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Problems reported by elderly patients with multiple sclerosis.

J Klewer1, D Pöhlau, I Nippert

  • 1Public Health, Institute of Medical Informatics and Biometry, Dresden Medical School, University of Dresden, IMIB-Fetscherstrasse 74, 01307 Dresden, Germany.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|June 21, 2001
PubMed
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Elderly patients with multiple sclerosis (MS) face significant mobility, daily living, and mental health challenges. Addressing these issues is crucial for maintaining independence and preventing nursing home care.

Area of Science:

  • Neurology
  • Geriatrics
  • Rehabilitation Medicine

Background:

  • Multiple sclerosis (MS) is a common central nervous system neurodegenerative disease.
  • Improved therapies lead to an increasing population of elderly MS patients.
  • Specific challenges faced by older MS patients are not well-documented.

Purpose of the Study:

  • To analyze the specific problems encountered by elderly patients with multiple sclerosis.
  • To provide data for healthcare professionals to better manage this demographic.

Main Methods:

  • A survey of 53 elderly MS patients (average age 73) from the German Multiple Sclerosis Association.
  • Utilized a standardized questionnaire covering social situation, daily problems, disease course, and disabilities.
  • Employed the Expanded Disability Status Scale (EDSS) for disability assessment.

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Main Results:

  • High prevalence of severe disability (96% with EDSS > 6.0), impaired mobility, and difficulty using public transport.
  • Significant rates of spasticity (approx. 50%), pain, and bladder dysfunction (over 70%).
  • Substantial self-care impairments (50-75%) requiring professional help and notable psychological distress (over 30% reporting depressive moods or suicidal thoughts).

Conclusions:

  • Elderly MS patients experience profound physical and psychosocial impairments.
  • Healthcare strategies must prioritize enhancing patient independence.
  • Preventing nursing home admissions should be a key goal in managing elderly MS patients.