Unit 2: Assessment & Interventions for MS & ALS Flashcards
Patient History:
What do we want know about Sxs r/t MS
Sx Progression (timeline, severity, frequency)
Aggravating factors (fatigue, stress, overexertion, temp. changes)
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Intention Tremors
MS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Muscle Atrophy
ALS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Parasthesias
MS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Muscle weakness, Dysarthria, + Dysphagia
BOTH!
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Visual disturbances (acuity + perception), Nystagmus, Diplopia (double vision)
MS
(ALS doesn’t affect vision!)
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Respiratory failure
ALS (Major cause of death!!)
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Bladder dysfunction
MS
(ALS doesn’t affect bladder function!)
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Highest risk for Depression
MS :(
What are the 3 main complications r/t MS?
- Infection (asp. pneumonia, UTI, urosepsis)
- Paralysis
- Mood changes (depression)
What are the 3 main complications r/t ALS?
- Paralysis
- Respiratory Failure
- Infection (asp. pneumonia)
What are the 4 Tx goals for MS?
(1) Prevent exacerbations
(2) Optimize function
(3) Sx Management
(4) Modify disease’s effects on immune system
What are the 3 Tx goals for ALS?
(1) Slow Progression
(2) Optimize Function
(3) Ensure Comfort
Why are pts with MS more susceptible to infection? (3)
Treated with immunomodulators
Bladder dysfunction (UTI, urosepsis)
Dysphagia (asp. pneumonia)
Why are pts with MS more susceptible to infection? (3)
Treated with immunomodulators
Bladder dysfunction (UTI, urosepsis)
Dysphagia (asp. pneumonia)
Why are pts with MS more susceptible to infection? (3)
Treated with immunomodulators
Bladder dysfunction (UTI, urosepsis)
Dysphagia (asp. pneumonia)
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Implement Fall Precautions + Pressure Injury Prevention
BOTH!
Immobility an issue for boooooth
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
ROM exercises, Rest + Activity balance, Avoid rigorous activity
MS
Hyperthermia worsens mobility, fatigue, + vision
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Swallow evaluation
BOTH!
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Enteral nutrition
ALS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Self-catheterization, Bladder Pacemaker
MS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
BIPAP, Trach, Vent, Diaphragmatic Pacemaker
ALS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Drug therapy aimed at Sx Mx + altering Immune system
MS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Drug therapy aimed at slowing progression
ALS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Eye-tracking board
ALS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Neurosurgery (Deep brain stimulation, Thalamotomy)
MS
Multiple Sclerosis (MS) or Amyotrophic Lateral Sclerosis (ALS)?
Palliative/Hospice care Consult
ALS :(