Multiple Sclerosis Newly Diagnosed Assessment

Presenting History: Diagnosis: Diagnosed in 2023, presenting with visual disturbances and mobility issues. Diagnosed by Dr. Smith at City Hospital. MRI and VEPs were performed. Type of MS: Relapsing Remitting MS Disease Modifying Therapy: Currently on Ocrevus, started in 2023. No current side effects. Last MRI performed in June 2024, next due in December 2024. Discussed mode of action, method of delivery, side effects, efficacy, monitoring requirements. Education/Discussions: * What is MS * Types of MS * Disease modifying therapies * How to live well with MS * Diet * Exercise Literature provided: Newly Diagnosed Booklet, DMT Booklet, MS Register Card MS Related symptoms: Mood: Patient reports low mood, impacting daily activities. Discussed coping strategies and referred to a therapist. Memory/Cognition: Patient reports some memory difficulties. Referred to neuropsychology for assessment. Vision: Patient reports blurred vision. Advised to see an ophthalmologist. Lower limbs/Mobility: Patient reports mobility issues. Advised to attend physiotherapy. Bladder: Patient reports bladder urgency. Advised to see a continence nurse. Fatigue: Patient reports fatigue. Advised to attend fatigue management course. Social Situation: Patient is currently employed but concerned about future work prospects. Discussed benefits and support network. Co-morbidities: Patient has hypertension, managed with medication. Management Plan: * Referral to therapist. * Referral to neuropsychology. * Referral to ophthalmologist. * Referral to physiotherapist. * Referral to continence nurse. * Referral to fatigue management course. * Review in 3 months. Date: 1 November 2024