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Multiple Sclerosis
Conclusion
Innovative rehabilitation
Outlines
25,600 Australian with MS
(Victoria state governement, 2018)
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.
(Victoria state government, 2018)
(Milo. R., & Kahana, E., 2010)
· reduced Motor control
· Fatigue
· Neurological symptoms
· Continence problems
· Neuropsychological symptoms
(Victoria state government, 2018)
⎫ 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.
⎫ Homes
⎫ Community rehabilitation Center
⎫ Community health facility
⎫ Workplace
⎫ Educational facility
⎫ Other ambulatory setting
⎫ General practice
⎫ Residential aged care
⎫ Supported accommodation
⎫ Hospital
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
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)
5
Implementaion
8
Follow-up
action
6
7
Review/
monitoring
Closure of files
Return to work planning
Injury management and rehabilitation service provision
Conclusion
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.