The emotional health of people with progressive MS may require the judicious use of mood-altering drugs, in conjunction with psychotherapy. The individual's spirituality , too, can be a major element in getting through very difficult circumstances. Keeping continent is another serious difficulty. Bladder and bowel evaluations and treatments are essential, and the use of continent devices such as Foley catheters may actually be life-saving, although there is a risk of infection associated with these devices. Prevention of skin problems is likewise a priority concern for people challenged with chronic disease.
Recreation becomes more important for the person's physical and emotional well-being.
A day can be a lot of work with no pleasure, if recreation is not scheduled among other activities. In some cases, a time may come when the need for services and protection begins to outweigh the desire for independent living. The decision to move to a nursing home is never an easy one, but when it becomes necessary it must be regarded as an opportunity for greater comfort and security. Managing the health of a person with progressive MS requires a team of skilled professionals who can devise a program that maximizes function and minimizes disability. This material is provided as general medical information only and may not include all side effects or details relevant to a particular individual's treatment.