Myasthenia Gravis (MG)
Instructions
As a new nurse, you have had clients with Myasthenia Gravis (MG) and are concerned about their level of understanding of the disease process. You have taken on the task of developing a teaching pamphlet to provide clear discharge instructions, including information on the disease, support resources, medication teaching, and signs and symptoms of a Myasthenic Crisis. You will include the following information in the pamphlet.
- Describe the disease process for MG.
- List (2) local community resources available that can provide support, such as:
- Nutrition.
- Transportation.
- Psychosocial needs such as support groups.
- Include medication administration instructions and the importance of timing of medication delivery.
- Include signs of symptoms of a Myasthenic Crisis and when to notify the health care provider.
Myasthenia gravis (MG) is an autoimmune neuromuscular disorder that causes weakness and fatigue in the skeletal muscles responsible for movement and breathing. The disease process involves the production of antibodies that attack the acetylcholine receptors in the muscles, preventing nerve impulses from reaching the muscles and causing them to weaken.
Some local community resources available that can provide support for individuals with MG include:
- Nutrition: Many community organizations offer nutritional support services for individuals with chronic illnesses, including those with MG. These services may include meal delivery, nutrition counseling, and access to dietary supplements.
- Transportation: Individuals with MG may experience mobility issues, making traveling to medical appointments or running errands difficult. Many local organizations provide transportation services for individuals with disabilities, including those with MG.
In addition to these resources, individuals with MG may benefit from joining a support group to connect with others who are also managing the disease. These groups can provide emotional support and practical advice on managing symptoms and coping with the challenges of living with MG.
Medication administration is crucial for managing MG symptoms, and taking medication at the prescribed times is essential to maintaining stable symptom control. Common medications for treating MG include cholinesterase inhibitors, immunosuppressants, and corticosteroids. Cholinesterase inhibitors increase the amount of acetylcholine available to the muscles, improving nerve transmission and muscle strength. Immunosuppressants and corticosteroids reduce the production of antibodies that attack the muscles.
Signs of a myasthenic crisis, a severe worsening of MG symptoms, include difficulty breathing, swallowing, and speaking, as well as weakness in the limbs and neck muscles. If these symptoms occur, it is vital to seek emergency medical care immediately. It is also essential to notify the healthcare provider if any changes in symptoms occur or if the medication regimen is not providing adequate symptom control.