Multiple sclerosis (MS) is a progressive, autoimmune, neurological disorder of the central nervous system (CNS). In the case of multiple sclerosis, the body attacks its own central nervous system, specifically myelin. Myelin is an insulating sheath on the brain and spinal cord that allows messages and signals to be conducted more quickly and efficiently (National Institute of Health [NIH], 2012). The deterioration of these myelin sheaths results in a slow of conduction and signal completion; causing numerous implications in the daily lives of its victims and their families. The course of symptoms experienced by a client affected by multiple sclerosis occurs in an exacerbation and remission pattern; meaning their symptoms disappear and return numerous times (Gutman, 2008, p. 81). Clients typically experience several sensory and motor dysfunctions including sensation loss, vision loss, balance and coordination problems, and muscle weakness, among other debilitating symptoms (Cohen & Rae-Grant, 2010, pp. 8-9). This paper explores the disease of multiple sclerosis and the debilitating everyday effects a progressive disease such as this has on an individual client, Joseph, and his family.
Key words: multiple sclerosis, MS, myelin, male, progressive, central nervous system
Client Description
Joseph is a 42-year-old male, diagnosed with multiple sclerosis 10 years ago. He is a well-known family friend whose disease I have seen progress over the years. He currently works as a sales representative, travels quite often for work, and cares for his wife and three children. In addition, he recently experienced an increase in his symptoms and severity, causing him to slow down mentally and physically, all having a profound impact...
... middle of paper ...
...r. In addition, although the symptoms experienced by clients are individualistic and depend on their particular pattern and timeline, many of the common symptoms experienced by multiple sclerosis clients include issues with vision, loss of balance and dexterity, irregular sensations, and muscle weakness. Later in the disease, a client may experience more specific symptoms including fatigue, tremors, loss of bowel and bladder control, or cognitive changes.
Although multiple sclerosis has no cure, there are several management and coping techniques we can review together to ease the difficulties placed on you and your family, including muscle relaxants, steroids, therapy, and low impact exercise. We must keep in mind each client is different and their individual course can depend on their personal motivation, compliance with treatment, and social support system.