Question

Your patient is a 44-year-old male admitted due to an exacerbation of his multiple sclerosis (MS). During report, the nurse from the previous shift informed you he had to straight catheterize the patient due to urinary retention and bladder distention. You are in the room talking with the patient and his significant other when the primary care provider approaches them with the information that, due to a progression of the MS, the patient will need to catheterize himself for the rest of his life. The patient's responds: "Great, I might as well kill myself then." (Learning Objectives 4, 6, and 7) a. What variables influence this patient's self-concept? b. Discuss the potential im pact of the patient's perception of the situation on his self-concept and his self-esteem. c. Identify possible nursing diagnoses related to the patient and nursing interventions that would address the nursing concerns

Answer 1

1. a. Disease progression

b. The patient self esteem became low because he may cures cured himself cor disease

C. Ineffective coping related to disease progression

• Explain the procedure to the patient
• Avoid anxiety
• Teach diversional therapies
• Avoid stressors
• Positive reinforcement

2.a. Emotional response

b. Which promotes coping

C. Anxiety level

Physical changes like way of talking, tone ,pitch, facial expressions

3.

a. Caring multiple patients.

b. Maintain professionalism

C. Relaxation techniques