Multiple Sclerosis Nursing | Multiple Sclerosis Treatment, Symptoms, NCLEX Review

Multiple sclerosis is a neurological disorder that affects the myelin sheath of the neurons in the central nervous system. This video will discuss the pathophysiology of multiple sclerosis, signs and symptoms, nursing interventions, and medications used to treat MS.
Multiple sclerosis tends to affect women more than men and tends to occur between the ages of 20-40 years. It is an autoimmune condition where the immune system cells are actually attacking the myelin sheath on the axon of the neuron.
What is the function of the myelin sheath? To protect and insulate the axon so nerve transmission can occur. However, if the myelin sheath is damaged this causes inflammation and scarring of the neuron, which will lead to a decrease in nerve transmission. This is why sensory and motor symptoms can present in this condition.
Signs and symptoms of multiple sclerosis vary among patients because lesions (demyelination of the myelin sheath) can occur in various places. Therefore, typical signs and symptoms include: fatigue, tingling/numbness of the face and extremities, speech issues (dysarthria), coordination issues, dizziness, vertigo, vision issues (blurry vision, dark spots in visual field, nystagmus, pain when moving the eyes etc.), tremors, muscle spasms, bowel and bladder problems along with specific signs such as:
Lhermitte's Sign: this is where if the patient moves their head and neck in certain positions it will elicit an electrical shock sensation down the body. Uhthoff's Sign: experiencing extreme heat will make MS signs and symptoms worst. Romberg's Sign: the patient loses coordination when closing eyes in a standing position (their body becomes unaware of its position in space).
Multiple Sclerosis nursing intervention include: safety, educating about preventing worsening of symptoms (avoid heat, stress, infection, and overexertion), bladder and bowel education (self-cath, high fiber diet, 1-2 L of fluids, skin care), etc.
Medication used to treat multiple sclerosis are based on the patient's signs and symptoms (there is currently no cure for this disease). Medications include: Beta interferon (Avonex, Rebif), corticosteroids (for relapse of symptoms), Oxybutynin and Bethanechol (bladder issues), Bacolfen (spasms), Propranolol (tremors), etc.
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Notes: www.registerednursern.com/mult...
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#ms
#multiple sclerosis
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[@RegisteredNurseRN]

Hello Everyone! Thank you for watching! I hope this video helps in your neuro studies! Don't forget: Quiz: www.registerednursern.com/multiple-sclerosis-nclex-questions/ Notes: www.registerednursern.com/multiple-sclerosis-ms-nclex-review/ More Neuro Videos: kzbin.info/aero/PLQrdx7rRsKfWwTsEG3KPPQx9rWa8AqMIk Facebook: facebook.com/RegisteredNurseRNs Instagram: instagram.com/registerednursern_com/

[@malathiratnayake7947]

RegisteredNurseRN thanks

[@malathiratnayake7947]

I am a nurse in Sri Lanka.I am 62 years old. But still studing.I am thanking you

[@jocelrada2183]

RegisteredNurseRN thank you for all the videos you've uploaded' it's helping me a lot . I didn't find your lectures boring. And now I'm readying for tomorrow's prometrics exam. ''prayers for me''

[@kemocali6504]

8:47 👈🏾 signs & symptoms . I checked yes on all of them 😓.

[@WilderJenny]

Thank You 😊

[@robertdavey8678]

I'm not in school but my mom has ms and I watched this to get a better understanding of how ms works and how I can help. This video was great I'm very grateful for it!

[@margauxtrejo5806]

When you start a new chapter in nursing school and your first thought is "so let's get started". Thanks for the videos and my new mantra!

[@ShoshannaEversAuthor]

Thank you for this review! I’m a retired RN, BSN. But someone I love was recently diagnosed with MS and I wanted a refresher that was more my speed than the videos explaining MS to the layperson. Appreciate it!

[@JayyThao]

I'm only getting through nursing school because of you

[@dane-mariebaugh-mighty6930]

I am a nursing student in Jamaica currently on my final of 4 years in university. I know america does NCLEX but here in Jamaica and the Caribbean we do RENR (Regional Exam for Nurse Registration) done only by nurses doing a BSn and these videos I've watched since my first year and you have certainly become my study partner. I just want to say thank you. you have helped me with understand the Muscular system i started teaching my peers.

[@makbabyy5076]

Sarah... you are 100% the reason I have been making it through nursing school THANK YOU!!

[@dillonbuckley4618]

I always feel I learn more from watching your 20 minute videos than I do in my 3 hour lecture, thank you!

[@alexalast1038]

Thank you so much sarah! im so glad i found your channel, i still have 3 weeks left before my exam and ive been binging on all your videos. you explained every topic so much better than any of my professors did back in nursing school. your students are so lucky to have you, and we are too :) thanks for sharing your knowledge, passion and talent. you are such a great inspiration for all of us aspiring to become RNs someday

[@Merryyy203]

So, as usual, when I was in class I had trouble understanding MS (I am studying in Germany) but there you come, explain everything wonderfully and now I get it. It all makes sense. THANK YOU for what you do. Thanks for taking the time to help us.

[@jazmineallen3379]

I just want to thank you for making these videos. I am actually learning about neurological disorders now in school and your videos have been God sent! You helped me pass my musculoskeletal disorders test and I just wish I found you sooner!!!

[@alessandrac1940]

Thanks Nurse Sarah! I really like how you explain everything in simple, basic detail from scratch. I'm not a nurse myself but i can understand your lectures cause they are so clear and concise. Ps it's actually hilarious cause many of my Red Cross students now think i am from the southern US (though i am Canadian).. i think i'm picking up your accent while teaching lol.

[@jessicahelfer7330]

Thank you so much for all of your videos! I have been watching them since I was in A&P, and now throughout nursing school. They are a life saver!

[@jessicanorris705]

Your videos are helping me get through this semester! Thank you for breaking everything down into simple terms and being so helpful!

[@johnbowersox738]

Thank you very much for this video. I am currently waiting to have my MRI done and this concise, informative, and easy-to-follow breakdown has not only given me me more information than many of the pages I went to, it helped me see the inter-relationships of what I thought were unrelated aspects but may actually be related to each other. Now I can take better notes to share with my doctor which makes me feel far more confident in properly identifying what is going on with (even if it's not MS). Again, thank you very much.

[@MC-tp2sl]

You are a blessing from heaven Thank you! I’m surviving nursing school thanks to your videos! May God bless you! Forever grateful 🙏🏽🙏🏽🦶❤️❤️❤️

[@gmoney3527]

I’ve been a nurse for two years now and I just want to say thank you because of your videos i pass nclex the computer shut off on me at the 85 question mark I recommend your videos to everybody

[@brittanyzaniroli9326]

I love all your videos and how you connect everything in a condensed way so it allows for more critical thinking and long term memory of how to intervene with our patients who have these diseases!

[@abbyRN94]

Everything you’ve been uploading is exactly what we’re going over in class! Lol very helpful videos thank you!

[@talonkikit]

Sarah, im graduating this May, your name will be at the bottom of my diploma!! lol. Thank you!!!!

[@marylynncase4649]

This was published at the most perfect time! I have my exam this week and it is a great review!

[@demi12342002]

Christina Applegate brought me here, what awful complex disease! Never realized how bad it is! Prayers for everyone out there that has the dreaded disease

[@ashleytodd3253]

My role model...my hero. I love you Sarah! I wouldn't have made it this far without you! I graduate in December!

[@Abidali-rx8us]

Thanku

[@gabrielamota8731]

Love love love your videos! Thank you for putting up so much content! You do SUCH a great job explaining everything.

[@malinallirn4395]

Dear Sarah you are the best, thank you so much for your outstanding work, with your videos I can add R N at the end of my name. Yayyyyyyyy I did it!!!! I pass my NCLEX, I listened to your videos even when. I was falling asleep.

[@RegisteredNurseRN]

Hello!! I just wanted to say CONGRATULATIONS!!! You've been a long time viewer, and it is so great to hear you passed. THANK YOU for studying with me! I'm just so happy the videos helped you. Best wishes to you in your new career as an RN!!

[@marie99cents]

Me too

[@angelaharris1112]

Thank you. This is the most info I've been able to find. Have all the symptoms. Seeing a neurologist in 3 weeks.

[@sis1516]

You’re so much better at this than some professors with a doctorates degree teaching future nurses. Thank you so much we need you in academia

[@Abidali-rx8us]

U are great

[@emorikuhn]

I'm not a nurse, but, I was just diagnosed with MS recently and I wanted to really try and understand this awful disease so thank you for helping clear some stuff up!!! Much appreciated :) And good luck to all the nursing students!! You guys rock

[@IamNobodysHW]

The one thing she didn't mention is that M.S. goes away when you are pregnant. They don't know why. I am 64 and have been fighting M.S. since I was 15. 49 years now and I will continue to fight it. Prayers and good luck to you

[@rubabhusain1099]

May you recover soon

[@mamacara3987]

Your videos helped me through nursing school so much. Being an RN two years now and recently diagnosed with MS I have used this video to help explain to friends and family what it is. Thank you so much for this. #curems

[@jayphive2468]

I love you! Thank you for all of the videos. I graduated nursing school years ago and haven't moved forward with licensing. So, my knowledge faded a bit😢

[@evilsmurf2k8]

This is by far the most comprehensive and easily understood information about MS i have ever came across in my 10 years of having this condition. Outstanding job.

[@JarquishaLudy23]

I was diagnosed n 2011 n found out I have a new lesion today !! This video is awesome!!

[@MalikaBourne]

Thank you for your well organized "lecture". Incredible job. I have been caring for my son for over 10 years. He was diagnosed with MS 22 years ago. He has advance primary progressive MS - and medical staff thinks they know everything there is to know about MS. But they don't. Everyone's MS is different for everyone. PPMS is much more complicated than RRMS. His neurologiy team is extraordinary - But, I am so tired of nurses sending home care sheets on MS 101 that is so insulting and not relevant. I am so tired of arguing with paramedics when he is having a crisis. I am so tired of people we barely know telling us how stupid we are that we have not used the WAhHs diet. ACtually, we have. Dr Walhs lives in the same city, but, my son did not meet the criteria for her study years back because he could not longer walk.

[@amazingdiscovery6189]

I appreciate all your lectures. Please dont change in helping people saving lives us well as the students and the frontliners become more competent in practicing their professions.You are amazing.

[@duygunurkeskin6107]

Hi! I’m a medical student in Turkey and your videos are helping me. So thank u for your time and effort! Neurology was really hard for me till I saw ur videos!!

[@theman78536]

Thank you so much I have final exam on neuro, burns, fluids and electrolytes, and I am so happy you have all those videos. God bless you

[@nadiabastien6630]

Thank you Sarah for all your videos, learn a lot, you’re very appreciated

[@gigicia7881]

Thank you for taking the time to make these videos.

[@oscarrios3633]

Preparing to take my NCLEX in February! Your videos are and have always been amazing!

[@LDookan]

THANK YOU ❤ THANK YOU 💜 GOD BLESS 🙏🏾🙏🏾 YOUR VIDEOS HAVE BEEN TREMENDOUSLY HELPFUL.🙋🏾‍♀️

[@sabrinagatliff6223]

Sarah you are so helpful! I love your teaching style, it has really helped me do better on my exams:)

[@ynar06]

Thank you Sarah. Im planning to take my HAAD exam. Wish me luck! 😊

[@margaretneanover3385]

I'm learning so much about this. I'm not for all this symptoms idea because I have many. I have most of these..and still try to maintain. I'm not for a take over of my being..yes a shower time is harder since this happened.

[@1234566ization]

Thank you soo much!! 😍 great for reviews

[@AndrewChun791]

Thanks for sharing RN :) I even ended up rewatching it because there was so much good information the with the complementary slides and instruction. Wow, truly amazing work 👍

[@datboimir1721]

Your videos are a God send!! They help reinforce everything I learn in class & don't deviate much from our lectures! Thank you

[@aarenlynn7939]

I would love to see a video about nurse bullying! How to cope, your personal experiences, etc. Thank you for your great content!

[@alexmarshall9145]

I suffer from ppms and found this very informative! !

[@105C09]

This lecture than some MS websites. I have MS and it was a help. Thanks!

[@djpatt81]

I am so great full this information my mother had been diagnosed fibromyalgia and ms and I was diagnosed fibromyalgia but I knew it’s something more I confident it’s ms that a lot symptoms relates to that I thankful that bowl and bladder effectiveness of ms which answers my puzzle on that I previously called it IBS which was not seen related to fibromyalgia alone I also had worsened headaches and esteem stiffness and swallowing at time bloatingness stomach acid flux

[@henp99]

Thank you for explaining the cerebellum symptoms of this disease

[@siriadelgado3101]

My Pathophysiology class is killing my brain 🧠🤯thank you for making it easier!

[@MaybellineQueen]

I wish my last hospital stay with m.s. had nurses that were compassionate as you.

[@edwinfelicianojr5203]

My condition, I been diagnosed when I was 21 years old. Thats why neuro is my passion ❤️. Very well explanation.

[@zlatansanad822]

how could u discover that ? i have many symptoms like these symptoms especially the cognitive one

[@Directory1]

Best info around. Thank you.

[@flocreation6498]

Thank God for you Sarah you make everything easy to understand keep up the good works idk what I'd do without people like you 👌🙏

[@sheikhzahoor603]

Every lecture I watch of yours ...makes me your grateful..thank you & love you mam❤️❤️❤️❤️❤️❤️❤️❤️

[@skystar6526]

Thank you so much for your time and explanation 🙏♥️

[@michaelacriswell6393]

Hi, I watch your videos religiously and you have been a tremendous help through nursing school for me. Will you do a video about anemias? Polycythemias, aplastic anemia, sickle cell and any others? I keep reading the textbook but I'm still having trouble understanding them. Thanks for being such a tremendous help, your videos are SO well made.

[@RegisteredNurseRN]

Hello Michaela :) I have a couple of videos on the various types of anemia, which are in this playlist: kzbin.info/aero/PLQrdx7rRsKfUOQ9AYVgmjiZ3OYXC5eyqP I do plan to add sickle cell within the next few weeks and hopefully others as time goes on. I hope that helps, and THANK YOU for studying with me :)

[@Abidali-rx8us]

Very nice

[@X3GibbleX3]

Thank you for the great video. Was a great review. Muchas gracias!! :)

[@NEWSBYTES.]

Thank you for this video 👍

[@NateNook]

Thank you for the video!!!

[@tonyeatelibo9260]

Thanks Sarah. God bless you

[@Fayeey920]

Thank you Sarah

[@rehanalam3414]

Thank u so much ma'm you made this very easy

[@yoma8550]

I ❤ you. Thank you so much for these informative videos.

[@joycabasa1005]

Thank you so much for your videos,this is very important to me coz. Im taking up my Local Board Exam (Philippines),although this review is for NCLEX😍

[@ratchordia34]

Thank you so much for your reviews! You really help me put the reading into context, and allow me to be better prepared for my nursing lectures. I had a patient with MS in clinical and since we haven't gone over it yet, this was so helpful!

[@Abidali-rx8us]

Thanku so very much..

[@MariamSeray]

Thanks Sarah you are awesome 👌

[@JS-xx3fg]

Youre the best, cheers!

[@supertolentinofamily]

I love all your videos. They are very informative, concise and easy to understand. Thank you. A lot of people appreciate your videos. I am a nurse in Albert, Canada and I am fond of watching you.

[@ebethh]

Excellent information! Thank you so much.

[@dadajanovkhamidulla5768]

Thank you very much 💋💋💋

[@missbizy]

Watching this while I'm waiting my MRI and nerve conduction and electromyography. MS runs in my family and I'm terrified.

[@lovestoned1993]

Thank you for this video :)

[@kik722]

Thank you

[@kathleengrant4341]

Will everyone with MS have positive results on all those tests?

[@nottodayspringday1761]

Are you angle , cuz you re helping me alot I love you hope you all best and happiness in life

[@Rashy225]

I’m almost certain I have RRMS. Going to the hospital this week.

[@zleepyjan]

Well done! You nailed it.

[@maritesdichosoflores9838]

thank you so much

[@lauraparthemer]

YOU ARE REALLY GOOD! =D GOD BLESS YOU FOR WHAT YOU ARE DOING. IF I EVER GET HOSPITALIZED, I WOULD LIKE TO HAVE A NURSE LIKE YOU, HEHEHEH...

[@merinamerina3055]

You are the best teacher ever! Your speech tone, way of explanation everything is in the top notch! Please please do review on hemodialysis and peritoneal dialysis’s review please ❤️❤️

[@Abidali-rx8us]

Very good topics

[@benittabilhahmahendran2117]

Much love from Sri Lanka!! You help a lot !

[@Abidali-rx8us]

Thanks

[@jinnij9721]

i cant thank you enough for this video

[@milagrosines]

Love your videos! What about mental health nursing videos? Are you considering to make some videos about that? You make so easy everything!!! 😊👌🏻👍🏻🙏🏻Thank you so much! God bless you Sarah

[@johnrobertguillergan4359]

Thank you!! This helped me so much!!

[@pheapchap2098]

Thank for sharing this. I learned alots.

[@mskenyafoundation]

When I was first diagnosed, I was worried.

[@ethanmillan6156]

THANK YOU!!!

[@davidungdpt7233]

This is FIRE! Great work Nurse Sarah.

[@yosiaminortega5580]

Love all your videos! They helped so much but can you please please please make a video on Amyotrophic Lateral Sclerosis (ALS) that's the only one I see missing. Thank you!!

[@Queen_live]

Thank you very much for this great full videos

[@mahakhaled4307]

Thank you for this perfecf video ♥️♥️♥️ This is my mother's condition of about 10 years ago

[@comfortbotchway4585]

God richly bless you Amen

[@joseneto4725]

Thank you for your videos! I am learning a lot from you!!!!! :-)

[@rhedlawisan7331]

I’m from Philippine thank you so much maam🥹 because of your KZbin channel I understand all your lecture god blessed maam more lectures to come❤️❤️❤️

[@andrewgalang3328]

thank you from a pta student

[@elenanash747]

I've had head tremors for a few years and I'm having a lot of different symptoms. I'm not diagnosed yet. I see a neurologist June 4th. If I'm having bad symptoms will I get admitted to the hospital

[@muhammadsaqlainlegharimuha9953]

Nice.....great

[@sugahillind]

I love the videos sarah. Thank you