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Multiple Sclerosis Andrew Kemp Service Development Officer MS Society, South West.

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Presentation on theme: "Multiple Sclerosis Andrew Kemp Service Development Officer MS Society, South West."— Presentation transcript:

1 Multiple Sclerosis Andrew Kemp Service Development Officer MS Society, South West

2 The MS Society One aim: to beat MS 38,000 members 9,000 volunteers 260 staff members The UK’s leading MS charity, providing information and support, funding research and fighting for change for 60 years. Since 1956, the Society has invested over £148 million of today’s money in research. The Society is a democratic organisation: one member, one vote

3 MS in the South West Approximately how many people have MS? Somerset:900 Cornwall:900 Devon:1,200 UK:100,000 World: 2,500,000

4 MSS membership in Somerset

5 The Service Development Team 20 service development officers across the UK We work with people affected by MS, health, social care & allied professionals and partner organisations e.g. The Somerset Neurological Alliance: The South West Alliance of Neurological Organisations (SWANO): Our role is to support the development of new and existing services for people affected by MS

6 Edge of Sanity Bloodbath Katatonia Ribspreader Maceration Incision Obliterhate Dan Swano

7 Some MS facts MS is one of the most common diseases of the central nervous system Approximately 100,000 people have MS in the UK Roughly three times as many women have MS as men. It’s usually diagnosed in early adulthood Roughly 2,500 people are diagnosed every year There are around 2,500,000 people with MS worldwide MS is more common in people who live farther from the equator

8 Some MS facts

9 The CNS consists of the brain and spinal cord It’s enclosed in the skull and back bone The CNS receives, processes and stores information It initiates instructions for bodily activities What happens in MS?

10 T cells are highly specialised defender cells. They mistake myelin for a foreign body The immune system attacks cells This process of stripping and damaging myelin is known as demyelination The process causes inflammation

11 How does this affect people? The axon is surrounded by myelin, which provides a protective sheath of fatty protein. Messages are conducted along the axon at speeds of up to 268mph Impulses zip from the brain to parts of the body and then back again The greater the diameter of myelin, the faster the impulse Damaged myelin causes delays to or blocks messages.

12 How does this affect people?



15 Types of MS Symptoms of MS Treatments and therapies MS support Multiple sclerosis

16 Relapsing Remitting MS (RRMS) Types of MS Distinct attacks of symptoms They then then fade away either partially or completely Around 85 per cent of people with MS are diagnosed with this type. For most people with MS, this is the way their MS begins, except for the small group of people who have primary progressive MS (about 15 per cent of all people with MS).

17 Relapsing Remitting MS Relapse: "the appearance of new symptoms, or the return of old symptoms, for a period of 24 hours or more – in the absence of a change in core body temperature or infection". Come on over hours or days Stay for usually 4 to 6 weeks Mild to severe Can require hospitalisation Many manage at home, with the support of the GP, MS specialist nurse, and other care professionals. (cont …) Types of MS

18 Relapsing Remitting MS (RRMS) Often complete recovery Approx half relapses leave lingering problems If myelin damage severe some symptoms remain …… ……. but can still improve over following months. Causes Stress: although evidence not totally clear Infections: encouraged to beat bacterial infections early Pregnancy: increased risk in months immediately after birth (many women with MS find that they have fewer relapses during pregnancy.) Types of MS

19 Secondary Progressive MS (SPMS) A stage of MS that comes after RRMS in many cases. Neurologists generally agree that SPMS is a: "sustained build up of disability, independent of any relapses". Most people with RRMS will eventually develop SPMS. Varies widely but, on average, around 65 per cent of people with RRMS will develop SPMS 15 years after being diagnosed. Characterised by a worsening of disability, rather than by relapses followed by recovery. (cont …) Types of MS

20 Secondary Progressive MS (SPMS) Some people will continue to have relapses with secondary progressive MS. It can make it harder to work out whether your MS is relapsing remitting or secondary progressive. Recovery can take some time. It can be hard to tell whether symptoms are due to progression (therefore may remain) or the lingering effect of a relapse (and will go). Types of MS

21 Primary Progressive MS (PPMS) Affects about 10 to 15 per cent of people diagnosed with MS. So called because from the first (primary) symptoms it’s progressive. Symptoms gradually get worse over time, rather than appearing as sudden attacks (relapses). Usually diagnosed in people in their forties or fifties – older than the average age for relapsing remitting MS – but it can be diagnosed earlier or later than this. People with PPMS can experience many of the same symptoms for RRMS. Types of MS

22 Balance, walking and dizziness Bladder Bowel Eyes and sight Fatigue Memory and thinking Symptoms of MS Mental health Pain Sexual problems Spasms and stiffness Speech Swallowing Tremor MS is complex, and has many symptoms. Most people won't experience them all & certainly not at the same time. There are also other conditions with similar symptoms to MS.

23 Symptoms of MS: Fatigue

24 Disease Modifying Drugs (DMDs) Treatments & therapies DMDs aren’t a cure for MS They can reduce the frequency and severity of relapses They're not effective for primary progressive MS Clinical trials have shown that DMDs reduce the number of MS relapses by around a third over two years. DMDs cause some side effects – access criteria N ot yet known if any DMDs might slow the rate of disability long term The most common drugs are injected From last Wednesday NHS in England & Wales able to prescribe Aubagio (previously known as teriflunomide) to people with relapsing remitting MS. First oral treatment. In trials found to reduce relapse rates by 30% and reduce risk of progression by 30%.

25 Therapies Some treatments aren't suitable or don't work well & many people with MS find it useful to actively manage their health through: Complementary and alternative therapies Exercise Physiotherapy Diet Treatments & therapies

26 Emotional support MS support Practical and financial support work and money (CAB partnerships) care insurance driving short breaks and respite home adaptations wheelchairs and scooters support groups dealing with a diagnosis telling people you have MS getting help

27 Support for professionals Publications

28 The MS Academy

29 Andrew Kemp Service Development Officer MS Society, South West 020 8438 0767 Thank you

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