Clinical Case Study
Nursing medsurg 2
Multiple sclerosis (MS) is a progressive immune-mediated inflammatory disease that attacks myelinated axons in the central nervous system. The disease is characterized initially by episodes of reversible neurologic deficits which, in most patients, are followed by progressive neurologic deterioration over time. The cause of the disease is not known, but it likely involves a combination of genetic susceptibility, environmental factors, or viral triggers. Multiple sclerosis clients experience dizziness and visual disturbances, dysphonia, loss of mobility, dysphagia, pain, sensory loss, cognitive dysfunction, a lack of energy, and bladder or bowel problems (Lohne, Aasgaard, Caspari, Slettebo, & Naden, 2010). MA is a twenty year-old-female, who came to Saint Rose De Lima Hospital Emergency Department (ED) on March 22, 2010 presenting with complaints of weakness and worsening of her multiple sclerosis. She reported that her symptoms of increasing tremors and global weakness have been going on for a week. The client has had multiple sclerosis since June 2009. Before her visit to the emergency room, she was able to get up by herself and walk with the help of a walker. At the time of her emergency room visit, she did not have chest pain, shortness of breath, dysphagia, fever, flu, or symptoms of infection. However, because of tremors and increased weakness, she was unable to walk and was wheelchair bound for a few days. MA stated that because of her multiple sclerosis, she in now legally blind. She also reported that because she just moved to Las Vegas from California, she did not have a primary care provider. She was still taking Rebif and Interferon medication that her last care provider prescribed. MA is young. She has no other co-morbid factors; however she does state that her mother and one of her sisters suffer from multiple sclerosis. MA has two daughters, one is seventeen...