Laura Leach, PhD

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MULTIPLE SCLEROSIS SYSTEMS OF CARE PROCEDURES (VHA Handbook 1011.06, Revised 2009) • Defines requirements for services that must be provided at VA Medical Facilities. • Sites are recommended to go beyond the specifications in accordance with their resources and opportunities
MODEL & CORE FUNCTIONS: Improving MS Care Without changing the setting of care Hub and Spoke Model: For Referrals and Telehealth possibilities within each VISN(Veteran Integrated Service Network) for nationwide coverage (www.va.gov/ms ) Core Functions: Quality care, Access, Efficiency • Expert Care Initiatives and Guidelines • Education for Providers and Patients • Clinical Programs to enhance quality of MS Care
Page 2 and 3: ADDRESSING THE COGNITIVE CHALLENGES
Page 4 and 5: DISCLOSURES • This continuing edu
Page 6 and 7: BACKGROUND: Multiple Sclerosis Cent
Page 10 and 11: HEALTH MANAGEMENT ISSUES CONTINUUM
Page 12 and 13: Model of Care for the Denver VA Med
Page 14 and 15: VA Facilities That Participated in
Page 16 and 17: Professional Roles
Page 18 and 19: Frequency of MS Team Meetings
Page 20 and 21: Disciplines Providing Follow-Up Bet
Page 22 and 23: Number of MS Patients Seen/Treated
Page 24 and 25: Services Provided to Cognitively Im
Page 26 and 27: Percentage of Patients Referred for
Page 28 and 29: Percentage of Patients Referred for
Page 30 and 31: Referral Sources for Cognitive Reha
Page 32 and 33: Providers of Cognitive Rehabilitati
Page 34 and 35: Multiple Sclerosis and Cognition
Page 36 and 37: Multiple Sclerosis and Cognition
Page 38 and 39: Assessment of Cognition in Individu
Page 40 and 41: Types of Cognitive Assessment • S
Page 42 and 43: Screening Tools - Disadvantages •
Page 44 and 45: Comprehensive Batteries and Flexibl
Page 46 and 47: Comprehensive Batteries • The Hal
Page 48 and 49: Flexible Batteries: Processing Spee
Page 50 and 51: Flexible Batteries: Visuospatial Sk
Page 52 and 53: Flexible Batteries: Verbal Skills
Page 54 and 55: New Cognitive Assessment Measures
Page 56 and 57: COGNITIVE REHABILITATION • Techni
Page 58 and 59:
COGNITIVE REHABILITATION PROFESSION
Page 60 and 61:
MENTAL HEALTH & COGNITION How you f
Page 62 and 63:
DATA SYNTHESIS & CONCLUSIONS (O'Bri
Page 64 and 65:
RESULTS: (N=16 with MS, & 16 matche
Page 66 and 67:
MAPSS-MS Study Stuifbergen,et al 20
Page 68 and 69:
RECOMMENDATION: Gerontology & MS Mo
Page 70 and 71:
TYPICALPROBLEMS IN MS • ATTENTION
Page 72 and 73:
TREATMENT STRATEGIES: Attention & I
Page 74 and 75:
LEARNING & MEMORY STRATEGIES RESTOR
Page 76 and 77:
PROBLEM SOLVING FLOWCHART DEFINE TH
Page 78 and 79:
PRAGMATIC COMMUNICATION TREATMENT:
Page 80 and 81:
HEALTHY HABITS • FATIGUE MANAGEME
Page 82:
Obtaining CME/CE Credit If you woul
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Laura Leach, PhD

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