Managing disability limitations

Just imagine if someone whacked you over the head2) Learn to be aware of their symptoms, despite how
with a 2x4, speared you with a tranquilizer dart,chipper they may appear during our visit with them.
scrubbed your skin with sandpaper, stuck pins andAfter all, they smile because they enjoy seeing us;
needles in your arms and legs and strapped 20 poundthey are trying to keep a positive outlook, despite the
weights to each leg. You probably would not feel likepain, not because they feel good and are doing well.
going window shopping or jogging around the park!3) Do not push for them to tell us they are "having a
Your friend or relative may be suffering like this deepgood day," if they are not.
inside, even though they appear to be fine on theSome have mostly good days and some bad; some
outside! Nevertheless, many loved ones do nothave mostly bad and some good; some do not have
understand how a person with MS may feel on thegood days at all and feel sick and in pain all of the time.
inside.We should allow them to be honest.
Our natural instincts tell us that when something is4) Acknowledge what they are going through as a
broken, we must fix it. On the other hand, it is crucialvery real, difficult time that may mean a few or even
for us to allow people with MS to make necessarya whole lot of changes and losses. They do not
changes according to their limitations.require our complete understanding, just our belief in
In order to contend with the illness, they must avoidthem.
overdoing and overexertion or their symptoms will5) Respect their limitations. When a person has MS,
worsen. Therefore, it is very important to rememberthey must manage their condition by staying within
that they know what they can and cannot do, in orderboundaries.
to manage their MS.Over-doing oneself only leads to increase in
We should not feel as if we need to "cheer" themsymptoms. We must allow them to say "no," even if
back to the "way they were before." Remember, yourwe do not fully understand.
loved one did not choose to have this disorder and6) Tell them how much we admire their strength and
they will fight every day to keep their dreams anddetermination. Many times people living with illness are
desires alive. Believe me, no one would like to havetreated like they are just being weak or lazy.
their life back more than your loved one. Nonetheless,But, if we examine the evidence, we will find someone
not accepting the way they are with MS will onlywho actually has incredible courage.
make them feel isolated and less important to you.How can we help? We can try offering to pick
In fact, the last thing they want is to be forced to givesomething up from the store when we go, bringing
up those activities and dreams in their lives that arethem a picnic lunch, vacuuming their floors or sending
dear to them. Yet, when they push themselvesthem a note to say we care. They already feel like a
beyond their limitations, they can become much worse.burden, so we should not wait for them to call us for
As a consequence, increased stress, exposure tohelp.
heat and overtaxing oneself can all cause a relapse,Finally, people with MS do not want pity, they simply
exacerbation of symptoms or even further permanentneed our compassion and support. We should not
damage.worry that addressing their hurdles will discourage
The best way to support a loved one in this situation isthem! After all, ignoring what they are facing, minimizing
to allow them to say, "no" when they feel they needit and acting like it is no big deal, will only leaving them
to, even when we do not totally understand "why." Iffeeling like we do not have any idea how what they
they are repeatedly asked to do what they have toldare going through.
us they cannot handle, this will only add to theirNo one facing an illness wants to hear their losses are
frustration, feelings of worthlessness and mourning ofinsignificant and meaningless. We can validate their
their losses. Moreover, they will feel alone in theirchallenges, by acknowledging their difficulties and
suffering, because we evidently do not understand orlosses. This will give them strength and hope to know
respect these limitations, which are out of their control.we are standing by them with compassion. Most of all,
So, What Can We Do? 1) Avoid the temptation towhen we let them know that we see them as the
make a visual diagnosis by stating, "Gee, you look likecourageous, strong, determined people that they are,
you are feeling good." We cannot see how they feelthey will fight even harder!
on the inside, from the outside.