Neurological Question #5
The nurse is caring for a client diagnosed with amyotrophic lateral sclerosis (ALS). The client’s family consists of two children ages 8 years of age and 16 years of age and a spouse. Which of the following nursing diagnoses will have priority?
- Self-care deficit related to paralysis
- Altered nutrition: less than body requirements related to inability to feed self
- Impaired physical mobility related to decreased motor function and loss of muscle tone
- Anticipatory grieving related to inevitable death
ALS is a fatal neurological disease manifested by loss of motor neurons that affects muscle function. This includes respiratory function. Most deaths occur as a result of respiratory failure that progresses slowly. Since diagnosis represents a change from live to end result of death, the anticipatory grieving associated with the disease will be a dominate theme among family, the client, and the interdisciplinary healthcare team.