Multiple Sclerosis - A Practical Guide to Rehabilitation - 11

A Practical Guide to Rehabilitation
in
A PRACTICAL GUIDE TO IDIOPATHIC

MULTIPLE SCLEROSIS

patient's needs. Such communication can be
facilitated by:
* Frequent, routine opportunities for
free-flowing sharing of ideas
* Transfer of knowledge and skills across
discipline boundaries, without territorialism
* Commitment to collaboration
* Ability to ask for help without feeling
diminished or intimidated (mutual respect and
trust)
* Shared decision-making with the patient and
care partner
Having all team members within a single
department or facility (such as rehabilitation
center or MS center) enhances the flow of
communication. Challenges arise when members
of the team are at various locations, or even in
different organizations or hospital systems.
Regardless, creating strong working relationships
and a seamless communication process with the
various team members is essential to coordinating
care.

Tools and strategies to facilitate communication
include virtual team meetings, electronic medical
records, encrypted email communication, faxes,
and traditional paper documentation. Ideally,
communication within the network can be
facilitated by a point person, such as a case
manager or other care coordinator.
Patients with MS have unique needs due to the
long term, chronic, progressive nature of the
disease and the variability and unpredictability of
symptoms. Rehabilitation in MS is a dynamic and
cyclical process (Figure 3), and MS rehabilitation
professionals often have long-term-sometimes
lifelong-relationships with their patients. They
play critical roles in empowering patients to
manage symptoms that affect physical and
cognitive functioning, maintain life roles, and
promote active exercise and other healthy habits
to help maintain health and wellness.

A variety of standardized measures are used for
evaluation and ongoing assessment of persons
with MS; commonly used measures
are listed in Table 5 and found in
Figure 3: The Rehabilitation Cycle in MSAdapted from 23
Appendix 1. Due to the dynamic
nature of the disease, these tools
provide structured ways to gauge,
Identify problems
over time, the extent to which a
and needs
patient is able to perform activities
of daily living, sustain vocational
Relate problems
roles, and maintain independence.
Assess impact of
to modifiable and
They are employed periodically to
interventions
limiting factors*
help develop and revise treatment
goals, identify the need for
treatment modification, and
measure results of specific
interventions. The use of many of
Select
and
perform
these measures in the context of
Plan, implement,
assessments to
and coordinate
rehabilitation will be developed
better define
interventions
target problems
further in sections to follow. The
Academy of Neurologic Physical
Set therapy goals
Therapy (affiliated with the
with the patient
American Physical Therapy
and care partner
Association) has made
recommendations about use of
*Factors may be specific to the individual or the environment.
these tools.24

Introduction

11



Multiple Sclerosis - A Practical Guide to Rehabilitation

Table of Contents for the Digital Edition of Multiple Sclerosis - A Practical Guide to Rehabilitation

Contents
Multiple Sclerosis - A Practical Guide to Rehabilitation - Contents
Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover2
Multiple Sclerosis - A Practical Guide to Rehabilitation - 1
Multiple Sclerosis - A Practical Guide to Rehabilitation - 2
Multiple Sclerosis - A Practical Guide to Rehabilitation - 3
Multiple Sclerosis - A Practical Guide to Rehabilitation - 4
Multiple Sclerosis - A Practical Guide to Rehabilitation - 5
Multiple Sclerosis - A Practical Guide to Rehabilitation - 6
Multiple Sclerosis - A Practical Guide to Rehabilitation - 7
Multiple Sclerosis - A Practical Guide to Rehabilitation - 8
Multiple Sclerosis - A Practical Guide to Rehabilitation - 9
Multiple Sclerosis - A Practical Guide to Rehabilitation - 10
Multiple Sclerosis - A Practical Guide to Rehabilitation - 11
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Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover3
Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover4
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