This completely revised fourth edition of a comprehensive core text for advanced health care practitioners is distinguished by its focus on the increasing role of the APRN in primary care of the multiple sclerosis (MS) patient, the importance of involving the interdisciplinary team in different aspects of care, and the imperative of early and aggressive symptom interventions. Written by expert clinicians in easy-to-read outline format, the text includes the most current diagnostic tools and strategies for managing the disease process in both physical and psychosocial areas, with an emphasis on helping MS patients cope with the disease through the teaching and implementing of self-care strategies.
New content throughout includes a chapter on pain management, updated findings on primary care issues, neurologic complications, and the interrelated importance of interdisciplinary coordination, the role of ethics, professionalism, and the ability to deliver culturally competent care. New diagnostic tests and pharmacologic strategies provide an extensive arsenal of improved treatment options, and updated guidelines for managing symptoms address impaired mobility and bladder/bowel dysfunction. Updated pedagogical features include new chapter objectives, enhanced case examples, end-of-chapter review questions, and revised certification review questions. The text also serves as a practical review for nurses planning to take the MS nursing certification exam to become a multiple sclerosis certified nurse (MSCN).
NEW TO THE FOURTH EDITION:
- Provides thoroughly updated content throughout
- Focuses on the role of the APRN in primary care
- Stresses the importance of early and aggressive symptom interventions
- Includes a new chapter on pain management
- Offers chapter objectives and review questions
- Provides enhanced case examples
- Serves as a reliable study review for the MSCN exam, with revised certification review questions
- Covers primary care issues and neurologic complications
- Stresses interdisciplinary involvement
- Illuminates new diagnostic tests and pharmacologic strategies, such as treatment of acute attacks, immune-modulating and symptomatic therapies, and nonpharmacologic interventions
- Presents updated guidelines for managing symptoms
- Emphasizes the role of nursing in helping patients achieve independence and improved life quality
- Includes new content on ethics, professionalism, and culturally competent care
Daftar Isi
Contents
Preface
Acknowledgments
PART I: BACKGROUND INFORMATION FOR NURSING PRACTICE IN MULTIPLE SCLEROSIS
1 The History of Multiple Sclerosis Care
2 Domains of Multiple Sclerosis Nursing Practice
3 Change Theory and Its Application in Multiple Sclerosis Nursing
4 Multiple Sclerosis Nurses’ Code of Professional Conduct
PART II: THE DIAGNOSIS OF MULTIPLE SCLEROSIS
5 Epidemiology of Multiple Sclerosis
6 The Complete Neurologic Examination
7 Magnetic Resonance Imaging
8 The Diagnosis and Prognosis of Multiple Sclerosis
PART III: MANAGEMENT OF THE DISEASE PROCESS
9 The Immune System and Its Role in Multiple Sclerosis
10 Multiple Sclerosis: Managing the Disease
PART IV: FUNCTIONAL ALTERATIONS: PHYSICAL DOMAINS
11 The Symptom Chain in Multiple Sclerosis
12 The Patient and the Multiple Sclerosis Care Team
13 Bladder Dysfunction in Multiple Sclerosis
14 Bowel Elimination and Continence
15 The Nurse’s Role in Advanced Multiple Sclerosis
16 Pain and Multiple Sclerosis
PART V: FUNCTIONAL ALTERATIONS: PERSONAL DOMAIN
17 Psychosocial Implications of Multiple Sclerosis
18 Financial and Vocational Concerns
PART VI: SHAPING MULTIPLE SCLEROSIS NURSING PRACTICE
19 Special Needs in Multiple Sclerosis
20 The Nurse’s Role in Multiple Sclerosis Research
21 Complementary and Alternative Therapies
APPENDICES
Appendix A: Overview: Case Studies
Appendix B: Personal Review Questions
Appendix C: Supplemental Readings and Resources in Multiple Sclerosis
Appendix D: Consortium of Multiple Sclerosis Centers’ Recommendations for Care of Those Affected by Multiple Sclerosis
Appendix E: Clinical Course of Multiple Sclerosis
Appendix F: Multiple Sclerosis Diagnostic Criteria: An Evolution
Index
Tentang Penulis
Colleen Harris, MN, NP, MSCN, is the Nurse Coordinator/Nurse Practitioner of the University of Calgary MS Clinic, where she has been involved in multi-disciplinary care for much of her nursing career. She is Adjunct Assistant Professor, faculty of Nursing at the University of Calgary.