Multiple sclerosis: managing a complex neurological disease.
This article describes the complex neurological condition multiple sclerosis (MS) and its management. It outlines the pathophysiology and symptoms, the importance of timely access to specialist services for treatment of symptoms, and relapse and disease management. New and emerging therapies for the management of MS, the role of the multidisciplinary team, the importance of holistic assessment and the role of the MS specialist nurse are discussed. Self-management of MS is integral to managing this life-limiting long-term condition. While there is no cure for MS, new and oral disease-modifying therapies providing better efficacy in stabilising the disease have recently been introduced, reducing relapse frequency and disease activity, and delaying the progression of disability.
North Midland MS Service, University Hospital of North Staffordshire, Stoke on Trent.
Nikki
N
Embrey
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000188:drug therapy* / Q000453:epidemiology / Q000451:nursing*; D009732:Nursing Care / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000193:education*; D018802:Patient-Centered Care / Q000379:methods / Q000592:standards; D017410:Practice Guidelines as Topic; D012648:Self Care / Q000379:methods; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult
D007166:Immunosuppressive Agents
Central nervous system; chronic disease; multiple sclerosis; neurological condition; patient-centered care; relapse; relapsing-remitting conditions; self-care; self-management; symptom management