Advanced Concepts in Multiple Sclerosis Nursing Care, 2nd by June Halper

By June Halper

The nurse performs a necessary position as an educator, care supplier, and suggest for sufferers and households suffering from a number of sclerosis (MS). The better half publication to an past paintings, complete Nursing Care in a number of Sclerosis, complicated thoughts in a number of Sclerosis Nursing Care, second version examines advanced matters in MS administration and displays a brand new philosophy of MS care: considered one of empowerment. the focal point is at the various settings during which MS nurses perform, in addition to their many jobs and tasks in dealing with this hugely variable disorder. it is going to give you the reader with an up-to-date view of MS besides a better realizing of its lifelong impression. distinct beneficial properties of the second one version contain: a brand new bankruptcy on maintaining wish in MS sufferers a brand new bankruptcy on therapy of acute exacerbations a brand new bankruptcy on rising intravenous treatments increased sections on ache, melancholy, and skincare with widespread injections The publication is split into sections facing the affliction itself, complex perform specifications for nurses, and complicated symptom administration. individuals to complex techniques in a number of Sclerosis Nursing Care, 2d version are nurse clinicians and researchers who paintings in geographically different perform settings all through North the USA and Europe. The ebook will supply nurses with instruments and methods to enhance the lives tormented by a number of sclerosis and to augment the position of the nurse in handling it. (20100503)

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36. Davidhizar R, Bechtel GA, Miller SW. Promoting self-efficacy in the chronically disabled client. J Care Manage. 1998;4(2):44–62. 37. Schunk D. Self-efficacy and achievement behaviors. Ed Psychol Rev. 1989;1(2): 173–208. 38. Halper J, Burks JS. Care patterns in multiple sclerosis. NeuroRehabilitation. 1994 4(4): 67–75. 39. Cobble ND, Burks JS. The team approach to the management of multiple sclerosis. In: Maloney F, Burks JS, Ringel SR, eds. Interdisciplinary Rehabilitation of Multiple Sclerosis and Neuromuscular Disorders.

It has been theorized that empowerment may be likened to the concept of self-efficacy, the belief that one can achieve desired outcomes through behaviors. In MS, the uncertainty of the disease course and the negative perception of the illness itself cause many people to feel hopeless and out of control. Patients’ personal beliefs about their capacity to manage environmental demands will affect the course of action they choose to pursue. Personal beliefs will also affect how much effort they will expend, their length of perseverance, and how much anxiety or depression they will experience.

Managing Difficult Symptoms of Multiple Sclerosis Primary symptoms in MS are the direct result of demyelination in the CNS. They primarily include weakness, fatigue, tremor, pain, bladder and bowel dysfunction, paralysis, spasticity, visual changes, and diminished sexual function, including impotence in men (23). Secondary symptoms are complications caused by the underlying impairment. These include falls, injury, reduced activities of daily living, lack of sleep, urinary tract infection (UTI), incontinence of bowel and bladder, skin breakdown, contractures, problems with the environment (physical barriers that preclude mobility; safety hazards), and diminished opportunities for intimacy.

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