Same or Different Effective Diagnosis Order Instructions: Read the following article:

· Moore, A.S. & Shepard, L.H. (2014). Myasthenia gravis vs. guillain-barre? syndrome what’s the difference? Nursing Made Incredibly Easy! 12 (4). 21-30.

Select one (1) of the following Nursing Diagnoses:

· Impaired Spontaneous Ventilation

· Impaired Swallowing

· Care Giver Role Strain

Address the following by answering these questions:

1. Is the nursing diagnoses that you selected appropriate for the patient with a diagnosis of myasthenia gravis, Guillain-Barre syndrome or both? Explain your answer.

2. Provide an outcome for the nursing diagnosis that you selected making sure that is specific to the needs of the patient with myasthenia gravis or Guillain-Barre syndrome.

3. Identify two (2) interventions that will help your patient with myasthenia gravis or Guillain-Barre syndrome reach the outcome for the nursing diagnosis.

********Please cite using the article.

Required Textbooks & chapters needed for this paper along with the article above:

Brunner and Suddarth’s textbook of medical-surgical nursing**
• Chapter 3: Critical Thinking, Ethical Decision Making, and the Nursing Process
• Chapter 65: Assessment of Neurologic Function
• Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies (section on “Autoimmune Processes”)
• Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders (section on “Degenerative Disorders”)

Pharmacology: A patient-centered nursing process approach**
• Chapter 14: Medications and Calculations
• Chapter 23: Drugs for Neurologic Disorders: Parkinsonism and Alzheimer’s Disease (section on “Parkinsonism” only)
• Chapter 24: Drugs for Neuromuscular Disorders: Myasthenia Gravis, Multiple Sclerosis, and Muscle Spasms

Maternal & Child Health Nursing**
• Chapter 49: Nursing Care of a Family When a Child Has a Neurological Disorder

Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.

Web based and Other Professional Resources:
• Myasthenia gravis vs. Guillain Barre? syndrome what’s the difference (2014)**
• ALS Association
• Hand Hygiene in Healthcare Settings
• Hospital: 2016 National Patient Safety Goals**
• Pre-licensure KSAs (2014)**
• National Parkinson Foundation

Same or Different Effective Diagnosis Sample Answer

SAME OR DIFFERENT

Effective diagnosis of the different types of syndromes and disorders experienced by the patient is essential in guiding the correct type of management for their situations for improvement of their health status. In this case, I would select impaired spontaneous ventilation as the nursing diagnosis for the Guillain- Barre syndrome and myasthenia gravis (Moore et al., 2014). The diagnosis selected would be fit for both syndromes since the two have been seen to have a co-occurrence. The co-current occurrence of both of the syndromes is caused by the similarity of symptoms such as generalized weakness musculoskeletal impairment evidenced by changes in quality and depth of respiration. Myasthenia gravis symptoms suggest the adoption of Guillain-Barre syndrome concurrent diagnosis since it’s characterized with symmetric and progressive symptoms, e.g., muscle weaknesses. In this case, impaired spontaneous ventilation nursing diagnosis would be effective in the assessment of both syndromes effectively.

The outcome for the nursing diagnosis would involve identification of the symptoms to come up with an effective management for both syndromes. The impaired spontaneous ventilation would achieve help certain objectives, e.g., proper evaluation of musculoskeletal impairment with the aim of assessing any co-occurrence of both syndromes in a patient thus informing a specific management strategy (Moore et al., 2014). The diagnosis would check on mechanical ventilator setting, obstruction, manual ventilation and evidence of musculoskeletal problems to guide for the proper intervention. The interventions and management strategies would help in handling the condition faced by the patient with myasthenia gravis and Guillain-Barre syndrome or the concurrence of the two at the same time. The first intervention would be having an elective endotracheal incubation to address the respiratory muscle weaknesses associated with the impaired spontaneous ventilation (Moore et al., 2014). Specific therapy and supportive care for the patients would be another crucial intervention initiated immediately after the nursing diagnosis. In a nutshell, the implementation of the right intervention strategies would result in the ultimate goal of the better health status of the patients.

Same or Different Effective Diagnosis Reference

Moore, A.S. & Shepard, L.H. (2014). Myasthenia gravis vs. guillain-barre? syndrome what’s the difference? Nursing Made Incredibly Easy! 12 (4). 21-30.