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Rethinking cognitive function in multiple sclerosis: a nursing perspective.

June Halper1, Patricia Kennedy, Colleen Murphy Miller

  • 1Consortium of Multiple Sclerosis Centers, Gimbel MS Center, Teaneck, NJ, USA. jhalper24@aol.com

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|June 11, 2003
PubMed
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Cognitive impairment affects up to 65% of multiple sclerosis (MS) patients, impacting daily life. Early identification and management by nurses are crucial for improving patient outcomes and coping strategies.

Area of Science:

  • Neuroscience
  • Clinical Neurology

Background:

  • Cognitive impairment is prevalent in multiple sclerosis (MS), affecting up to 65% of patients.
  • Neuropsychological dysfunction impacts daily functioning, employment, and social engagement in MS individuals.

Observation:

  • Key cognitive domains affected include memory, attention, information processing, executive functions, and visuospatial skills.
  • Cognitive decline in MS is not solely dependent on disease duration or disability level and can manifest early.

Findings:

  • Brain atrophy positively correlates with the extent of cognitive dysfunction in MS patients.
  • Cognitive deficits in MS are frequently misdiagnosed as other conditions like depression or psychosis.

Implications:

Related Experiment Videos

  • Nurses are pivotal in identifying, educating, and counseling MS patients with cognitive impairment.
  • Practical guidelines are essential for nurses to effectively manage cognitively impaired MS patients.
  • Early recognition and intervention can mitigate the impact of cognitive dysfunction on quality of life for MS patients.