Woman is admitted with myasthenia gravis

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A 58 year old woman is admitted with myasthenia gravis. Her condition has deteriorated and she is in crisis and now requires mechanical ventilation. She continues to be alert but unable to perform any self care. Her grandson who lives with her has been caring for her and states "I help grandma into her wheelchair but she did everything else. I don't know what I am going to do. I promised I would always take care of her." In order to plan your intervention with your patient and her family, you consider the following:

What adaptations would you or your family have to make if you were paralyzed and needed to be on a ventilator? How would you feel if you were totally dependent on others for your simplest needs? Think about issues related to daily care, financial issue such as mortgage, food, utilities, medical bills, meeting emotional needs, self perception, emotions, family needs. What teaching would you do with the family? Patient? What information does the family need to know about myasthenia crisis?

Reference no: EM133852730

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