Multiple Sclerosis❗️❗️❗️ Flashcards
1
Q
Etiology of MS
A
chronic, progressive, demyelinating disease of the central nervous system (brain, spinal cord)
demyelination → produce scar tissue or plaque on myelin sheath → interfere with axon’s ability to conduct impulse → impaired nerve conduction and inflammation
2
Q
Focus when working with MS
A
- Observe the client over a period of time (e.g. several OT sessions) to take into account the variability in endurance and fatigue a client with MS may experience
- Compensatory/Adaptive
- Conditions change over time
3
Q
Characteristics of MS
A
- Fatigue
- Muscle weakness
- Spasticity
- Balance issues
- Paraesthesia
- Optic neuritis or diplopia
- Dizziness and vertigo
- Ataxia
- Bowel and bladder issues
- Impaired cognition and memory issues
- Pain
- Depression
4
Q
Information collected during Ax
A
short-distance walking, hand function, and cognition
Fine motor
Balance
Sensation
What ADL affected?
Home evaluations and home safety assessments
Depression
sleep quality
Cognitive screening
Fatigue
Functional and occupational performance
5
Q
Tx goal and Tx plan (Visual)
A
Perform home safety assessment
- adjusting the lighting, repositioning her monitor and obtaining an
anti-glare filter to reduce glare, and adjusting the accessibility options available through - computer settings to maximize contrast and font sizes
- Adaptive equipment may include optical devices, large-print reading material, large-button technology, talking watches, raised-dot markings for technology, and audiobooks.
6
Q
Tx goal and Tx plan (Cognitive)
A
- Consider cognitive retraining, memory enhancement programs, cognitive–behavioral therapy, visual compensation strategies, or group therapy.
- Advise the client to allow for increased time, delegation, and repetition when learning new ideas and to perform difficult mental tasks earlier in the day.
- new technologies
e.g. select and set up a smart phone to compensate for some of her memory problems
