Implementing a multidisciplinary approach for older adults with multiple sclerosis: Geriatric neurology in practice

Area of Science:

• Geriatric Medicine
• Neurology
• Multiple Sclerosis (MS) Care

Background:

• Older adults with MS experience unique challenges due to aging and MS pathophysiology.
• Geriatric syndromes often overlap with MS symptoms in older individuals.
• There is a growing need for specialized geriatric care for the aging MS population.

Purpose of the Study:

• To design and implement a multidisciplinary geriatric clinic tailored for older adults with MS.
• To address the complex healthcare needs of aging individuals with MS.

Main Methods:

• Developed the "Aging with MS Clinic" through collaboration between neurology and geriatric medicine.
• Recruited a multidisciplinary team including MS specialists, geriatricians, pharmacists, physical therapists, neuropsychologists, dietitians, and social workers.
• Implemented a clinic template for efficient patient flow and specialist engagement.

Main Results:

• The multidisciplinary team includes an MS advanced practice practitioner, MS pharmacist, physical therapist, neuropsychologist, dietitian, and social worker.
• Initial patient satisfaction surveys (n=25) showed high ratings: 92% found the clinic well-organized and beneficial.
• 80% of participants reported an improved overall quality of care.

Conclusions:

• The "Aging with MS Clinic" provides a model for comprehensive geriatric assessment and care for older adults with MS.
• The multidisciplinary approach effectively addresses the complex needs of this population.
• Initial patient feedback indicates a positive impact on the quality of care received.