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MULTIPLE SCLEROSIS
Medical Surgical Nursing
Neurological Systems
What Is Multiple Sclerosis?
• Is a chronic inflammatory disease of the Central Nervous System in
  which the immune cells attack the myelin sheath of nerve cell
  axons.
What causes MS?
• MS is caused by damage to the myelin sheath,, the protecting
  covering that surrounds nerve cells.
• The nerve damage is caused by inflammation.
• Inflammation occurs when the body’s own immune cells attack the
  nervous system.
What are some symptoms of MS?
• Symptoms vary, because the location and severity of each attack
  can be different.
• These episodes alternate with periods of reduced or no
  symptoms.(Remission)
• Fever, hot baths, sun exposure, and stress can trigger or worsen
  attacks.
Different types of symptoms
• Muscle Symptoms
• Bowel and Bladder Symptoms
• Eye Symptoms
• Speech and Swallowing Symptoms
Muscle Symptoms
• Loss of Balance
• Muscle Spasms
• Numbness or Abnormal Sensation in any area
• Problems Moving arms or legs
• Problem Walking
Bowel && Bladder Symptoms
• Constipation and Stool Leakage
• Difficulty Beginning To Urinate
• Frequent Need To Urinate
• Strong Urge To Urinate
• Urine Leakage
Eye Symptoms
• Double Vision
• Eye Discomfort
• Uncontrollable Rapid Eye Movements
• Vision Loss
Speech && Swallowing Symptoms
• Slurred or Difficult to understand speech
• Trouble chewing and swallowing.
Treatment
• There is no known cure for MS at this time.
• The goal of treatment is to control symptoms and help you maintain
  a normal quality of life.
Signs & Tests of MS
• Signs                                  • Test
 • Decreased ability to move a part of    • Lumbar puncture (Spinal tap) for
   the body                                 cerebrospinal fluid test
 • Changes in the visual fields or eye    • MRI scan of the brain & MRI scan of
   symptoms                                 the spine
 • Rapid eye movements triggered when     • Nerve function study (evoked
   the eye moves                            potential test)
Medications
• Medications used to slow the progression of MS are taken on a
  long-term basis
• They include
 • Interferon's (Avonex, Betaseron, or Rebif)
 • Glatiramer Acetate (Copaxone)
 • Mitoxantrone (Novantrone)

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Multiple sclerosis

  • 1. MULTIPLE SCLEROSIS Medical Surgical Nursing Neurological Systems
  • 2. What Is Multiple Sclerosis? • Is a chronic inflammatory disease of the Central Nervous System in which the immune cells attack the myelin sheath of nerve cell axons.
  • 3. What causes MS? • MS is caused by damage to the myelin sheath,, the protecting covering that surrounds nerve cells. • The nerve damage is caused by inflammation. • Inflammation occurs when the body’s own immune cells attack the nervous system.
  • 4. What are some symptoms of MS? • Symptoms vary, because the location and severity of each attack can be different. • These episodes alternate with periods of reduced or no symptoms.(Remission) • Fever, hot baths, sun exposure, and stress can trigger or worsen attacks.
  • 5. Different types of symptoms • Muscle Symptoms • Bowel and Bladder Symptoms • Eye Symptoms • Speech and Swallowing Symptoms
  • 6. Muscle Symptoms • Loss of Balance • Muscle Spasms • Numbness or Abnormal Sensation in any area • Problems Moving arms or legs • Problem Walking
  • 7. Bowel && Bladder Symptoms • Constipation and Stool Leakage • Difficulty Beginning To Urinate • Frequent Need To Urinate • Strong Urge To Urinate • Urine Leakage
  • 8. Eye Symptoms • Double Vision • Eye Discomfort • Uncontrollable Rapid Eye Movements • Vision Loss
  • 9. Speech && Swallowing Symptoms • Slurred or Difficult to understand speech • Trouble chewing and swallowing.
  • 10. Treatment • There is no known cure for MS at this time. • The goal of treatment is to control symptoms and help you maintain a normal quality of life.
  • 11. Signs & Tests of MS • Signs • Test • Decreased ability to move a part of • Lumbar puncture (Spinal tap) for the body cerebrospinal fluid test • Changes in the visual fields or eye • MRI scan of the brain & MRI scan of symptoms the spine • Rapid eye movements triggered when • Nerve function study (evoked the eye moves potential test)
  • 12. Medications • Medications used to slow the progression of MS are taken on a long-term basis • They include • Interferon's (Avonex, Betaseron, or Rebif) • Glatiramer Acetate (Copaxone) • Mitoxantrone (Novantrone)