(b) To relieve the patient's symptoms and provide him/her with
Instruct patient to perform muscle stretching exercises to minimize join
(a) Particular emphasis on hamstrings, gastrocnemius, hip adductors,
biceps, wrist and finger flexors.
(b) Instruct family about passive range of motion exercises for patients
with severe spasticity.
Advise patient to prevent muscle fatigue with frequent rest periods.
(d) Instruct patient to participate in walking exercises to improve gait
affected by loss of position sense in legs.
(e) Administer muscle relaxants as ordered.
(f) Utilize braces, canes, crutches, walkers when necessary to keep
Avoid skin pressure and immobility.
(a) Pressure sores will accompany severe spasticity in an immobile
patient due to sensory loss.
(b) Change patient's position every 2 hours even if patient is in
Give careful attention to sacral and perineal hygiene.
Support the patient with bladder disturbances.
Observe patient closely for retention and catheterize, as ordered.
(b) Patient may need to be taught self-catheterization.
Administer urinary antiseptics, as ordered.
(d) Support the patient with bladder incontinence by initiating a bladder
(e) Meticulous skin care is required for the incontinent patient.
Assist the patient to establish a routine of regular bowel evacuation.