Health Assessments And Diagnosis Of Motor Neuron Disease Discussion

Health Assessments And Diagnosis Of Motor Neuron Disease Discussion

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Introduction

According to Rojas et al. (2020), Motor Neuron Disease MND is a progressive and incurable neurodegenerative ailment defined by the gradual degeneration and death of motor neurons in the brain and spinal cord. A complete health evaluation is critical in the case of the 57-year-old man with motor neuron disease (MND) in order to make educated decisions concerning his treatment. This lab report covers the necessary information that would be obtained about the patient through health assessments and diagnostic tests, the advanced nurse’s response, and a detailed narrative of health assessment information required for the diagnosis of the patient in case study B. Health Assessments And Diagnosis Of Motor Neuron Disease Discussion

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Necessary information that would be obtained

In such a case, it would be necessary to know if there are any advance directives in place for the patient. The main focus would be on the decline and the current symptoms. Collecting social history is crucial for acquiring insights into the patient’s present household circumstances and demands. This information assists the clinician in ensuring that both the patient and their spouse understand the patient’s condition and future prognosis. It is recommended that the caregiver have a private talk with the patient to determine whether they prefer hospice care in a facility or at home.

As an advanced practice nurse, I would ensure that various services offered in each environment are explained throughout this discussion to ensure the patient understands both options. Bringing in a hospice or palliative care professional might also help the patient and their spouse weigh their alternatives. The provider-patient relationship is one of trust, and the provider is expected to respect the patient’s wishes, including retaining confidentiality if needed. As a result, the patient’s autonomy and wants will be respected. Maintaining a patient’s autonomy, especially when they have full decision-making competence, is an ethical approach Health Assessments And Diagnosis Of Motor Neuron Disease Discussion.

The Lab Assignment

In this scenario, the evaluation must include various topics to ensure a thorough grasp of the patient’s health, preferences, and psychological well-being. To measure disease progression completely, the patient’s neurological condition should be evaluated using standardized methods such as the ALS Functional Rating Scale-Revised (ALSFRS-R) (1) (Foster, & Salajegheh, 2019). This evaluation would evaluate motor functions such as speaking, swallowing, breathing, and limb movements. Objective measurements of respiratory function, such as forced vital capacity (FVC), would also give information on the patient’s respiratory state (2). Participating in shared decision-making is critical when considering the patient’s preferences and ethical issues. This is consistent with the concepts of patient autonomy and beneficence (Zarotti et al., 2019). The National Institute for Health and Care Excellence (NICE) recommendations for end-of-life care promote open talks about care options and respecting the patient’s choices (3), based on evidence-based practice. Collaborative decision-making based on the patient’s goals and values might result in hospice admission with specialized pain and symptom management (4) (Foster, & Salajegheh, 2019)Health Assessments And Diagnosis Of Motor Neuron Disease Discussion.

Furthermore, it is critical to address the caregiver’s worries and well-being. Providing psychological assistance to the wife is in line with the Family Caregiver Alliance’s guidelines for boosting caregiver resilience and mental health (5). Regular assessments of her coping methods and possible stresses would inform any treatments that were required.

Conclusion

In conclusion, a thorough health evaluation for a patient with MND entails assessing neurological condition, pulmonary function, and psychosocial factors while respecting patient autonomy and taking caregiver well-being into account. The advanced practice nurse, guided by evidence-based standards, collaborative decision-making, and ethical principles, plays a critical role in assuring patient-centered, compassionate care.

References

Foster, L. A., & Salajegheh, M. K. (2019). Motor neuron disease: pathophysiology, diagnosis, and management. The American journal of medicine, 132(1), 32-37. https://www.sciencedirect.com/science/article/abs/pii/S0002934318307356

Rojas, P., Ramírez, A. I., Fernández-Albarral, J. A., López-Cuenca, I., Salobrar-García, E., Cadena, M., … & Ramírez, J. M. (2020). Amyotrophic lateral sclerosis: a neurodegenerative motor neuron disease with ocular involvement. Frontiers in Neuroscience, 14, 566858.

Zarotti, N., Coates, E., McGeachan, A., Williams, I., Beever, D., Hackney, G., … & Young, T. (2019). Health care professionals’ views on psychological factors affecting nutritional behaviour in people with motor neuron disease: a thematic analysis. British Journal of Health Psychology, 24(4), 953-969. Health Assessments And Diagnosis Of Motor Neuron Disease Discussion

To Prepare

CASE STUDY B

A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is

experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient

unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.

Reflect on the material presented throughout this course.

• What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
• Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
• The Lab Assignment
• Write a detailed one-page narrative (not a formal paper) APA Format explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. Health Assessments And Diagnosis Of Motor Neuron Disease Discussion

Class Resources

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach(9th ed.). St. Louis, MO: Elsevier Mosby.
  • Chapter 24, “Sports Participation Evaluation”
    In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation.
  • Chapter 25, “Putting It All Together”
    In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship.

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• Persad, G. (2018). Authority without identity: defending advance directives via posthumous rights over one’s body.Links to an external site.Journal of Medical Ethics, 45(4), 249–256. https://doi.org/10.1136/medethics-2018-104971
• Savulescu, J., Giubilini, A., & Danchin, M. (2021). Global ethical considerations regarding mandatory vaccination in children.Links to an external site.The Journal of Pediatrics, 231, 10–16. https://doi.org/10.1016/j.jpeds.2021.01.021
• Zhang, H., Zhang, H., Zhang, Z., & Wang, Y. (2021). Patient privacy and autonomy: A comparative analysis of cases of ethical dilemmas in China and the United States.Links to an external site.BMC Medical Ethics, 22(1). https://doi.org/10.1186/s12910-021-00579-6 Health Assessments And Diagnosis Of Motor Neuron Disease Discussion