The Use of the Story Memory Technique in the MS Population

Background: Multiple Sclerosis is a progressive, unpredictable neurological condition affecting the neurological system. It is often diagnosed between the ages of 20 and 40. Cognitive impairment often affects patients with MS early in the diagnosis, is hard to detect and impacts quality of life. Currently, there is little information or research on cognitive impairment in MS, creating little hope for the population. Referral to Neuropsychological professionals at provider’s discretion. 

Objectives: A team of four nurses collaborated and researched cognitive impairment with the objective to inspire hope in the population experiencing neurological deficits- specifically MS. 

Methods: Many “tips and tricks” were reviewed and discussed with group. After reviewing the literature and the grading rubric, the unit of nurses decided on one intervention: the story memory technics (mSMT), a visualization activity often using funny and outrageous images to connect memory with imagery. It was decided that cognitive rehabilitation and the mSMT should be considered in the MS population, not only to promote neuroplastity, but inspire hope. 

Results: Amanda Iris Vercoe RN Traveled to different MS groups teaching on mSMT, inspiring laughter and light heartiness. The various MS support groups were taught the signs and symptoms of cognitive impairment and how to seek help. The group also discussed compounding factors such as: depression, sleep, diet and exercise. Tools were discussed such as sticky notes, planners and honesty with support systems. The group was then walked through a mSMT visualization; resulting with a positive effect that promoted group cohesion. 

Conclusions: The RN-BSN collaboration poster was used as a tool for the BSN nurses to learn leadership, EBP, and symptom management in the MS population. The articles found on the mSMT suggests that the MS population’s quality of life could be drastically improved by early referral to neuropsychological testing as well as education on practical application of the memory tool. Along with the patient teaching above, the nurses recommended a brief screening tool to identity patients that are experiencing cognitive impairment, and then a referral to specialist that is trained in the mSMT. This will improve memory in the MS population thus improving quality of life.