MS case - Millie PART 3

Question 1

What is the prognosis?

Answer 1

• positive progression and good improvements
• mainly mobilises inside with one crutch
• short distances outside with crutch and As.
• long distances require wheelchair
  majority of ADLs can be completed > not back to back to her normal levels
• no red flags

Question 2

Prioritised problem list

Answer 2

• dexterity tasks > can complete but with difficulty, she is highly frustrated thus needs to be addressed sooner to improve mental state
• fatigue > daytime naps
• unable to mobilise for long distances outside > increase exercise tolerance
• reduced righting reactions > fear of falling, reduces independence in mobilisation
• L foot dorsiflexion 3/5 > affect gait

Question 3

Short term gaols

Answer 3

• increase power to 4/5 in left foot dorsiflexion in 2 weeks
• increase ROM in left foot dorsiflexion to full range in 2 weeks
• mobilise indoors independently without a crutch in 3 weeks
• mobilise outdoors with elbow crutch independently and no supervision in 3 weeks

Question 4

Long term goals

Answer 4

• ease her back to work
• reduce fatigue
• increase exercise tolerance