Nursing Practice in Multiple Sclerosis: A Core Curriculum
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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 throughoutFocuses on the role of the APRN in primary careStresses the importance of early and aggressive symptom interventionsIncludes a new chapter on pain managementOffers chapter objectives and review questionsProvides enhanced case examplesServes as a reliable study review for the MSCN exam, with revised certification review questionsCovers primary care issues and neurologic complicationsStresses interdisciplinary involvementIlluminates new diagnostic tests and pharmacologic strategies, such as treatment of acute attacks, immune-modulating and symptomatic therapies, and nonpharmacologic interventionsPresents updated guidelines for managing symptomsEmphasizes the role of nursing in helping patients achieve independence and improved life qualityIncludes new content on ethics, professionalism, and culturally competent care Cover Title Copyright Contents Preface Acknowledgments Share Nursing Practice in Multiple Sclerosis: A Core Curriculum, Fourth Edition Part I: Background Information for Nursing Practice in Multiple Sclerosis Chapter 1: The History of Multiple Sclerosis Care Objectives International MS Professional Organizations A Flow of Disease Modifying Therapies for Relapsing MS Resources Chapter 2: Domains of Multiple Sclerosis Nursing Practice Objectives MS Nursing Performance Activities Professional Performance The Multiple Sclerosis Specialist Nurse Association Resources Chapter 3: Change Theory and Its Application in Multiple Sclerosis Nursing Objectives Resources Chapter 4: Multiple Sclerosis Nurses’ Code of Professional Conduct Objectives Guiding Principles for the MS Nursing Professional Resources Part II: The Diagnosis of Multiple Sclerosis Chapter 5: Epidemiology of Multiple Sclerosis Objectives Familial Risks for MS Resources Chapter 6: The Complete Neurologic Examination Objectives Summary of Cranial Nerve Function Significant Findings Indicative of Multiple Sclerosis Resources Chapter 7: Magnetic Resonance Imaging Objectives Glossary Resources Chapter 8: The Diagnosis and Prognosis of Multiple Sclerosis Objectives Differential Diagnosis of MS Resources Part III: Management of the Disease Process Chapter 9: The Immune System and Its Role in Multiple Sclerosis Objectives Resources Chapter 10: Multiple Sclerosis: Managing the Disease Objectives Resources Part IV: Functional Alterations: Physical Domains Chapter 11: The Symptom Chain in Multiple Sclerosis Objectives Resources Chapter 12: The Patient and the Multiple Sclerosis Care Team Objectives Resources Chapter 13: Bladder Dysfunction in Multiple Sclerosis Objectives Resources Chapter 14: Bowel Elimination and Continence Objectives Resources Chapter 15: The Nurse’s Role in Advanced Multiple Sclerosis Objectives Resources Chapter 16: Pain and Multiple Sclerosis Objectives Summary Resources Part V: Functional Alterations: Personal Domain Chapter 17: Psychosocial Implications of Multiple Sclerosis Objectives Resources Chapter 18: Financial and Vocational Concerns Objectives Resources Part VI: Shaping Multiple Sclerosis Nursing Practice Chapter 19: Special Needs in Multiple Sclerosis Objectives Resources Chapter 20: The Nurse’s Role in Multiple Sclerosis Research Objectives Resources Chapter 21: Complementary and Alternative Therapies Objectives: Resources Internet Resource Appendices Appendix A: Overview: Case Studies Case Study 1 Case Study 2 Case Study 3 Case Study 4 Case Study 5 Case Study 6 Case Study 7 Case Study 8 Case Study 9 Case Study 10 Appendix B: Personal Review Questions Answers to Review Questions Appendix C: Supplemental Readings and Resources in Multiple Sclerosis Clinical Practice Guidelines White Papers Web Resources Appendix D: Consortium of Multiple Sclerosis Centers’ Recommendations for Care of Those Affected by Multiple Sclerosis Background and Vision of CMSC Review of Literature Purpose Overview of MS CMSC Recommendations for Care Visual Framework of Care Principles General Empowerment Principles Assessment Clinical Evaluation and Diagnostic Continuum Recommendations Mild to Moderate Limitation in Function Severe Limitation in Function Outcomes Conclusion References Appendix E: Clinical Course of Multiple Sclerosis Clinical Courses of Multiple Sclerosis (MS) Clinical Courses of MS Revised 2013 Appendix F: Multiple Sclerosis Diagnostic Criteria: An Evolution Schumacher 1965 Poser 1983 The Mcdonald 2001 Diagnostic Criteria Mcdonald MRI Criteria 2001 Mcdonald Criteria Summary Index
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