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Nursing Interventions Goals: Health prevent exacerbations manage symptoms improve function Teaching Incorporate patient and family Include whole health team Importance of avoiding stress/extreme temperatures Promote mobility ROM and stretching exercises Modify activities to prevent fatigue Use of adaptive devices Medications Promote Cognitive / Emotional Functioning Maintain organized environment Create lists to assist patient Use of calendar and clock Teaching memory exercises/ mnemonic Speech Therapy-exercises and evaluate for dysphagia Sexuality Dysfunctioning Encourage communication between partners Provide counseling Meds Vision Encourage use of eye patch when needed Bowel and Bladder Dysfunction Maintain appropriate diet and fluid intake Catherization as needed Modify activites Bowel and bladder toileting schedule Meds Nutrition- diet, herbs Stress reducers- meditation, yoga, biofeedback Symptom management- acupuncture, homeopathic, chiropractic Impaired urinary function r/t sensory motor impairment Fatigue r/t disease process Self-care deficit r/t neuromuscular impairment