MULTIPLE SCLEROSIS (MS) (Guidelines) | Right Decisions

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TAM (Treatments and Medicines) NHS Highland
ADULT THERAPEUTIC GUIDELINES
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MULTIPLE SCLEROSIS
MULTIPLE SCLEROSIS (MS) (Guidelines)

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Diagnosis and management of multiple sclerosis

Established multiple sclerosis

Fitness to Drive

Refer to optometrist – visual acuity and fields and glasses
Refer to DVLA medical standards www.dvla.gov.uk
Refer to Driving Centre – assessment

DVLA - medical conditions

Relapse of multiple sclerosis

Patient with confirmed MS presents to GP with either

An acute or sub-acute deterioration of pre-existing symptoms
Onset of new neurological symptoms compatible with MS

GP to check

Patient history
Physical examination
MSSU, FBC, CRP to exclude infection (pseudo relapse)

MS Nurse Contact Details

Northern NHS Highland - MS Nurses, 01463 705879
Argyll & Bute - MS Nurse, 0141 232 7757

Patient Information

To support the self management of patients go to LGOWIT

Brain and Spine Foundation information can be accessed here

Steroid treatment for patients with possible MS relapsepatient information

Further information for healthcare providers

Chronic pain
Cognitive dysfunction - in development
Fatigue
Neuropathic bladder and bowel - in development
Neuropalliation - in development
Spasticity - in development

Last reviewed: 30/05/2018

Next review date: 30/05/2022

Author(s): Neurology Department .

Version: 2

Approved By: TAM subgroup of ADTC

Reviewer name(s): MS Specialist Nurses.

Document Id: TAM271