A 30-year-old attorney who practices at large corporate law office has recently been diagnosed with multiple sclerosis (MS). In order to best manage the occurrence of symptoms, the nurse encourages the client to:
1. Scale back her caseload to allow for a less stressful work environment.
2. Take the pemoline (Cylert) she has been prescribed as ordered.
3. Take time off from work at the first indication of symptom exacerbation.
4. Consider a career change in order to delay progression of her symptoms.
Scale back her caseload to allow for a less stressful work environment.
Rationale: Multiple sclerosis (MS) is progressive and will be negatively affected by working long hours and enduring stressful shifts. It is important for this client to plan a schedule that is less demanding and move to a work environment that is less stressful for adapting to life with MS. Pemoline (Cylert) is prescribed for the management of fatigue. Taking time off after symptoms occur is not a proactive lifestyle change. A career change is not something a nurse should encourage and will not necessarily delay progression of the disease.
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