MND-REHABILITATION GOALS

SUMMARY

1. The primary goal is the maintenance of function, independence & quality of life.

2. Prospective care: prevention & maintenance treatment for all patients (ALS, post-polio).

3. Expectant care: includes education & decision-making based on expected progress.

4. Track progress using the ALS Functional Scale Revised (ALS-FRS-R).

STAGES OF MANAGEMENT
5. Early stage: diagnosis, support services, vocation, driving, advanced care planning, referral to MND Association Australia/NZ.

6. Mid stage: manage worsening function, compensatory techniques.

7. Late stage: end of life care.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].