The cause of myasthenia gravis is a disturbance in transfer of signal between nerves and muscles. The illness causes immune system to produce antibodies that disturbs some of the receptor sites for acetylcholine in affected muscles. As there are decreased receptors sites in affected muscle the muscle receives less amount of impulse which results in to inappropriate functioning and weakness.
Symptoms of Myasthenia Gravis:
- Drooping eyelids
- Double vision
- Difficulty in chewing
- Difficulties with speech
- Difficulty in breathing
- Difficulty in swallowing
- Weakness of extremities
Treatment of Myasthenia Gravis:
In addition to treatment, another way to improve the condition of the patient with myasthenia gravis is lifestyle changes. In other words, the patient must pay particular attention to rest, physical activity and weight, and go the doctor for physical therapy to increase muscle strength.
Nursing Care Plan for Myasthenia Gravis
Nursing Diagnosis : Disturbed Body Image related to ptosis , inability verbal communication
Goal :
- Increased client self-image
- Able to express or communicate with the people about the situation and the changes that are happening.
- Able to declare acceptance of the situation.
- Acknowledge and incorporate the changes into the concept of self in a way that accurately without the negative self-esteem.
Nursing Intervention and Rationale :
1. Assess the change of perception disorders and relationship with the degree of disability.
Rationale: Determining individual assistance in developing a treatment plan or intervention elections.
2. Identify the meaning of the loss or dysfunction of the client.
Rationale: Some clients can receive and manage multiple functions effectively with minimal adjustment, while others have difficulty comparing recognize and manage shortages.
3. Assist and encourage good maintenance and repair habits.
Rationale: Helps to improve self-esteem and feelings of control over one area of life.
4. Instruct the nearest person to allow clients, doing for himself as much as possible .
Rational : Turning back the feeling of independence and fosters self-esteem and affect the rehabilitation process.
5 . Collaboration : Experts refer to neuropsychology and counseling when indicated.
Rational : It can facilitate change an important role for the development of feelings.
