Document Detail

Concerns about the future among older adults with multiple sclerosis.
MedLine Citation:
PMID:  14763636     Owner:  NLM     Status:  MEDLINE    
Multiple sclerosis (MS) is a chronic, progressive neurological disease that causes demyelination of the central nervous system. Typically diagnosed in adulthood, it does not significantly reduce life expectancy. The goal of this exploratory study was to describe the health-related concerns and service needs of 27 older adults with MS, ages 55 to 81 years. Through in-depth interviews using a phenomenological approach, fear of the future was found to be a predominant concern among the participants. Within this fear, participants expressed particular concerns about experiencing further losses of mobility and independence, becoming a burden on caregivers, and having to move to a nursing home. The findings raise three major challenges for occupational therapists that include: (1) developing or modifying interventions that can enable older adults with MS to gain a sense of control over their future, (2) working with families affected by MS together with other disciplines such as psychology and social work, and (3) advocating for more and better community support options for persons with MS.
Marcia Finlayson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of occupational therapy : official publication of the American Occupational Therapy Association     Volume:  58     ISSN:  0272-9490     ISO Abbreviation:  Am J Occup Ther     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-02-06     Completed Date:  2004-04-20     Revised Date:  2012-08-27    
Medline Journal Info:
Nlm Unique ID:  7705978     Medline TA:  Am J Occup Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  54-63     Citation Subset:  IM    
Department of Occupational Therapy, University of Illinois at Chicago, 1919 West Taylor Street, Mail Code 811, Chicago, Illinois 60612, USA.
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MeSH Terms
Activities of Daily Living*
Aged, 80 and over
Aging / psychology*
Chronic Disease / psychology
Health Status
Life Expectancy
Middle Aged
Multiple Sclerosis / physiopathology,  psychology*,  rehabilitation
Needs Assessment*
Occupational Therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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