The second best is to catch problems early and manage aggressively. Seating and positioning become a foremost management strategy. Skin inspection on a regular basis by a professional or family member can head off trouble before it starts. Having people who are skilled at decubitus management available is essential. Good nutrition will decrease the risk and increase healing considerably.
Planned outings can be an effective rehabilitative measure for the psyche.
There are times when leisure time should have an energy about it. People with MS should rest when appropriate, should work when they can, and should play with the rest of the world. This may take more planning but is worth the effort. Radio, television, talking books, computers, games are just some of the tools available for all of us to use and keep us in touch with the world. The therapeutic recreation specialist along with the occupational therapist and speech pathologist can be very helpful in developing a recreational plan.