What Nurses Know...Multiple Sclerosis

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Nurses are often educators for information on your disease as well as general health habits and often provide referrals or resources for other services.


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Nursing care can play an important role in helping you learn about bladder problems that are common in MS and the variety of treatment options available to control and compensate for these problems. Bladder problems resulting from demyelination or secondary to other health conditions include bladder storage problems, such as urgency, frequency, hesitancy, and incontinence , difficulty emptying the bladder, and urinary tract infections. Working with your primary doctor or urologist, your nurse can instruct you on useful self-care activities and lifestyle modifications that may be helpful in managing bladder problems.

Multiple sclerosis - causes, symptoms, diagnosis, treatment, pathology

There are also a variety of medications and devices available for controlling bladder symptoms. With each of these interventions, your nurse will be a primary source of information, education, and support in making the intervention successful. As with bladder problems, nurses can play a valuable role in helping you manage bowel problems. In MS, nerve damage, muscle weakness in abdominal area , and loss of mobility can cause food to move more slowly through the digestive tract, with stool that stays too long in the intestines becoming hard, desiccated, and difficult to pass.

Additionally, certain medications used by people with MS can affect bowel function. Your nurse will work with you to alleviate and manage bowel problems, including instruction about the roles of diet high in fiber and with adequate fluid intake and regular exercise in promoting bowel health, and suggestions about how to establish a regular schedule for bowel movements.

Caring for someone with multiple sclerosis towards the end of life

Proper skin care is very important for a person with MS, especially in cases where the disease has progressed to the point where the individual has lost mobility or is confined to a wheelchair or bed. Additionally, increased muscle tone that occurs with spasticity can make a person more susceptible to skin breakdown. But people with new limitations, Filipi says, should "start realizing that they have more to give than that one area" they defined themselves by. Even if you can no longer work at your job, you may find meaning and purpose in social activities, such as at a community center or in a support group.

When The Nurse Becomes The Patient | MS Ireland

Severson agrees. What is your interest? Get involved. Think outside yourself. Volunteer if you are able. Strengthening your social ties is important, too.

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Spend time with others. Do something fun with the people you care about.

Multiple Sclerosis. Everyday Health Neurology Multiple Sclerosis. From more exercise to more compassion, here's what nurses think would help people with multiple sclerosis the most. Please enter a valid email address. MS nurses can be a source of education and support for people with multiple sclerosis.

Multiple Sclerosis Multiple Sclerosis in Children. Muscle spasms are often treated with muscle relaxants.

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Physiotherapy to improve range of motion may help with muscle spasms and spasticity. Someone diagnosed with MS often is stable for long periods, can decline, and then stabilize again. Ultimately, the person dies from complications related to the advancing disease. In many diseases of the nervous system deteriorating respiratory function usually brings on the final decline. This may be related to shallow and inefficient breathing, which can lead to complications such as pneumonia.

Shortness of breath and respiratory secretions often need to be controlled. Pain medications and sometimes sedatives may help people who are short of breath. Medications may help decrease secretions if this becomes a source of discomfort or distress. Certain symptoms may limit the methods available to administer medications. One option is through a feeding tube, if a tube is already in place.

Another option is sublingual administration, if swallowing ability and secretions allow it.


  • What Is Multiple Sclerosis?!
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  • Subcutaneous administration of medications can also be considered. Our team of experts answers your questions about life-threatening illness and loss. Meet the experts who answer your questions at Ask a Professional. When Death is Near - Learn more about changes people may experience in the final days of life.


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