Understanding Psychosocial Adjustment to Chronic Illness and Disability


Book Description

Rehabilitation practitioners face the difficult task of helping clients adjust to chronic illness or disability. This can be a long and trying process for both practitioner and client. With this handbook, however, practitioners and students can gain a wealth of insight into the critical issues clients face daily. This book presents the dominant theories, models, and evidence-based techniques necessary to help the psychosocial adjustment of chronically ill or disabled persons. Each chapter is written from an evidence-based practice (EBP) perspective, and explores how important issues (i.e., social stigma, social support, sexuality, family, depression, and substance abuse) affect persons adjusting to chronic illness and disability. Key features include: A review of psychopharmacological treatment options for depression, anxiety, and other disorders coinciding with rehabilitation The effect of rehabilitation on the family, including key family intervention strategies Strategies for using positive psychology and motivational interviewing in rehabilitation Multiculturalism and the effect of culture on the adjustment process Ancillary materials including an instructor's manual with a syllabus, examination items, PowerPoint presentation, and answers to class exercises By incorporating research-based knowledge into clinical rehabilitation practice, health care professionals can ensure that people with chronic illness and disability receive only the best treatment.




Employment Issues and Multiple Sclerosis


Book Description

Employment Issues and Multiple Sclerosis, 2nd Edition, is essential reading for any person with MS who has questions regarding employment and disability. Chapters cover everything from vocational rehabilitation to job placement to the laws covering employment. This updated edition includes: A NEW chapter detailing employee rights regarding medical leave, health insurance portability and accountability, and continuation of benefits; A NEW chapter on Social Security Disability Insurance programs; An expanded and updated chapter on the Americans with Disabilities Act; An expanded and updated chapter on employment services for people with MS; A completely updated chapter on policy, programming, and research recommendations to improve the rate of labor force participation of people with a chronic condition Intended for people with MS, their families, physicians, nurses, social workers, rehabilitation professionals, and others interested in the employment implications of MS, this comprehensive book is a basic source of information on matters of research and public policy.




An Exploration Into the Motivation for Physical Activity in Individuals with Multiple Sclerosis


Book Description

"Multiple Sclerosis (MS) is a chronic degenerative autoimmune disease of the central nervous system that affects approximately 2.1 million people world-wide (National Multiple Sclerosis Society, 2005). Symptoms include limitations with both physical (coordination, muscle weakness, vision problems, etc.) and cognitive functioning and vary by individual. There is currently no cure for MS and treatment is based around symptom management (Coyle & Hamaad, 2006). One means for symptom management is physical activity (PA). PA has been shown to effectively aid symptom management by reducing the number, length, and duration of disease flare-ups (Motl, McAuley, & Snook, 2005), as well as increasing overall quality of life (Stuifbergen, Blozis, Harrison, & Becker, 2006). In spite of this evidence, the MS population is one of the most inactive segments of the population, even among patients with chronic diseases (Motl & Snook, 2008). Understanding what motivates this population to be physically active is the first step in developing an effective, sustainable, PA intervention for disease management. Using Path Analysis, this study examined potential predictors of motivation for PA in individuals with MS (n = 215) finding self-determined motivation, in conjunction with self-efficacy, as predictors of PA participation, and self-efficacy and PA participation as a predictors of quality of life. In the model, self-efficacy and identified regulation predicted PA participation, and PA participation predicted quality of life,?2(1) = .02, p = .867; RMSEA = .00; CFI = 1.0; SRMR = .002. Open-ended responses from participants supported the model, indicating that self-efficacy and identified regulation were predictors of PA, and PA was a predictor of increased overall quality of life. The findings and resulting model may be used to guide future interventions to promote PA participation in individuals with MS and consequently enhance long-term quality of life."--Abstract from author supplied metadata.




Employment Issues and Multiple Sclerosis


Book Description

Multiple sclerosis produces wide-ranging effects on a person's physical, psychological, and social functioning. One of the most important is its effect on employment. Although the vast majority of people with this disease have employment histories and were working at the time of diagnosis, many are unable to maintain employment as the disease progresses. Employment Issues and Multiple Sclerosis, 2nd Edition is a must read for any person with MS that has a question regarding employment and disability. Chapters cover everything from vocational rehabilitation to job placement, and the laws covering employment. The Updated Edition Includes: NEW chapter detailing employee rights concerning medical leave, health insurance portability and accountability, and continuation of benefits NEW chapter on Social Security Disability Insurance programs An expanded and updated chapter on the Americans with Disabilities Act An expanded and updated chapter on research and services regarding the employment of Americans with MS Completely updated chapter on policy, programming, and research recommendations to improve the rate of labor force participation of people with MS Intended for people with MS, their families, physicians, nurses, social workers, rehabilitation professionals, and others interested in the employment implications of MS, this comprehensive new text is a basic resource guide to matters of research, public policy, and service delivery. The author also discusses current trends in health care and rehabilitation, and recommends reforms to better serve the interests of people with MS. "




Comprehensive Examination of Factors Contributing to Employment Status in Multiple Sclerosis


Book Description

Objective: Unemployment is common among individuals with Multiple Sclerosis (MS) and is associated with significant socioeconomic burden. Several MS-related factors have been found to be associated with unemployment status including fatigue, depression, cognitive problems, and motor difficulties. However, few studies have examined these factors collectively in predicting employment. The present study aimed to explore these variables together in predicting employment status in MS. Patients and Methods: Fifty-three individuals with MS participating in a research study of cognitive, emotional, and social factors related to MS were examined. Construct scores were created using factor analysis that represented cognition, fatigue, depression, and motor function. These construct scores, along with age and measures of disease burden, were explored as predictors of unemployment status (not working, working) via logistic regression. Models of mediation were also investigated. Results: A model including construct scores of motor function, cognition, depression, and fatigue significantly distinguished those who are unemployed from employed. However, only the cognitive, motor, and fatigue construct scores were found to be significantly associated with unemployment individually. Results of a mediation analysis indicated that the cognitive and fatigue construct scores significantly mediated the relationship of disability (EDSS) on work status. More specifically, processing speed and memory mediated the relationship of overall disability on work status. Conclusion: Cognitive function and fatigue mediate the effect of MS disability on employment status. Interventions targeting cognitive difficulties and fatigue in MS may be effective in helping individuals to maintain employment.




Occupational Therapy Practice and Research with Persons with Multiple Sclerosis


Book Description

Discover strategies to enhance quality of life and promote social and community participation for people with MS! Occupational Therapy Practice and Research with Persons with Multiple Sclerosis will familiarize you with the complex issues experienced by people who have multiple sclerosis, suggesting ways to enhance your practice or research with this population. This vital resource fills a void in the scarce literature on occupational therapy and multiple sclerosis, providing you with a unique single-source reference on the subject. This book compiles the work and contributions of experts from Europe, Australia, Canada, and the United States—from a variety of fields, including occupational therapy, medicine, physical therapy, and psychology. This thought-provoking book offers new perspectives on potential assessment and intervention ideas and provides information that could be used for broader program planning. This extensive resource will give you a deeper appreciation of the MS disease process and its influence on everyday living for persons with MS and their families. In this collection, you will learn more about: the health-related service needs of older adults with MS the range of fatigue assessment tools that are available for clinical and research applications the effect of wheelchair use on quality of life the implications of tremor on everyday activities the development and use of Lifestyle Management Programs© coping processes used by women with MS as they age the symptom and functional limitation profiles experienced by people with MS that lead to referrals to occupational therapy Occupational Therapy Practice and Research with Persons with Multiple Sclerosis contains charts, figures, graphs, and bibliographies to augment the research and studies found in this book. Also provided are contributions by Dr. Nicholas G. LaRocca—a well-known MS researcher—and Dr. Carol A. Gaetjens—an educator with MS. Occupational therapy students, clinicians, and researchers working with individuals and families who are affected by MS will find this book an important resource in their profession.




Multiple Sclerosis


Book Description

This book provides a practical perspective on cognitive concerns and their relationship to vocational and psychosocial adjustment issues for people with multiple sclerosis (MS). It also provides practical approaches to rehabilitation, vocational, and psychosocial interventions, with illustrative case studies. Of particular note is that all tables, figures, and case study material complement the text and can be used for PowerPoint slides or overheads in training programs for allied health personnel. Of particular interest are discussions of the cognitive issues in MS, which have not previously been well discussed in the literature, clear discussions of assessment tools and placement models in vocational assessment and rehabilitation planning, and an extensive reading list and self-help resource lists that will be of assistance in understanding psychosocial adjustment in this population. This guide is an outgrowth of vocational rehabilitation counselor training conducted by the authors, and feedback from the counselor attendees helped to refine the book. It will be helpful to vocational rehabilitation counselors and to all members of the health care team concerned about the psychosocial status of their clients with MS. The book is divided into four sections: A broad-based medical overview provides a basic discussion of the course of the MS disease process, its diagnosis and symptomatology, medical treatments, and rehabilitation A discussion of neuropsychological concerns, including concepts of importance in vocational rehabilitation and the specific cognitive and related impairments that are characteristic of MS and that cause vocational difficulties A review of vocational rehabilitation interventions focusing on assessment and rehabilitation planning A review of psychosocial issues and interventions that focus on a wide range of issues affecting the family and community The book is designed to be used as a basic training text for an individual counselor or health professional seeking to learn more about MS vocational rehabilitation or psychosocial adjustment and neuropsychology. It can also be used as the core material for training groups. Case studies are included as small group discussion training tools.




The Neuroscience of Spinal Cord Injury


Book Description

Diagnosis and Treatment of Spinal Cord Injury will enhance readers' understanding of the complexities of the diagnosis and management of spinal cord injuries. Featuring chapters on drug delivery, exercise, and rehabilitation, this volume discusses in detail the impact of the clinical features, diagnosis, management, and long-term prognosis of spinal cord injuries on the lives of those affected. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand spinal cord injuries. Spinal injury affects about 10 million people annually worldwide, impacting on the family unit and causing lifelong disabilities, with varied symptoms including paresthesia, spasticity, loss of motor control, and often severe pain. Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury will enhance readers' understanding of the biological and psychological effects of spinal cord injury. Featuring chapters on gene expression, metabolic effects, and behavior, this volume discusses in detail the impact of spinal cord injury to better understand the underlying pathways and processes. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand these injuries. Diagnosis and Treatment of Spinal Cord Injury: - Covers both the diagnosis and treatment of spinal cord injury - Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding - Features chapters on epidemiology and pain - Includes MRI usage, biomarkers, and stem cell and gene therapy for management of spinal cord injury - Discusses pain reduction, drug delivery, and rehabilitation Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury: - Summarizes the neuroscience of spinal cord injury, including cellular and molecular biology - Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding - Features chapters on signaling and hormonal events - Includes plasticity and gene expression - Examines health and stress behaviors after spinal cord injury




At work


Book Description