In this far-ranging textbook on palliative and end of life care, John Costello and a team of palliative care specialists take a patient-centred approach. Discussing palliative and end of life care across a range of diseases and illnesses, each chapter includes real-life case studies that focus on both the patient experience and the experiences of the family members of service users. Original in its approach to palliative and end of life care, Adult Palliative Care focuses on a range of non-cancer conditions. Thoughtfully balancing theory with practice, and interprofessional in its scope, Adult Palliative Care would benefit any health professional dealing with or working in the field of palliative and end of life care.

Palliative Care for People with Multiple Sclerosis

Palliative Care for People with Multiple Sclerosis
John Costello

Learning Outcomes

  • Identify the common symptoms and different subtypes of multiple sclerosis (MS)
  • Describe the experiences patients often encounter in living with the disease and its unique nature
  • Consider the palliative care as it relates specifically to MS
  • Describe the role of the nurse in supporting patients and families at the end of life


The purpose of this chapter is to provide information on the pathophysiology of MS and some of the common symptoms and subtypes of the disease. It also looks at the various treatments used to control relapses and prevent symptoms such as muscle spasm through the use of prescribed medication, massage and the use of medicinal cannabis (sativex). ...

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