CNS tx -- MS

Question 1

fatigue in pt – ideas

Answer 1

preferable tx @ evening

30-45 min instead of 60-90 min tx

Question 2

strengthening is important for MS pt, however

Answer 2

preferable to not fatigue them during tx — & leave strengthening for homecare

unless pt has more specific complaint regarding weakness in a specific area

Question 3

MS & cognitive problems?

Answer 3

in long term can occur

Question 4

CNS conditions, sensory loss & decubitus ulcers

Answer 4

cannot sense when something is wrong – and/or cannot move

—> won’t move, for instance when something feels wrong (E.g. nerve/bv compression impeding bloodflow)

—> incontinence – enzymes in urine/feces breaking down skin

Question 5

one strategy for tissue health (if not strictly decubitus ulcer formation)

Answer 5

part of treatment supine, part of treatment side-lying

Question 6

strategies to identify decubitus ulcer (local CI)

Answer 6

& inform patient physician

Question 7

esp for people with autoimmune conditions like MS

Answer 7

wear mask if you think you may be sick, or think you may spread germs to them

Question 8

no distal work when

Answer 8

decubitus ulcer

Question 9

if past stage 2 decubitus ulcer

Answer 9

could be considered medical emergency – stop tx & refer out