9 Multiple Sclerosis Nursing Care Plans

By
Matt Vera, BSN, R.N.
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Multiple sclerosis (MS) is the most common of the demyelinating disorders and the predominant CNS disease among young adults. MS is a progressive disease caused by demyelination of the white matter of the brain and spinal cord. In this disease, sporadic patches of demyelination throughout the central nervous system induce widely disseminated and varied neurologic dysfunction. MS is characterized by exacerbations and remissions, MS is a major cause of chronic disability in young adults.

The prognosis varies. multiple sclerosis may progress rapidly, disabling some patients by early adulthood or causing death within months of onset. However, 70% of patients lead active, productive lives with prolonged remissions.

The exact cause of MS is unknown, but current theories suggest a slow-acting or latent viral infection and an autoimmune response. Other theories suggest that environmental and genetic factors may also be linked to MS. Stress, fatigue, overworking, pregnancy or acute respiratory tract infections have been known to precede the onset of this illness. MS usually begins between ages 20 and 40. It affects more women than men.

Nursing Care Plans

The nursing care plan goals for patients with multiple sclerosis is to shorten exacerbations and relieve neurologic deficits so that the patient can resume a normal lifestyle.

Here are nine (9) nursing care plans (NCP) and nursing diagnosis for multiple sclerosis:

  1. Fatigue
  2. Self-care Deficit
  3. Low Self-Esteem
  4. Powerlessness/Hopelessness
  5. Risk for Ineffective Coping
  6. Ineffective Family Coping
  7. Impaired Urinary Elimination
  8. Deficient Knowledge
  9. Risk for Caregiver Role Strain
  10. Other Possible Nursing Care Plans
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Other Possible Nursing Care Plans

Here are other possible nursing care plans:

  • Trauma, risk for—weakness, poor vision, balancing difficulties, reduced temperature/tactile sensation, reduced muscle and hand/eye coordination, cognitive or emotional difficulties, insufficient finances to purchase necessary equipment.
  • Home Maintenance, impaired—insufficient finances, unfamiliarity with neighborhood resources, inadequate support systems.
  • Disuse Syndrome, risk for/[actual]—paralysis/immobilization, severe pain.
  • Therapeutic Regimen: ineffective management—economic difficulties, family conflict, social support deficits.
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See Also

You may also like the following posts and care plans:

Neurological Care Plans

Nursing care plans for related to nervous system disorders:

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