The nurse is preparing a client diagnosed with amyotrophic lateral sclerosis (ALS) for discharge. The nurse realizes that interventions for the following nursing diagnosis should be stressed for this client:

1. Ineffective Breathing Pattern related to neuromuscular dysfunction.
2. Impaired Urinary Elimination related to spastic or flaccid bladder.
3. Alteration in Vision acuity related to ocular muscle involvement.
4. Disturbed Thought Processes related to cognitive decline.


Ineffective Breathing Pattern related to neuromuscular dysfunction.

Rationale: ALS affects the neuromuscular function; the client is at risk for respiratory dysfunction as a result of this disease process. Impaired urinary elimination is a result of a spastic or flaccid bladder resulting from MS. Visual acuity is impaired in clients diagnosed with MG. Disturbed thought processes is seen in AD clients.

Nursing

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