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Add to shopping bag. Harry Potter and the Cursed Child Copyright - Antoine Online - All rights reserved. Login Register. Multiple sclerosis is a complex, progressive disease requiring a multidisciplinary approach to patient care; however, with the hub-and-spoke network in place, practitioners at any facility can take advantage of the care provided by the Multiple Sclerosis Centers of Excellence.
Nurses are important members of the VHA, which employs more nurses than does any other system—89, Nursing care is patient-centered, whole person, and multidisciplinary. Nurses enhance access to care through alternative communication strategies, such as telemedicine.imap.manualcoursemarket.com/zijy-acquista-hydroxychloroquine.php
Comprehensive Care in Multiple Sclerosis: A Core Curriculum - PDF Free Download
Also, nurses who care for patients with multiple sclerosis MS establish, maintain, and sustain care that is culturally sensitive and wellness focused and incorporates family and community resources with the goal of living well with MS. Educating patients and their families about MS, its symptoms, and self-management skills at the time of diagnosis is paramount.
That said, nurses are less concerned with MS immune pathology and white matter lesion count and are more concerned with helping patients maintain hope and optimism. Establishing care for patients with MS should be focused on relationship building, open communication, sharing information, and building trust.
Developing partnerships becomes the goal, and ongoing assessment builds the case for the continuum of care. William was tentative, bristly, and trying to maintain his balance. William stated he was there only because his primary care provider wanted him to get a diagnosis for his balance problems. Developing a trusting relationship was paramount in caring for William.
CME/CNE Article: A Framework of Care in Multiple Sclerosis, Part 1
William boasted of his athletic prowess and strength. Indeed, William was strong with full power in all extremities.
He recounted that poor balance kept him from competing successfully in an athletic event requiring that he walk across a plank over electrified water. The nurse understood that previous history could affect his ability to accept a diagnosis and the treatment plan at this time. His messages revealed a lonely, angry man, distant from family and friends.