Managing the Symptoms of Multiple Sclerosis

Cover Page......Page 1
Title Page......Page 3
ISBN 1888799781......Page 5
ACKNOWLEDGMENTS......Page 7
II. Managing MS Symptoms......Page 9
IV. Appendices......Page 10
PREFACE......Page 11
Part I - The Disease and Its Management......Page 13
1 WHAT IS MULTIPLE SCLEROSIS?......Page 15
A WORD ABOUT ANATOMY......Page 16
SYMPTOMS OF MULTIPLE SCLEROSIS......Page 18
The Immune System......Page 21
CHOOSING YOUR PHYSICIAN......Page 24
A WORD ABOUT COMPLEMENTARY MEDICINE......Page 27
2 MANAGING DISEASE PROCESS......Page 28
THE MANAGEMENT OF SIDE EFFECTS......Page 32
THE TREATMENT OF ACUTE ATTACKS......Page 33
Part II - MANAGING MS SYMPTOMS......Page 35
3 FATIGUE......Page 37
PRINCIPLES OF ENERGY CONSERVATION......Page 39
Kitchen and Cooking Arrangements......Page 40
Cleaning......Page 41
Bedroom Maintenance......Page 42
Sitting and Desk Work......Page 43
Bathing......Page 44
4 SPASTICITY......Page 45
The Management of Spasticity......Page 46
MEDICATIONS......Page 48
Medications for the Management of Spasticity......Page 49
SURGICAL MANAGEMENT......Page 52
CONTRACTURES......Page 53
5 WEAKNESS......Page 55
BALANCE......Page 58
The Management of Tremor......Page 59
Medications for the Management of Tremor......Page 61
7 PAROXYSMAL SYMPTOMS......Page 64
8 MOBILITY: PUTTING IT ALL TOGETHER......Page 66
WALKING (AMBULATION)......Page 67
TRANSFERS......Page 72
9 PRESSURE SORES......Page 73
THE URINARY SYSTEM AND ITS CONTROL......Page 76
BLADDER PROBLEMS ASSOCIATED WITH MULTIPLE SCLEROSIS......Page 77
Types of Bladder Dysfunction......Page 79
Management of Bladder Problems......Page 84
URINARY TRACT (BLADDER) INFECTION......Page 87
BLADDER SPASMS......Page 89
INCONTINENCE PADS......Page 90
THE GASTROINTESTINAL TRACT AND ITS CONTROL......Page 91
CONSTIPATION......Page 92
THE DEVELOPMENT OF GOOD BOWEL HABITS......Page 93
ESTABLISHING A BOWEL PROGRAM......Page 94
Medications for the Management of Constipation......Page 95
Laxatives (Oral Stimulants)......Page 96
Suppositories and Other Rectal Stimulants......Page 97
DIARRHEA AND INCONTINENCE......Page 98
12 SPEECH DIFFICULTIES......Page 100
13 SWALLOWING DIFFICULTIES......Page 103
14 VISION......Page 106
15 PAIN......Page 108
16 DIZZINESS AND VERTIGO......Page 112
NUMBNESS AND TINGLING......Page 114
SWOLLEN ANKLES......Page 115
18 COGNITIVE DIFFICULTIES......Page 117
Part III - YOUR TOTAL HEALTH......Page 121
19 DIET AND NUTRITION......Page 123
Proteins......Page 124
Carbohydrates......Page 125
Vitamins and Minerals......Page 126
Water......Page 127
Food Guide Pyramid: A Guide to Daily Food Choices......Page 128
Dietary Guidelines......Page 130
Low-Calorie Dieting......Page 131
Reading Nutrition Labels......Page 132
Examples of Food Labels......Page 133
CUTTING FAT CALORIES......Page 134
WEIGHT GAIN......Page 135
20 EXERCISE......Page 137
21 SEXUALITY......Page 141
THE SEXUAL RESPONSE......Page 142
MANAGING SEXUAL DIFFICULTIES......Page 144
22 ADAPTING MULTIPLE SCLEROSIS......Page 148
RELAXATION TECHNIQUES......Page 152
Part V - Appendices......Page 155
A - GLOSSARY......Page 157
RANGE OF MOTION—LOWER EXTREMITY......Page 175
INDEPENDENT STRETCHING PROGRAM......Page 178
BALANCE AND COORDINATION......Page 180
STRENGTHENING EXERCISES......Page 182
TRANSFER FOR LOWER LIMB WEAKNESS......Page 187
TRANSFER WHEELCHAIR TO BED (ASSISTED AS NEEDED)......Page 189
TRANSFER WHEELCHAIR TO CAR (ASSISTED)......Page 191
TRANSFER WHEELCHAIR TO CAR (UNASSISTED)......Page 193
BED MOBILITY BASICS......Page 195
How to Move from Sitting to Lying (For Person with Pain and Weakness)......Page 197
GETTING UP FROM THE FLOOR......Page 199
HOYER TRANSFER......Page 201
ADDITIONAL READING......Page 203
ELECTRONIC INFORMATION SOURCES......Page 204
INDEX......Page 205