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Challenges that multiple sclerosis presents include early detection, awareness of new therapies, work with multidisciplinary teams and its long-term management as a chronic disease.
Clinical
There are now many highly effective disease-modifying therapies available as treatment options, which have a significant impact on disease activity and long-term disability.
Lifestyle management should be included in communication plans, with referrals to other healthcare professionals as appropriate.
Multiple sclerosis affects young people in the prime of their lives, often having an impact on motor tasks such as walking, which subsequently affects participation in daily activities.
This article uses lived experience to outline some of the crucial trigger points where support from the general practitioner can have a significant impact on a positive path forward for the patient.
Cognitive impairment is common in multiple sclerosis and can have an impact on all aspects of daily life.
Cognitive rehabilitation is person-centred, with interventions chosen in collaboration with the person, based on biopsychosocial case formulation, and with the aim of meeting the person’s goals.
Editorial
Communication difficulties are frequently disregarded until they have a significant impact on quality of life, while the person may be unaware of indicators of dysphagia.
This article compares intrauterine devices now available in Australia to support informed patient choice.
Case Study
A boy aged 13 years presented with a painful red left eye persisting for two days.
Research
The Giving Asthma Support to Patients (GASP) program, developed in New Zealand, guides practice nurses to provide structured asthma care.
In April 2020, a group of general practice leaders in NSW established a COVID-19 virtual community of practice to facilitate rapid transfer and implementation of clinical guidance into practice.
Support for young people to access timely and appropriate sexual and reproductive health during the COVID-19 pandemic should be a priority for policymakers around the world.
There are multiple resources available to primary health practitioners to improve their communication with refugee and asylum seeker patients.
Clinical challenge
This clinical challenge is based on this month's Focus articles. To complete this activity, go to the RACGP website.