Aging with Multiple Sclerosis

Transcription

1 Aging with Multiple Sclerosis

2 Aging with MS: Overview

3

4 Who are these people?

5 Comparison of Older and Younger Adults with MS 1. DiLorenzo T, Halper J, Picone MA. Comparison of older and younger individuals with multiple sclerosis: A preliminary investigation. Rehabilitation Psychology 2004;49(2): Buhse M, Banker WM, Clement LM. Multiple sclerosis and the elderly: Perceptions of health related quality of life. International Journal of MS Care 2014;16:10-19.

6 Primary Aging

7 Secondary Aging

8 Psychological Dimensions of Aging

9 Shrinking Environment with Loss Later Life - Healthy Later Life Increasing Physical Decline Later Life - Healthy Young Adulthood Healthy Greatest Physical Limitations Home Bound/ Residential Care

10 Health Care

11 Health Care (continued)

12 Housing Problems

13 Aging with MS

14 Longer Lifespan Hirst C, Swingler R, Compston D, Ben-Shlomo Y, Robertson N. Survival and cause of death in multiple sclerosis: a prospective population-based study. Journal of Neurology, Neurosurgery and Psychiatry. 2008:79(9):

15 Health-related Quality of Life (HRQOL) 1. Mitchell AJ, Benito-Leon J, Morales Gonzalez JM, Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. The Lancet Neurology 2005;4:

16 MS and HRQOL 1. Mitchell AJ, Benito-Leon J, Morales Gonzalez JM, Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. The Lancet Neurology 2005;4: Hoogs M, Kaur S, Smerbeck A, Biana WG, Benedict RHB. Cognition and physical disability in predicting health-related quality of life in multiple sclerosis. International Journal of MS Care 2011;13:57-63.

17 HRQOL in Elderly Patients with MS 1. Klewer J, Pohlau D, Haas J, Kugler J. Problems reported by elderly patients with multiple sclerosis. Journal of Neuroscience Nursing 2001:33(3):

18 HRQOL in Elderly MS (continued) 1. Minden S, Frankel D, Hadden L, Srinath K, Perloff J. Disability in elderly people with multiple sclerosis: An analysis of baseline data from the Sonya Slifka Longitudinal Multiple Sclerosis Study. NeuroRehabilitation 2004;19:55-67.

19 HRQOL and Use of Mental Health Services 1. DiLorenzo T, Halper J, Picone MA. Comparison of older and younger individuals with multiple sclerosis: A preliminary investigation. Rehabilitation Psychology 2004;49(2): Garcia J, Finlayson M. Mental health and mental health service use among people aged 45+ with multiple sclerosis. Canadian Journal of Community Mental Health 2005;24 (2): Buhse M, Banker WM, Clement LM. Multiple sclerosis and the elderly: Perceptions of health related quality of life. International Journal of MS Care 2014;16:10-19.

20 Depression Goretti B, Portaccio E, Zipoli V, et al. Coping strategies, psychological variables and their relationship with quality of life in multiple sclerosis. Neurological Sciences 2009;30(1):15-20.

21 Social Isolation 1. Fong T, Finlayson M, Peacock N. The social experience of aging with a chronic illness: Perspectives of older adults with multiple sclerosis. Disability and Rehabilitation 2006;11:

22 Physical Disability Beiske A, Naess H, Aarseth J, et al. Health-related quality of life in secondary progressive multiple sclerosis. Multiple Sclerosis 2007;13:

23 Cognitive Changes Baumstarck-Barrau K, Simeoni MC, Reuter F, et al. Cognitive function and quality of life in multiple sclerosis patients: a cross sectional study. Neurology 2011;11:17.

24 Comorbidities 1. Freid V, Bernstein A, Bush M. Multiple chronic conditions among adults aged 45 and over: trends over the past 10 years. National Center for Health Statistics Data Brief, July 2012, No. 100.

25 So what can we do?

26 Knowledge is Power

27 Adaptation to MS

28 Screening

29 Lubben Social Network Scale

30 Interventions Steffens DC, Skoog I, Norton MC, et al. Prevalence of depression and its treatment in an elderly population. Archives of General Psychiatry 2000;57:

31 Interventions (Continued)

32 Interventions (Continued)

33 Summary: Aging with MS

34 Nursing Implications

35 QUESTION AND ANSWER SESSION

36 Thank you for your participation! Caring for the Patient with MS