Women and Neurological Disability: End-of-Life Care and Mortality in Women with MS

Most women living with multiple sclerosis (MS) survive for decades following their diagnosis. While MS itself carries many long-term implications for disability and quality of life, other comorbidities as well as aging itself also affect an individual’s functional status and longevity. Over time, ag...

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Bibliographic Details
Published inHealth Issues in Women with Multiple Sclerosis pp. 113 - 126
Main Authors Rinker, John R., Cutter, Gary
Format Book Chapter
LanguageEnglish
Published Austria Springer Wien 2017
Springer Vienna
Subjects
Aging
Comorbidity
General practice
Gynaecology & obstetrics
Mortality
Multiple sclerosis
Neurology & clinical neurophysiology
Palliative care
Preventive medicine
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Summary:Most women living with multiple sclerosis (MS) survive for decades following their diagnosis. While MS itself carries many long-term implications for disability and quality of life, other comorbidities as well as aging itself also affect an individual’s functional status and longevity. Over time, aging may affect the overall MS disease course, and likewise MS may contribute to the types of medical conditions experienced late in life. The following chapter describes the late effects of MS in women, including mortality, causes of death, and frequency of comorbid conditions. The chapter also discusses how MS-associated disability affects medical care, both for neurological and non-neurological problems, and makes suggestions to clinicians on the clinical approach to the woman with advanced MS. Finally, recommendations for approaching palliative and end-of-life situations are made.
ISBN:3709148561
9783709148563
DOI:10.1007/978-3-7091-4858-7_11