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Multiple Sclerosis

Conclusion

Innovative rehabilitation

Sathara Vong (Jane) 19167398

Hibaq 19335660

Sondos 20408016

Tayla 19495524

Outlines

Outlines

Background information

  • Introduction
  • Case scenario
  • Background information of MS
  • The impairments associate with the condition
  • The impacts of the condition
  • Overview of program
  • Benefits of program and what it can offer
  • Strengths and limitations of program
  • Ideal case management process
  • Effective and Innovative Rehabilitation
  • Conclusion

Introduction

Multiple Sclerosis (MS) in Australia

25,600 Australian with MS

(Victoria state governement, 2018)

Case Scenario

Case scenario

Sandra James is a 43 years old single mother who is supporting two young children, with the help of her family. She works as a teacher in one of the primary schools in the CBD in Melbourne. She lives in Epping, Victoria. She always takes the train to her workplace and regularly walks for 10 minutes to the train station.

Over the last three years, Sandra started to experience some significant changes in neurologic function which caused double vision. Then she began to drag her right leg and reported difficulty walking long distances because of weakening and extreme fatigue. A couple months later, she continued to report intermittent episodes of worsening balance, tingling and numbness in her limbs, and reduced functioning of her arms and legs. As she mentioned when she walked to the train station or in a shopping mall, she felt as if hundred pound weights are strapped to her both legs. Also her urinary frequency and urgency have worsened and she had to get up more than twice a night to urinate. She decided to see her local GP, who referred her for further testing. Subsequently, she was later diagnosed with multiple sclerosis.

After she got the result, there were so many moments along the way that almost broke her. Having lived with MS for a couple years, she has experienced most of the symptoms that make this disease often horrifying. And sometimes she found it hard to managed to avoid the pain often associated with this disease and she didn’t know how she was going to cope with the unavoidable stresses that weighed on her. she worried constantly that she may no longer be able to work and support her children.

Background of MS

Multiple Sclerosis

  • What is Multiple Sclerosis (MS)?

(Victoria state government, 2018)

What cause MS?

The cause of MS

  • Autoimmune disease

  • Infectious-viral disease

  • Neurodegenerative disease

(Milo. R., & Kahana, E., 2010)

The impairments associated with MS

· reduced Motor control

· Fatigue

· Neurological symptoms

· Continence problems

· Neuropsychological symptoms

The impairments associated with MS

(Victoria state government, 2018)

The impacts of MS on Sandra

  • Travelling issues
  • Reduced ability to look after her children by herself
  • Possible vision impairment
  • Possible cognitive impairment
  • Depression/ isolation from friends and family

The health Independence Program

The health independence program

Overview

OVERVIEW

  • The Health Independence Program (HIP) provides services that support a person’s transition from hospital to home.
  • The HIP consists of six components, including short-term supports and access to specialist services.
  • A person can be referred to HIP from a hospital setting, community service, or they can self-refer.

THE 6

COMPONENTS

The 6 components of the health Independence program

⎫ Short-term supports

⎫ Ambulatory rehabilitation

⎫ Access to specialist services, including specialist assessment

⎫ Care coordination – short-term or complex

⎫ Complex psychosocial issues management

⎫ Consumer self-management, education and support.

Delivery

Service delivery setting

⎫ Homes

⎫ Community rehabilitation Center

⎫ Community health facility

⎫ Workplace

⎫ Educational facility

⎫ Other ambulatory setting

⎫ General practice

⎫ Residential aged care

⎫ Supported accommodation

⎫ Hospital

WHY THIS PROGRAM

Why this program?

What the program offers?

WHAT THE PROGRAM OFFERS?

⎫ Emotional and physical independence

⎫ Care coordination

⎫ Psychosocial and self-management support

⎫ Short term support

⎫ Ambulatory rehabilitation

Strengths and limitations

Strengths and limitations of this program

Limitations

¬ May restrict Sandra from going out

¬ May limit her independence

Strengths

Ø Allows Independence

Ø Knowledge and education on her own health condition

ü The program is a state wide service

ü The program is run by a multidisciplinary team

ü Long term program

Ideal case management process

The ideal case mangement process

The case management model or process can be defined in general as a method for providing comprehensive, unified, coordinated and timely services to people in need of them through the efforts of a primary agent who, together with the client, takes responsibility for providing or procuring the services needed” (Kemp, 1981, p.213) ​

The ideal case management process

5

Implementaion

Plan rationalization

File development

8

Follow-up

action

1

3

4

2

6

7

Review/

monitoring

Closure of files

Inital assessment and Plan development

Inital contact

Effective and Innovative Rehabilitation

Sandra future plan

Sandra future plan

Return to work planning

  • Take regular breaks at work

  • Suggest reducing working hours

  • Requesting assistance from family, friends and external services

  • Arrange for client to work from home

Injury management and rehabilitation service provision

Injury management and rehabilitation service provision

  • Making the client aware of rehabilitation service available to her.

  • A rehabilitation program that assesses all the needs for improving and maintaining quality of life in regards to MS.

Conclusion

References

Better Health Channel, (2018). Better Health Channel. Retrieved

from https://www.betterhealth.vic.gov.au/health

/ConditionsAndTreatments/multiple-sclerosis-ms

?viewAsPdf=true

Health Independence Program. (2019). Retrieved from https://

www2.health.vic.gov.au/hospitals-and-health-services/patient-care/

rehabilitation-complex-care/health-independence-program

Khan, F., & Amatya, B. (2017). Rehabilitation in multiple sclerosis: a systematic

review of systematic reviews. Archives of physical medicine and

rehabilitation, 98(2), 353-367.

Milo, R., & Kahana, E. (2010). Multiple sclerosis: geoepidemiology,

genetics and the environment. Autoimmunity reviews, 9(5), A387-

A394.

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