The Elderly Person With Multiple Sclerosis: Clinical Implications for the Increasing Life-Span

Area of Science:

• Neurology
• Immunology
• Gerontology

Background:

• Multiple sclerosis (MS) is a chronic, progressive autoimmune disease affecting the nervous system.
• MS typically diagnosed between ages 20-50, with increasing lifespan due to disease-modifying therapies.
• Older adults with MS (over 65) are a growing demographic, with a higher likelihood of reduced health-related quality of life (HRQOL).

Purpose of the Study:

• To examine factors associated with decreased HRQOL in older adults with MS.
• To review current literature on HRQOL in this population.
• To discuss nursing interventions for improving HRQOL and patient function.

Main Methods:

• Literature review of current research on HRQOL in older persons with MS.
• Analysis of factors contributing to decreased quality of life.
• Discussion of nursing screening and intervention strategies.

Main Results:

• Older adults with MS are more prone to decreased HRQOL compared to the general older population.
• HRQOL is a complex measure encompassing physical, functional, psychological, and social well-being.
• Understanding factors reducing HRQOL is essential for patient-centered care.

Conclusions:

• Identifying and addressing factors that decrease HRQOL in older adults with MS is critical.
• Nursing interventions can play a significant role in improving function and well-being.
• While not a substitute for disease treatment, managing HRQOL factors enhances patient perception of health.