FND

Question 1

What is psychoeducation composed of?

Answer 1

Lecture to increase understanding of DS
Discussion to emphasise symptoms come from emotional factors
Empowering patients to take active roles

Didn’t improve seizure frequency but social factors and hospital presentations

Question 2

What is the prognosis of functional motor symptoms without treatment?

Answer 2

Completely resolves in 20%
40% stay the same or get worse
Mortality rate higher than expected for age group

Question 3

What are the recommendations for rehabilitation treatments for FND?

Answer 3

Initial assessment
Education
Movement and posture retraining
Addressing secondary problems (pain/fatigue)
Supporting self management
Follow up

Question 4

What do SaLT deal with for FND?

Answer 4

Swallowing and avoidance of PEG
Communication problems (stuttering, foreign accent)

Question 5

What do OTs help with in FND?

Answer 5

Managing fatigue
Minimising equipment and aids
Supporting patients to stay in work or school

Question 6

What’s the ICER for physical rehab in FND?

Answer 6

£12,000
Cost effective

Question 7

What is the wnd goal of diagnostic assessment for FND?

Answer 7

Formulation:
Providing a personalised narrative understanding of the situation, how it came about, and what is keeping it going.
3Ps