Ap Nursing Case Study

Discussion Post

Week Eleven

NURS6551, N-6 As an advanced practice nurse (APN), one will evaluate many patients with musculoskeletal and endocrine conditions. Therefore, the clinician must be aware of subtle differences that occur in various diseases to ensure proper diagnosis and treatment. For the purpose of this week’s discussion, I will choose a case study and explain the likely diagnosis along with the differentials. I will also discuss the treatment and management of the disease based on the appropriate clinical guidelines. Lastly, I will explain strategies for educating the patient on the disorder.

Case Study The case study I chose is that of a 28-year old Caucasian female that presents with three episodes of urinary incontinence

Also, a lumbar puncture would indicate abnormalities within the spinal fluid. Lastly, blood tests to rule out other diseases such as Lyme disease, lupus, Sjogren’s syndrome, and vitamin deficiencies (Healthline, 2017). The goal of therapy for MS is to shorten the duration of exacerbations of the disease while improving the symptoms. Some of the disease-modifying drugs used for relapsing-remitting MS are Beta interferons such as Avonex, Betaseron, & Extavia. Copaxone (Glatiramer Acetate) has been shown to reduce the number of attacks; these drugs are injectable with varying dosages. Oral medication such as Gilenya 0.5mg once daily is beneficial for relapsing-remitting MS symptoms also. However, there is no known cure for MS, and the disease is likely to progress in some patients no matter what the provider does (Goldenberg,

Communication and a trusting provider-patient relationship are imperative to ensure treatment adherence. Also, a collaborative relationship among all caregivers is essential for obtaining the best results possible for this patient.

References

Goldenberg, M.M. (2012). Multiple sclerosis review. Pharmacy and Therapeutics, 37(3), 175- 184.

Healthline. (2017). Understanding Multiple Sclerosis (MS). Retrieved from https://www.healthline.com/health/multiple-sclerosis

National Multiple Sclerosis Society. (2017). Multiple sclerosis FAQs. Retrieved from https://www.nationalmssociety.org/What-is-MS/MS-FAQ-s

Tadayyon, F., Etemadifar, M., Bzeih, H., Zargham, M., Nouri-Mahdai, K., Akbari, M., & Tadyyon, B. (2012). Association of urodynamic findings in new onset multiple sclerosis with subsequent occurrence of urinary symptoms and acute episode of disease in females. Journal of Reasearch in Medical Sciences, 17(4), 382-385.

Tharpe, N.L., Farley, C.L., & Jordan, R.G. (2013). Clinical practice guidelines for midwifery & women’s health, (4th ed.). Burlington, MA: Jones and Bartlett