Psychosocial Considerations in

Multiple Sclerosis

Emotional Impact of MS: Overview

Psychosocial Impact of MS:

Psychosocial Risk Assessment

Before the Diagnosis

The Diagnostic Period

Relapse

Disease Modification

Progression

The Psychosocial Impact of MS: Themes

Uncertainty

Loss of Control

Challenge to Self Image

Grief/Depression

Depression in Multiple Sclerosis

1. Minden et al. NMSS, 2014.

http://www.nationalmssociety.org/NationalMSSociety/media/MSNationalFiles/Brochures/Clinical-

Bulletin-Emotional-Disorders-5-5-14.pdf.

2. Sadovnick AD, et al. Neurology. 1996;46(3):628-632.

3. Feinstein A. Can J Psychiatry. 2004;49(3):157-163.

4. Bashir K, Whitaker JN. Handbook of Multiple Sclerosis. 2002.

5. Sadovnick AD, et al. Neurology. 1991;41(8):1193-1196.

Depression

Feinstein et al. J Affect Disord. 2001 Oct;66(2-3):193-8.

Depression

Mohr et al. Multiple Sclerosis. 2007;13:215-219.

Risk Assessment in the MS Patient

The Depressed MS Patient

Assessment of Suicide Risk

Comprehensive Management

Fragoso YD et al. Pract Neurol. 2014 Feb 5.

Minden SL et al. Neurology. 2014. Jan 14;82(2):174-81.

Bashir K, et al. Handbook of Multiple Sclerosis. 2002.

Depression: Treatments

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Fragoso YD et al. Pract Neurol. 2014 Feb 5.

Minden SL et al. Neurology. 2014. Jan 14;82(2):174-81.

Emotional Impact of Multiple Sclerosis

Ozer, MN. Management of Persons with Chronic Neurologic Illness. 2000.

The Element of Chronicity

Ozer, MN. Management of Persons with Chronic Neurologic Illness. 2000.

Psychosocial Adaptation

Psychosocial Adaptation

Psychosocial Issues

Williamson K. Br J Community Nurs. 2000;5(3):132-138.

How Do Family Members Feel About MS?

Things That Interfere With Family Communication

Preserving the Family Identity

Impact on Marital Partnership

Hope Defined

Linda Morgante

Conceptual Framework of Hope

Linda Morgante

Promoting Optimism & Hope

Defining Empowerment

Empowerment in MS

Empowerment in MS

Empowerment by MS Nurses

Summary: Nursing Implications

Provide care:

HOPE EMPOWERMENT

QUESTION AND ANSWER SESSION

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