................................................................................................................................11
Question 9:.....................................................................................................................................12
References:....................................................................................................................................13

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NURSING CASE STUDY
Question 1:
Assessment Rationale
Physical Physical assessment is one necessary assessment technique for
multiple sclerosis patients as relapse remitting multiple sclerosis is
associated with many neuromuscular degeneration. Lhermitte’s sign,
spasticity and increased reflexes, internuclear ophthalmoplegia,
optic neuroritis and gait or balance disturbance are few of the key
symptoms of multiple sclerosis which can be assessed by physical
assessment (Learmonth et al., 2012).
Environmental As Andrea had been suffering from extreme gait disturbance and
mobility restriction, the fall risk is very high for her. Along with that
as she needed assistance in most of the activities of daily living,
environmental assessment had been necessary for her (Lublin et al.,
2014).
Physiological As Andrea had been suffering from many physiological
manifestations of multiple sclerosis such as gait disturbance,
incontinence, pain, fatigue and motor function disturbance. Hence,
the physiological assessment will help in discovering the severity of
her symptoms (Learmonth et al., 2012).
Psychological Depression is often a significant aftermath of the challenges
associated with relapse remitting multiple sclerosis and hence

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NURSING CASE STUDY
psychological assessment is extremely important for the community
nurse to understand whether or not she requires counselling to cope
with her condition (Lublin et al., 2014). As Andrea had been
suffering from uncertainty and inadequacy worrying about her
marriage and family, a psychological assessment will be necessary
for her.
Question 2:
Assessment Intervention Evaluation
1. Physical
(mobility
deficits)
The community nurse will
provide gait training, gait
assistive devices, powered
mobility equipment, wheelchair,
and mobility assistive strategies
(Coote, Hogan & Franklin, 2013).
These assistive services will help
provide Andrea with the
opportunity to control and
manage her mobility restrictions
and will aid in empowering her.
The outcome efficiency of this
strategy can be assessed by
feedback from the patient and her
family members.
2. Environmenta
l
(fall risk)
The community nurse will
provide environmental
modifications such as de-
cluttering the physical
The de-cluttering and other such
environmental modifications will
help Andrea evade the fall risk;
the aid of supportive footwear