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Comprehensive Care and Management of Multiple Sclerosis: A Case Study Overview

This document outlines the essential aspects of Multiple Sclerosis (MS), an autoimmune disease affecting the central nervous system. Highlighting a case study of a 27-year-old woman with notable symptoms like optic neuritis, weakness, and slurred speech, it emphasizes the importance of accurate diagnosis and management of relapses. The aims of the MS service include diagnosis, support, treatment identification, and symptom control, utilizing a multidisciplinary approach. Essential investigations such as MRI and lumbar puncture are discussed, along with symptom management strategies, including medication and rehabilitation services.

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Comprehensive Care and Management of Multiple Sclerosis: A Case Study Overview

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  1. The MS Clinic Alastair Lansbury Neurologist

  2. What is MS ? • Inflammatory • Central Nervous System • Autoimmune • Relapses and remission (Progressive forms) • Any central nervous system symptom or sign

  3. Case Study • 27 year old woman • 4 years ago - 2 days of painful loss vision R eye. Resolved over 3 weeks. Diagnosis optic neuritis • 2 week history of weakness, numbness R side and slurred speech

  4. The aims of the service • Diagnosis • Support • Information • Identification and treatment of relapses • Identify those suitable for DMDs • Monitoring of DMDs • Symptom control

  5. Diagnosis • History • Examination • Investigation

  6. Investigations • MRI Scan • Lumbar Puncture • Exclude other causes

  7. Communicating the diagnosis • Guidelines for breaking bad news. • Swift review • Information • Support

  8. The multidisciplinary team • MS nurse • Physiotherapist • Occupational therapist • Speech therapist • MS Society • Psychology • Palliative Care • Neurologist

  9. Symptom management in Multiple Sclerosis • Spasticity • Non-medical • Drug treatment • Intrathecal therapies

  10. Symptom management in Multiple Sclerosis • Fatigue • Fatigue management strategies • Drug treatment • Amantadine • Modafanil

  11. Symptom management in Multiple Sclerosis Pain Bladder problems Sensory symptoms Mobility and dependency Management of relapses Speech and communication Cognitive problems Emotional and psychological support Employment and Finance

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