Multiple sclerosis
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Multiple Sclerosis. Matthew Vivian Ferris State University NURS 441. Introduction. Purpose Statement Practice collaborative leadership to advocate for quality nursing practice using evidence based knowledge Topic Rational Interested in the topic

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Multiple Sclerosis

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Multiple sclerosis

Multiple Sclerosis

Matthew Vivian

Ferris State University

NURS 441


Introduction

Introduction

  • Purpose Statement

    • Practice collaborative leadership to advocate for quality nursing practice using evidence based knowledge

  • Topic

  • Rational

    • Interested in the topic

    • Friend’s mom was recently diagnosed with MS


Evidence for care

Evidence For Care

  • What is Multiple Sclerosis (MS)?

    • Unpredictable

    • Disabling disease of central nervous system

  • Little is known about care preferences

    • Previous studies indicate people with MS aren’t always satisfied with care


Evidence for care con t

Evidence For Care (con’t)

  • Theory

    • Betty Neuman’s System Model

    • Centered around the wholeness of the system

  • Normal, stable Line of Defense (LOD) can breakdown

    • Known, unknown, and universal stressors

  • Secondary Prevention

    • Symptomatology following a reaction to stressor

    • Ranking of interventions and treatment


Evaluation of evidence

Evaluation of Evidence

  • Methods

    • 2 separate questionnaires sent

      • Used MS Impact Scale 29 (MSIS-29)

    • 270 people (42%) responded to both

  • Question being asked: “What one thing would be most helpful in meeting your current needs?”

  • Results

    • 7 categories identified

    • Help to create MS specific service satisfaction tool


Evaluation of evidence con t

Evaluation of Evidence (con’t)

  • Article Critique

    • Authored by nurses

    • Journal of Advanced Nursing (7 years ago)

    • Study approved by IRB

    • References are old

      • Half are 5 years from when study was conducted

    • AACN Level C Level of Evidence

    • Results Clearly Stated

    • Limitations


Patient care design

Patient Care Design


Truepic

TRUEPIC


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TRUEPIC


Nursing diagnosis

Nursing Diagnosis

  • Knowledge Deficit r/t recent diagnosis of multiple sclerosis aeb wife worried about current state of uncontrollable crying

  • Approach to Care

    • Attempt to calm patient down

    • Assess for any physical or mental changes

    • Educate pt. and wife on uncontrollable crying as a symptom

    • Educate pt. and wife on other common symptoms


Advocate role

Advocate Role

  • Diagnosis of MS can present in a multitude of different ways

  • Every patient is different with different needs

  • Empathy and Equity in Care Delivery

    • Understanding and Education

  • Significance to Nursing practice

    • Assessment tool


References

References


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