Question

Ms. Fulton is a 38-year-old mother who was recently diagnosed with myasthenia gravis, a chronic disease of the neuromuscular system. Management of this disease process requires strict adherence to a medication regimen. The disease also affects ADLs for the patient and her family. Additionally, because myasthenia gravis is characterized by exacerbations that may require hospitalizations, Ms. Fulton has had to resign from her position as president of a marketing firm. She has remained as an employee of the same company, but now serves as a consultant with more flexible work hours.

 a. In discussing management of her chronic disease, the nurse focuses on what types of strategies?

 b. Describe supportive nursing care that may be helpful to Ms. Fulton

Answer 1

Myasthenia gravis is characterized by weakness and rapid fatigue of any of the muscles under our voluntary control

It is caused by breakdown in the normal communication between nerves and muscles

There is no exact cure of myasthenia gravis but treatment and nursing care can help to relieve sign and symptoms

There are three aspect of nursing care

1 assessment of weakness

2 knowledge of treatment and medications

3 understand the need for patient and his attendent education and support

There are need to change life style such as eating habbits ,try to eat when patient has good muscles strength ,take your time to chewing food ,take break between the bites

Use safety precautions at home - keep the floor clean,install railing wherever patient need,keep area free from rugs

Appropriate use of electric appliances to save energy

Wear eye patch if patient has double vision

Try to cope stress because it worsen the conditions