What makes physical care so challenging in advanced ALS is the absence of other indicators of change — the verbal and physical response to care. The physical changes are much more subtle, and the nurse is more likely to detect changes when there is a connection with the patient that allows a rhythm to unfold. Daily inspections included in the assessment are crucial if potential problems are to be avoided. Particular challenges of patients with ALS who are locked-in follow. It is important to provide a blueprint for supplies in establishing and maintaining a safe home care environment.
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