Step 2: Select the Limitation
MS is a chronic disease of the central nervous system. It causes destruction of myelin (a protein that forms a protective coating around nerve cells) in the central nervous system. When myelin is destroyed signals traveling through the nerve cells are interrupted or delayed, resulting in various neurologic symptoms occurring at different locations throughout the body. The progress, severity, and specific symptoms of MS in any one person cannot yet be predicted, but advances in research and treatment are giving hope to those affected by the disease.
MS is often characterized by a pattern of exacerbation and remission. Symptoms may be mild, such as numbness in the limbs, or severe, such as paralysis or loss of vision. Possible symptoms include fatigue, loss of coordination, muscle weakness, spasticity, numbness, slurred speech, visual difficulties, paralysis, muscle cramps, bladder or bowel problems, and sexual dysfunction. The initial symptoms of MS are most often difficulty walking; abnormal sensations such as numbness or "pins and needles"; and pain and loss of vision due to optic neuritis, an inflammation of the optic nerve. Less common initial symptoms may include tremor; lack of coordination; slurred speech; sudden onset of paralysis, similar to a stroke; and decline in cognitive function.
Accommodations are evaluated on a case-by-case basis. We have compiled a non-inclusive list of limitations that result in common accommodation situations. In addition, you can find more information at JAN's A to Z Web page at: http://askjan.org/media/atoz.htm.
- Individual has difficulty with activities of daily living.
- Individual has cognitive limitations.
- Individual has fatigue and weakness.
- Individual has fine motor limitations.
- Individual has gross motor limitations.
- Individual is sensitive to extreme temperatures.
- Individual has a speech impairment.
- Individual has a vision impairment.