The chronic, progressive nature of multiple sclerosis (MS) often interferes with effective psychosocial adjustment. When presented with physical limitations and/or cognitive impairment, the client with MS may experience problems such as depression, family dissolution, and loss of important roles. However, some persons are able to adjust positively and enjoy life. This article explains a model for assessing psychosocial adjustment of those with MS and describes its practical application for the rehabilitation nurse.
This article describes a flow chart created to help nurses identify interventions other than physical restraint. The decision flow chart comprises five charts, each addressing a common area of patient behavior often cited by nurses as justification for physical restraint in the long-term care setting: poor sitting posture, rigidity, wandering, agitation, and falls. The charts list possible reasons and causes for the behavior and give specific suggestions for interventions based on the identified cause.
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