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Monday, November 5, 2012
  Clinical Accuracy Spoken Here  

MS: Fatigue Symptom Management

Based on clinical experience, careful review of the medical literature and research findings pertaining to MS-related fatigue, the Medical Advisory Board of the National MS Society makes the following recommendations:

  1. Manage and eliminate any secondary causes of fatigue
  2. Identify and Manage any conditions or symptoms that interfere with sleep
  3. Manage any MS symptoms that may be producing additional fatigue

[Reference: MS, Module B, Symptomatics]
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  Excellence in Case Mgmt  

MS: Life-Planning Issues

The symptoms of MS are often invisible which can make it extremely difficult for patients to talk to Employers and others about their needs. Society can see fatigue as 'laziness' and cognitive problems can evoke suspicions of drug use, forgetfulness and getting too old. It could also appear that the patient is incapable of performing their job functions. The MS Society has a brochure specific for the Employer that spells out what the disease is and what they might expect.

[Reference: MS, Module D, CM Role]
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  Improving Patient Care...  

MS: Pharmacologic Management of Fatigue

Pharmacologic management of chronic fatigue that remains after other factors have been addressed includes the following  recommended medications:

  • Amantadine
  • Modafinil
  • Methylphenidate

Successful treatment of fatigue may require a variety of interventions, including behavioral adaptations, environmental modifications, and medication.

[Reference: MS, Module B, Symptomatics]
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Tom RasmussenTom Rasmussen
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Cathy WrightCathy Wright, BSN, RN
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