AANS Neurosurgeon | Volume 29, Number 2, 2020


Shared Decision-making Is Cornerstone of Multiple Sclerosis Treatment

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One of the cornerstones of multiple sclerosis (MS) treatment is shared decision-making between patients and their doctors and nurses. “Patients with MS are often very interested and involved in their own disease management and therefore should be empowered to play an active role in their care,” wrote author Amy Perrin Ross, APN, MSN, CNRN, MSCN. “Shared decision-making is therefore essential to optimal treatment and quality of life for patients with MS.” Ms. Perrin Ross, a board-certified neuroscience nurse, is neuroscience program coordinator at Loyola University Medical Center and a member of the board of directors of the Consortium of Multiple Sclerosis Centers. In shared decision-making, the clinician and patient work together to make decisions and select tests, treatments and care plans. The process encompasses evidence-based treatments as well as lifestyle and environmental factors. The clinician educates the patient about the disease and makes recommendations based on risk factors, genetic factors, potential triggers and other elements.

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