Have access already?
Get access to this chapter:
- Perpetual access Add to cart ($9.99)
Or get access to the entire book:
- Perpetual access Add to cart ($97.99)
Dedication Contributors Preface Acknowledgments Contributors to the First Edition Unit I: The Context of Interprofessional Primary Care Chapter 1: The Structure of Primary Care Chapter 2: Family and Culture Within the Context of Primary Care Chapter 3: Health Promotion and Disease Prevention Chapter 4: Primary Care in the Community: Assessment and Use of Resources Chapter 5: Palliative Care Chapter 6: Appraising Clinical Practice Guidelines
Unit II: Cardiovascular Conditions Unit III: Dermatologic Conditions Unit IV: Endocrine Conditions Unit V: Gastroenterologic Conditions Chapter 17: Bowel Obstruction Chapter 18: Cirrhosis of the Liver Chapter 19: Gallbladder Chapter 20: Gastroesophageal Reflux Disease Chapter 21: Gastroenterologic Cancers Chapter 22: Hepatitis Chapter 23: Inflammatory Bowel Disease Chapter 24: Pancreatitis: Acute and Chronic Chapter 25: Peptic Ulcer Disease
Unit VI: Genitourinary Conditions Unit VII: Hematologic Conditions Unit VIII: Immunologic Conditions Unit IX: Musculoskeletal Conditions Chapter 39: Anterior Knee Pain Chapter 40: Articulation Injuries of the Ankle and Hip Chapter 41: Cumulative Trauma Disorder Chapter 42: Fibromyalgia and Diffuse Illnesses Chapter 43: Low Back Pain Chapter 44: Osteoarthritis Chapter 45: Osteoporosis Chapter 46: Plantar Fasciitis Chapter 47: Identification and Management of Temporomandibular Disorders
Unit X: Neurologic Conditions Chapter 48: Dementia and Delirium Chapter 49: Demyelinating Disease/Multiple Sclerosis Chapter 50: Dizziness, Vertigo, and Ataxia Chapter 51: Headache Chapter 52: Parkinson’s Disease Chapter 53: Peripheral Neuropathy Chapter 54: Seizure Disorders Chapter 55: Stroke, Transient Ischemic Attacks, and Carotid Stenosis
Unit XI: Psychiatric Conditions Unit XII: Reproductive Conditions Unit XIII: Respiratory Conditions
Keywords for this chapter
Related content
Chapter 49: Demyelinating Disease/Multiple Sclerosis
Dedication Contributors Preface Acknowledgments Contributors to the First Edition Unit I: The Context of Interprofessional Primary Care Chapter 1: The Structure of Primary Care Chapter 2: Family and Culture Within the Context of Primary Care Chapter 3: Health Promotion and Disease Prevention Chapter 4: Primary Care in the Community: Assessment and Use of Resources Chapter 5: Palliative Care Chapter 6: Appraising Clinical Practice Guidelines
Unit II: Cardiovascular Conditions Unit III: Dermatologic Conditions Unit IV: Endocrine Conditions Unit V: Gastroenterologic Conditions Chapter 17: Bowel Obstruction Chapter 18: Cirrhosis of the Liver Chapter 19: Gallbladder Chapter 20: Gastroesophageal Reflux Disease Chapter 21: Gastroenterologic Cancers Chapter 22: Hepatitis Chapter 23: Inflammatory Bowel Disease Chapter 24: Pancreatitis: Acute and Chronic Chapter 25: Peptic Ulcer Disease
Unit VI: Genitourinary Conditions Unit VII: Hematologic Conditions Unit VIII: Immunologic Conditions Unit IX: Musculoskeletal Conditions Chapter 39: Anterior Knee Pain Chapter 40: Articulation Injuries of the Ankle and Hip Chapter 41: Cumulative Trauma Disorder Chapter 42: Fibromyalgia and Diffuse Illnesses Chapter 43: Low Back Pain Chapter 44: Osteoarthritis Chapter 45: Osteoporosis Chapter 46: Plantar Fasciitis Chapter 47: Identification and Management of Temporomandibular Disorders
Unit X: Neurologic Conditions Chapter 48: Dementia and Delirium Chapter 49: Demyelinating Disease/Multiple Sclerosis Chapter 50: Dizziness, Vertigo, and Ataxia Chapter 51: Headache Chapter 52: Parkinson’s Disease Chapter 53: Peripheral Neuropathy Chapter 54: Seizure Disorders Chapter 55: Stroke, Transient Ischemic Attacks, and Carotid Stenosis
Unit XI: Psychiatric Conditions Unit XII: Reproductive Conditions Unit XIII: Respiratory Conditions
10.1891/9780826171481.0049
Authors
- Saccomano, Scott J., PhD, GNP-BC, RN
Abstract
Multiple sclerosis (MS) is a chronic disease of the central nervous system (CNS) that typically appears in late adolescence or early adulthood. Early symptoms include numbness, double vision, paresis, bladder control problems, ataxia, and tremor. Treatment is based on the progression of the disease and symptoms, including fatigue, spasticity, urinary dysfunction, emotional problems, cognitive dysfunction, and pain. MS is an immune-mediated disease, acquired by a genetically predisposed person near the time of puberty. Epidemiologic and pathologic aspects, as well as a host of immunologic factors, must be taken into account when considering the mechanism of demyelination. The areas most commonly affected by MS include motor, sensory, cerebellar, and emotional areas. Sexual dysfunction can affect the quality of life in MS patients, who are usually of childbearing age. For the MS patient, rehabilitation should become a way of life, not an on/off modality.