Nt1310 Unit 5 Nursing Care Plan

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Fatigue related to pain or discomfort evidenced by impaired ability to concentrate during therapy sessions or any physical activities. • Encourage scheduled ADLs and therapy session early as energy level is at its best in the day.
• Plan consistent rest periods after any physical activities. Encourage afternoon rest.
• Assess pain characteristics such as onset, quality, severity, location and duration.
• Administer anticonvulsants medications such as Carbamazepine, Pregablin and Gabapentin. • Fatigue is the most common symptom of MS. ______ indicated that MS patients who encountered fatigue severity will usually occur in the late afternoon where the body temperature rises. It has been reported that patient who stabilized their body temperature
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• Promote regular voiding when necessary.
• Perform post-void bladder scan after voiding.
• Promote continued mobility.
• Encourage patient to observe and report urinary frequency, burning sensation or nocturia.
• Encourage fluid intake and limit intake during late evening and before bedtime. • Promoting of regular voiding and promoting continued mobility will help to restore bladder functioning and will decrease the episode of developing UTIs and incontinence.
• Providing information regarding the consistency of urine elimination may indicate infection which required further treatment.
• Adequate fluid will make the patient hydrated which will help to promote urinary output and aid in preventing recurrence of infection.
Impaired physical mobility related to spasticity as evidenced by loss of coordination and movement • Assess pre-existing mobility and observe for any decrease in motor function.
• Encourage ambulation and adequate rest.
• Promote patient to perform passive motion and ROM exercises on affected extremities.
• Referral to physiotherapist (PT) to assess patient’s mobility status. • Assess patient’s mobility status will determine the level of ability to perform activities and ADLs