Question: Open In Word CASE SCENARIO: D.V. A 32-year-old Man, Is Being Admitted To The Medical Floor From The Neurology Clinic With Symptoms Of Multiple Sclerosis (MS). D.V. Has Experienced Increasing Urinary Frequency And Urgency Over The Past 2 Months. Because His Female Partner Was Treated For A Sexually Transmitted Infection, D.V. Underwent Treatment, But …

Open in Word CASE SCENARIO: D.V. a 32-year-old man, is being admitted to the medical floor from the neurology clinic with symptoms of multiple sclerosis (MS). D.V. has experienced increasing urinary frequency and urgency over the past 2 months. Because his female partner was treated for a sexually transmitted infection, D.V. underwent treatment, but the symptoms did not resolve. D.V. has also recently had two brief episodes of eye “fuzziness” associated with diplopia and flashes of brightness. He has noticed ascending numbness and weakness of the right arm with the inability to hold objects over the past few days. Now he reports rapidly progressing weakness in his legs along with blurred, patchy vision. QUESTIONS: 1. MS is associated with scattered, patchy demyelinization of the central nervous system (CNS). What does myelin do? What is demyelinization? 2. MS is characterized by remissions and exacerbations. What happens to the myelin during each of these phases? 3. Is D.V. too young to get MS? What is the etiology of MS? 4. Outline the subjective and objective assessment data associated with MS. Place a star next to the symptoms D.V. has. 5. The neurologist orders a magnetic resonance imaging (MRI) scan of the brain and spine. What role does this test play in diagnosing MS? 6. What is the goal of care in a patient with MS? 7. As part of your teaching plan, you want D.V. to be aware of situations or factors that are known to exacerbate symptoms. List four. CASE STUDY PROGRESS: After testing is complete, D.V. is diagnosed with MS. He confides in you that he has been depressed since his parents’ divorce and the onset of these symptoms. He tells you that he knows his girlfriend has been unfaithful, but he is afraid of being alone. He is afraid if he tells her about his MS diagnosis, she will leave him. 8. What are you going to do with this information? 9. You are concerned with D.V.’s psychological status, particularly the negative feelings he expresses regarding himself and the concerns he has voiced. Write a nursing outcome addressing this issue, and identify independent nursing actions you would implement. 10. In view of his personal history and current diagnosis, what two critical psychosocial issues require monitoring in his follow-up visits? 11. List several resources available in the community that D.V. might find helpful. Page 1 of 1