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Accordingly, Brichford (2008) would indicate that "while doctors used to recommend that people living with MS avoid exercise entirely due to fear of aggravating symptoms, now there is a great deal of evidence to suggest that regular exercise not only improves quality of life for people with multiple sclerosis, but that it may also help ease symptoms and minimize the risk of certain complications down the road." (Brichford, 1) in this case, all evidence seems to suggest that exercise will be a crucial part of a multidisciplinary approach to addressing the subject's condition.
This means that in addition to a physician who can help to identify limitations in this area, a physical therapy and rehabilitation team must make up part of the treatment management strategies. This is endorsed in the research by Carcione, which denotes that "referrals to other professionals, such as a physical therapist, who can help create a personal exercise program that meets your needs. The type of exercise that works best for you depends on your symptoms, fitness level, and overall health." (Carcione, 1) Thus, the physical therapist will be instrumental to defining the best course of physical activity given the subject's specific health outlook.
The choice to use a multidisciplinary strategy of treatment is also influenced by the clear indication in the case details that this subject would require mental health counseling as well. This is not an uncommon reality for sufferers of multiple sclerosis. According to Avonex (2008), the connection is demonstrably causative, with the pharmaceutical company's informational website indicating that "clinical...
Researchers are not sure if this higher rate of depression is due primarily to an emotional response to having the disease or is related to the physiology of the disease. Either way, depression should be taken very seriously." (Avonex, 1)
For the subject in question, this is clearly the case. There is a necessity to address these feelings of depression, which are contributing directly to the hoplessness indicated by the tendency toward sedentary behavior. For the subject, the treatment plan would incorporate mental health counselors who would help to guide the patient to a place where she might have the emotional fortitude to confront the disease's physical implications.
Works Cited:
Avonex. (2008). Depression and Multiple Sclerosis. Biogen Idec. Online at Brichford, C. (2008). Multiple Sclerosis and Exercise Benefits. Everyday Health. Online at http://www.everydayhealth.com/multiple-sclerosis/multiple-sclerosis-and-exercise.aspx
Cohen, E. & Cesta, T. (2005) Nursing case management: Advanced practice applications (4th ed.) Philadelphia: Mosby.
NCPAD. (2009). Disability/Condition: Multiple Sclerosis and Exercise. University of Illinois. Online at http://www.ncpad.org/disability/fact_sheet.php?sheet=186
Carcione, J.R. (2006). Exercise & Multiple Sclerosis. WEBMD. Online at http://www.webmd.com/multiple-sclerosis/guide/multiple-sclerosis-exercise
Seefeldt, V.D. & Ewing, M.E. (1996). Youth Sports in America: An Overview. PCPFS Research Digest, 2(11).
Works Cited:
Avonex. (2008). Depression and Multiple Sclerosis. Biogen Idec. Online at Brichford, C. (2008). Multiple Sclerosis and Exercise Benefits. Everyday Health. Online at http://www.everydayhealth.com/multiple-sclerosis/multiple-sclerosis-and-exercise.aspx
Cohen, E. & Cesta, T. (2005) Nursing case management: Advanced practice applications (4th ed.) Philadelphia: Mosby.
NCPAD. (2009). Disability/Condition: Multiple Sclerosis and Exercise. University of Illinois. Online at http://www.ncpad.org/disability/fact_sheet.php?sheet=186
Carcione, J.R. (2006). Exercise & Multiple Sclerosis. WEBMD. Online at http://www.webmd.com/multiple-sclerosis/guide/multiple-sclerosis-exercise
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