Which patient statement indicates that more teaching about multiple sclerosis is needed?
A) "Tai chi can help my sense of balance."
B) "I can expect remissions mixed with relapses since I have relapsing-remitting MS."
C) "A warm bath will help relieve muscular aches."
D) "I need to include fiber in my diet."
C) "A warm bath will help relieve muscular aches."
Explanation: A) Tai chi and other forms of therapy can help with balance problems.
B) Relapsing-Remitting MS (RRMS), the most common form, is characterized by acute attacks with full recovery. Primary Progressive MS is characterized by progression of disability, with or without plateaus and temporary minor improvements. Secondary-Progressive MS starts with an initial RRMA disease course, followed by progression of disability with occasional relapses and minor remissions/plateaus.
C) Individuals with MS may experience temporary worsening of symptoms when the weather is very hot and humid, when they have a fever, or when they get overheated from exercising, sunbathing, or taking a hot shower or using a hot tub.
D) Increasing fiber in the diet can help alleviate the constipation that often occurs in MS.
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