Management of patient with Multiple sclerosis: A Case Report

Abstract

BACKGROUND: Multiple sclerosis (MS) is an autoimmune disease that involves demyelination in the central nervous system, as well as axonal damage and loss.  The patient has upper extremity weakness, poor upper extremity coordination, tiredness, a lack of agility and poor balance. These clinical characteristics have resulted in diminished engagement in her hobbies as well as decreased work productivity, which has had a significant influence on her physical and mental health.  Balance, coordination, and dexterity training, as well as self-management training are among the proposed solutions. THE MAIN DIAGNOSIS,THERAPEUTIC INTERVENTION AND OUTCOME : After physical examination and investigation doctor diagnosed as a case of multiple sclerosis.  Patient was treated analgesics drug to reduce pain.antipyretic drugs gives to reduce fever.  THERAPEUTIC INTERVENTION:-Present case took the medical management with multiple sclerosis, antipyretics given such Tab. Paracetamol 500 mg (BD), Inj. Ceftriaxone 1gm IV (BD), Inj. Pantaprozole 40 Mg iv (OD), Inj. Ondesetron 4MG iv (TDS) for 7 days. OUTCOME:   Patient had taken medications as per doctor order such as paracetamol to reduce their fever. And also patient condition was good with the medical treatment. Now patient’s symptoms reduced and he had in better condition. NURSING PERSPECTIVES:- Administered fluid replacement ie. DNS and RL. Monitor vital signs and Check BP per hourly. Maintained intake and output chart and provided adequate rest and sleep to the patient. Administered  medications according to doctor’s order. Hydrotherapy given because patient had fever.  CONCLUSION: There has already been a lot of research done on mild to moderate Multiple Sclerosis, but there isn't much on severe cases. As a result, future research on severe Multiple Sclerosis should focus on intervention-based trials.