Student Nurses’ Community
NURSING CARE PLAN – Multiple Sclerosis
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: Fatigue related Multiple sclerosis After 8 hours of Independent After 8 hours of
to decreased is characterized nursing Note and accept Persistent fatigue nursing
“ Bigla akong energy by an interventions, the presence of fatigue. is the most interventions, the
nanghina at production, inflammatory Patient will commonly Patient was able
parang pagod na increased response that identify risk reported to identify risk
pagod” (I feel energy results in random factors and symptom. factors and
weak and very tired) requirements to or patchy areas of individual actions Identify or review Knowledge of individual actions
as verbalized by perform plague in the affecting fatigue; factors affecting these factors affecting fatigue;
the patient. activities. white matter of identify ability to be active, provides an identify
the central alternatives to such as opportunity to alternatives to
nervous system . help maintain temperature develop effective help maintain
The myelin desired activity extremes, measures to desired activity
OBJECTIVE: sheath is level; participate inadequate food maintain or level; participate
damaged and its in recommended intake, insomnia, improve mobility. in recommended
Decreased thickness is treatment use of medications, treatment
fine motor reduced. Myelin program and or time of day. program and
skills is responsible for report improved Accept when client Activity report improved
Decreased the sense of energy. is unable to do intolerance can sense of energy.
muscle tone electrochemical activities. vary from
and mass transmission of moment to
Restlessness impulses between moment.
the brain and the Determine need for Mobility aids can
spinal cord and mobility aids such decrease fatigue,
V/S taken as the rest of the as canes, walker, enhance
follows body. Impulses wheelchair, etc. independence
are still and comfort, and
T: 36.9˚C transmitted but promotes safety.
P: 80 are not as Schedule activity of Fatigue commonly
R: 17 effective as daily living and worsens when
BP: 110/ 80 before; over time outside activities in exposed to high
they may be the morning or over temperatures due
completely time throughout the to weather.
blocked. The course of the day.
areas particularly Plan care with Consistent rest
affected include consistent rest and activity
optic nerves, periods between reduces fatigue
pyramidal tracts,
Student Nurses’ Community
posterior activities. and aggravation
columns, Encourage of muscle
brainstem nuclei afternoon nap. weakness.
and the Stress need for
periventricular stopping exercise Pushing self
region of the or activity before beyond individual
brain. fatigue is physical limits
exacerbated. can result in
excessive or
prolonged fatigue
and
discouragement.
Collaborative
Administer Amantadine and
medications as pemoline help
indicated such as manage fatigue.
Amantadine and Common side
pemoline. effects include
increased
spasticity,
insomnia, and
paresthsia of
hands and feet.