Katharine Preissner, Marian Arbesman, Deborah Lieberman; Occupational Therapy Interventions for Adults With Multiple Sclerosis. Am J Occup Ther 2016;70(3):7003395010p1-7003395010p4. doi: 10.5014/ajot.2016.703001.
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© 2018 American Occupational Therapy Association
This Evidence Connection describes a case report of a woman with an exacerbation of multiple sclerosis (MS), applying the evidence for intervention from the systematic reviews on MS that were conducted in conjunction with the American Occupational Therapy Association’s (AOTA’s) Evidence-Based Practice Project. The occupational therapy assessment and treatment processes for an inpatient rehabilitation setting are described. Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the AOTA’s Evidence-Based Practice Project.
Change the position of body to do an activity. Ana taught Susan to sit while dressing and to use a tub transfer bench to conserve energy.
Simplify activities so they require less energy. Ana taught Susan to set her clothes out the night before so that morning dressing would require less energy.
Use adaptive equipment, gadgets, or energy-saving devices. Ana instructed Susan in the use of a sock aid, reacher, raised toilet seat, and tub transfer bench to conserve energy.
Rest before becoming fatigued. With MS fatigue, it is more effective to rest before an activity to “bank” energy than to become overly fatigued and then try to recover. Therefore, Ana ordered an early breakfast tray everyday so that Susan could eat her breakfast, rest, and have enough energy for her morning self-care routine therapy session.
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