Importance of continence advice for people with multiple sclerosis

Bladder and bowel problems are a common feature in patients with multiple sclerosis (MS). This article demonstrates how patients benefit from specialist input relating to continence as part of a multidisciplinary neurological rehabilitation service (MNRS). The implementation of the MNRS has offered a 'one-stop' referral system for people with an acquired or progressive neurological condition. The patient's condition should be such that active and effective rehabilitation can take place. One of the key aims of the service is to enable people to function as independently as possible by improving/maintaining their physical, social, and psychological well-being through appropriate assessment and treatment regimes. The Multiple Sclerosis Society recommends the involvement of specialist nurses and specialist multidisciplinary teams in the management of patients. The recommended standards suggest that people with MS should be put in contact with a specialist multidisciplinary team in their area where appropriate treatment in relation to tone management, posture, fatigue management and continence can be provided. Without specialist advice, patients may develop more serious and intractable problems in the longer term. The author will describe how working in a specialized team has moved towards meeting these recommendations and in so doing has enhanced care for people with MS.