Consolidation of evidence for adult nursing

This assignment will look at scenario two (see appendix 1), and will start with a full analysis of the scenario, identifying both immediate and medium priority goals, as well as a brief explanation of what multiple sclerosis (MS) is, and the challenges assosiated with MS. The goals will be explored in detail with the use of evidence based research and reliable sources using a database. The priorities will be explained from most immediate to less immediate based on knowledge and research as a student nurse. The next part of the assignment will look at government and professional guidelines related to the specific priorities and recomendation will be made relating to the service user, to promote her safety, health and well being. The next section of this assignment will look at the person centred approach, in regards to the service users and her husbands concerns related to the use of the hoist. A discussion of how to manage situations similar to the scenario will then be explored, and finally ending with the conclusion.

After analysing the scenario, I have identified six goals, three of which are immediate and the other three are time critical but not as crucial as the most immediate. The first priority is that Janet (the service user), was found in a bed soaked with urine, the reason for this is that her catheter came out during the night, and her husband (Bob) wouldnt use the hoist to change her sheets and wash her. I feel this to be of immediate priority, as Janet will not only be uncomfortable, but it will have a negative impact on her skin integrity. This adds to the risk factors already contributed to Janets skin integrity being compromised. Other risk factors for poor skin integrity include inadequate oral nutrition, dehydration, lack of sensory perception, decreased mobility or medical conditions that affect circulation. (Hart 2013)
Multiple sclerosis (MS) is a progressive and complex neurological disease, MS is an autoimmune disease of the central