A patient with multiple sclerosis may experience a “perfect storm” of physical disability, fatigue and depression.
When working with a patient with multiple sclerosis it is important to inquire about:
(1) physical disability
(4) bothersome side effects of medications
If any one of these features is present, then there is a good chance that the other factors can be identified as well.
Psychological disability may be present especially during an exacerbation:
(3) poor coping
(4) loss of hope
If these factors go unchecked then the patient may develop negative behaviors (such as avoidance) and nonadherence, which may contribute to deterioration.
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Purpose: To evaluate a patient with multiple sclerosis for problems associated with physical disability.
Specialty: Sports Medicine & Rehabilitation, Neurology