If driving can’t be maintained, care can be sustained through clinical video telemedicine, use of VA travel services, and home care. Should his family need to provide care, respite options also are available through the VA to maintain care at home for as long as possible. If his level of disability increases and his home is not accessible, William will be eligible for a Home Improvement and Structural Alterations grant to maintain safe access and egress and an Adaptive Housing Grant for an accessible home. Should residential living be needed, this option is also provided to eligible patients.
Conclusion
Veterans with MS served by the MSCoE network have access to a knowledgeable clinical team. Nurses have the skills to build enduring relationships. The nurse can instill confidence, empowering patients to take control of MS self-management. Nurses have the unique ability to establish, maintain, and sustain care for the person diagnosed with MS throughout the disease trajectory. Most important, nurses in specialty care clinics realize the VA mission—to offer access to efficient, quality care.