Ch 5: Myasthenia Gravis – Flashcards

The disease is caused by an autoimmune attack on the acetylcholine receptor of the postsynaptic neuromuscular junction

Characterized by episodic muscle weakness, chiefly in muscles innervated by cranial nerves.

• ptosis, diplopia, muscle fatigue after exercise, dysarthria, dysphasia, and proximal limb weakness. • Symptoms fluctuate during the course of the day • In relapsing periods, quadriparesis may develop. • Life threatening respiratory muscle involvement may occur.

• Cholinesterase inhibitors, corticosteroids, immunosuppressant agents, and plasmapherisis

• Occupational Profile • COPM • Performance skills in areas of occupation: ADLs, IADLS, education, work, play, social participation. • Performance pattern: activity log • Client factors: MMS, ROM, eating and swallowing assessments, pain scale, depression scale, ways of coping scale and clinical observation during activities. • Activity demands

• MSM must be monitored on a regular basis, and the OT documents any changes. • Effective self-care actions includes stress reduction techniques, pacing all activities, and increase rest and sleep. • Patient / family education to use energy conservation and work simplification strategies during ADls, IADLs and leisure activities. • Adaptive and assistive devices may be introduced to decrease effort during daily activities. • OT should visit the client's home to assess architectural barriers, bathroom safety, and furniture arrangements, due to impaired vision.