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Comments Off on Multiple Sclerosis – Prognosis, Nursing Management

Multiple Sclerosis – Prognosis, Nursing Management

Prognosis The prognosis is difficult to predict; it depends on the subtype of the disease, the individual patient’s disease characteristics, the initial symptoms and the degree of disability the person experiences as time advances. Life...
Comments Off on Multiple Sclerosis – Diagnosis, Management

Multiple Sclerosis – Diagnosis, Management

Diagnostic Evaluation Establishing a definitive diagnosis is often difficult, with much uncertainty concerning prognosis once the diagnosis is made. Multiple sclerosis can be difficult to diagnose since its signs and symptoms may be similar...
Comments Off on Multiple Sclerosis – sign symptoms, disability scale

Multiple Sclerosis – sign symptoms, disability scale

CLINICAL MANIFESTATIONS Symptoms reflect the location of the area of demyelination. A person with MS can suffer almost any neurological symptom or sign, including changes in sensation such as loss of sensitivity or tingling, pricking or numbness,...
Comments Off on Multiple Sclerosis – Pathophysiology, Classification

Multiple Sclerosis – Pathophysiology, Classification

Pathophysiology Demyelination results in disordered transmission of nerve impulses. Inflammatory changes lead to scarring of the affected nerve fibers. Blood-brain barrier breakdown The blood brain barrier is a capillary system that should...
Comments Off on Multiple sclerosis – definition, epidemiology, history, causes

Multiple sclerosis – definition, epidemiology, history, causes

Multiple Sclerosis (MS) is a chronic, frequently progressive neurologic disease of the CNS of unknown etiology and uncertain trajectory. MS is characterized by the occurrence of small patches of demyelination of the white matter of the optic...
Comments Off on GBS – Guillain Barre Syndrome – complications, management

GBS – Guillain Barre Syndrome – complications, management

Complications Autonomic Dysfunction Monitoring of autonomic cardiac responses is required so that tachycardia and arrhythmias can be detected early and treatment instituted as necessary. If paralytic ileus occurs, a nasogastric tube is inserted...
Comments Off on GBS – Guillain Barre Syndrome – Pathophysiology, types, symptoms, diagnosis

GBS – Guillain Barre Syndrome – Pathophysiology, types, symptoms, diagnosis

Pathophysiology Myelin is a complex substance that covers nerves, providing insulation and speeding the conduction of impulses from the cell body to the dendrites. The cell that produces myelin in the peripheral nervous system is the Schwann...
Comments Off on GBS – Guillain Barre Syndrome – definition, incidence, etiology

GBS – Guillain Barre Syndrome – definition, incidence, etiology

Definition Guillain-Barre syndrome (GBS; also known as acute idiopathic demyelinating polyneuropathy) is an acute, rapidly progressing, ascending inflammatory demyelinating polyneuropathy of the peripheral sensory and motor nerves and nerve...

Epilepsy- Nursing assessment, Nursing diagnosis, goal, interventions, patient education

Nursing Assessment Obtain seizure history, including prodromal signs and symptoms, seizure behavior, postictal state, history of status epilepticus. Document the following about seizure activity Circumstances before attack, such as visual,...

Epilepsy-Surgery, First aid, status epilepticus

Surgical management Common surgical procedure for treatment of seizure is cortical exicision i.e lobectomy When temporal lobe epilepsy, then resection of the antero-medial temporal lobe called mesial temporal lobectomy If scar tissue or other...