{"id":720738,"date":"2026-06-25T16:45:03","date_gmt":"2026-06-25T14:45:03","guid":{"rendered":"https:\/\/www.dynseo.com\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-dynseo-2\/"},"modified":"2026-06-25T16:51:40","modified_gmt":"2026-06-25T14:51:40","slug":"multiple-sclerosis-in-institutions-understanding-the-disease-and-adapting-practice-dynseo","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/multiple-sclerosis-in-institutions-understanding-the-disease-and-adapting-practice-dynseo\/","title":{"rendered":"Multiple Sclerosis in Institutions: Understanding the Disease and Adapting Practice &#8211; DYNSEO"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; 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30px;margin-bottom:14px;box-shadow:var(--shc)}\n.dbi-art-af4425 .faq-item h4 {font-size:15px;color:var(--blue);font-family:'Montserrat',sans-serif;margin-bottom:12px}\n.dbi-art-af4425 .faq-item p {font-size:14px;margin:0;line-height:1.75}\n.dbi-art-af4425 footer {background:linear-gradient(135deg,var(--blue),var(--blue-dark));color:#fff;padding:40px 24px;text-align:center}\n.dbi-art-af4425 footer p {font-size:13px;color:rgba(255,255,255,.78);margin-bottom:16px}\n.dbi-art-af4425 .footer-links {display:flex;justify-content:center;gap:10px;flex-wrap:wrap}\n.dbi-art-af4425 .footer-links a {color:#fff;font-size:12px;font-weight:600;text-decoration:none;padding:6px 16px;border:1px solid rgba(255,255,255,.28);border-radius:50px}<\/p>\n<\/style>\n<div class=\"dbi-art-af4425\">\n<header class=\"hero\">\n<div class=\"hero-tag\">\ud83e\udde0 Multiple sclerosis \u00b7 MS \u00b7 Fatigue \u00b7 Cognition \u00b7 Establishment \u00b7 Support<\/div>\n<h1>Multiple sclerosis in an establishment: understanding the disease and adapting professional practice<\/h1>\n<pee class=\"hero-sub\">MS is a confusing disease: invisible, fluctuating, unpredictable. A person may &#8220;seem to be doing well&#8221; and be exhausted, slowed down, struggling. Understanding the disease means stopping misinterpreting \u2014 and supporting accurately.<\/pee>\n<\/header>\n<p><main class=\"container\"><\/p>\n<div class=\"intro-box\"><pee>Multiple sclerosis (MS) is one of the leading causes of non-traumatic disability in young adults. A chronic neurological disease, it is characterized by great variability: symptoms differ from person to person, fluctuate over time, and often remain invisible to those around them. Overwhelming fatigue, memory and attention disorders, motor difficulties, sensory or emotional disorders can coexist and vary from day to day \u2014 even from hour to hour. This unpredictability makes support particularly delicate: what was possible yesterday is no longer possible today, and a person who &#8220;seems fit&#8221; may be at the end of their strength. In an establishment (SSR, home, MAS, Nursing home) as well as at home, properly supporting a person with MS requires understanding the disease, its invisible symptoms, and its fluctuating logic, in order to adapt one&#8217;s practice with flexibility and kindness. This article, aimed at professionals as well as families, offers the keys to achieve this. Because properly supporting MS does not require being a neurologist: it requires understanding the logic of the disease, believing the person, and demonstrating constant flexibility in the face of its variations.<\/pee><\/div>\n<h2>1. Understanding multiple sclerosis<\/h2>\n<h3>1.1 A chronic and variable neurological disease<\/h3>\n<pee>Multiple sclerosis is an autoimmune disease of the central nervous system: the immune system mistakenly attacks the myelin, the sheath that protects nerve fibers and allows rapid transmission of messages in the brain and spinal cord. When this myelin is damaged, nerve messages circulate poorly or not at all, causing symptoms that vary according to the affected areas. As lesions can occur anywhere in the central nervous system, symptoms are extremely diverse from person to person: there is not &#8220;one&#8221; MS, but as many presentations as there are affected individuals. This is an essential fact for the caregiver.<\/pee>\n<pee>The disease most often evolves in relapses: periods where symptoms worsen or appear (the relapses), followed by periods of improvement that may be more or less complete (the remissions). Over time, some forms progress towards gradual worsening. This unpredictable evolution is one of the major difficulties of the disease, for the person as well as for their surroundings: one never really knows what tomorrow will bring. Understanding this fluctuating logic is essential to support without being surprised or judging the variations in abilities.<\/pee>\n<pee>There are several evolving forms of the disease, which it is useful to know in broad terms. The most common form at the beginning evolves in relapses-remissions: episodes of worsening followed by returns to a state close to the initial one. Other forms are immediately progressive, or become so after several years. This diversity explains why two people with MS can have radically different paths: one maintains an almost normal life for decades, while the other sees their disability worsen more rapidly. For the caregiver, the important thing is not to make a prognosis \u2014 that is the doctors&#8217; job \u2014 but to understand that each person&#8217;s trajectory is unique, and to support what is, day by day, without projecting either misplaced optimism or discouraging pessimism.<\/pee>\n<div class=\"stats-grid\">\n<div class=\"stat-card blue\">\n    <span class=\"stat-num\">~120,000<\/span><br \/>\n    <span class=\"stat-label\">people live with MS in France, with several thousand new cases each year<\/span>\n  <\/div>\n<div class=\"stat-card teal\">\n    <span class=\"stat-num\">20-40 years<\/span><br \/>\n    <span class=\"stat-label\">most common age of onset: MS primarily affects young adults<\/span>\n  <\/div>\n<div class=\"stat-card pink\">\n    <span class=\"stat-num\">~3\/4<\/span><br \/>\n    <span class=\"stat-label\">of people describe fatigue as one of their most disabling symptoms<\/span>\n  <\/div>\n<div class=\"stat-card yellow\">\n    <span class=\"stat-num\">Variable<\/span><br \/>\n    <span class=\"stat-label\">symptoms fluctuate over time and differ greatly from person to person<\/span>\n  <\/div>\n<\/div>\n<h3>1.2 Symptoms that are often invisible<\/h3>\n<pee>One of the most confusing aspects of MS is the invisibility of many symptoms. Fatigue, cognitive disorders (memory, attention), pain, and sensory disturbances are not visible. A person may appear &#8220;in great shape&#8221; yet be exhausted, slowed down, and have great difficulty concentrating. This invisibility generates painful misunderstandings: those around them, seeing nothing, may underestimate the difficulties or even suspect exaggeration or lack of will. Recognizing the reality of these invisible symptoms is the first condition for respectful support, and undoubtedly the most important message of this entire article.<\/pee>\n<pee>This invisibility has a heavy psychological cost for the person. Having to constantly prove or justify a difficulty that is not visible is exhausting and hurtful. Many people with MS talk about the fatigue of having to explain themselves (&#8220;but you seem to be doing well&#8221;), the feeling of not being believed, and the temptation to hide their difficulties to avoid the gaze of others \u2014 which exhausts them even more. The supporter has a valuable role here: to be the one who believes without asking for proof, who understands without needing an explanation. This simple fact of finally being heard and recognized alleviates part of the burden and restores trust, a condition for a quality support relationship.<\/pee>\n<div class=\"teal-box\"><pee>\ud83d\udc49 A key principle: <strong>\u201clooking fine\u201d does not mean feeling fine.<\/strong> With MS, the gap between appearance and experience is immense. Fatigue, cognitive disorders, and pain are real even if they are not visible. Believing the person on their word, without demanding visible proof of their difficulty, is a fundamental act of respect.<\/pee><\/div>\n<h3>1.3 A disease of young adults, heavy with consequences<\/h3>\n<pee>MS most often occurs between the ages of 20 and 40, that is, at the heart of active, family, and social life. This early onset profoundly changes the experience of the disease: unlike pathologies related to old age, it strikes individuals in the midst of building their professional, parental, and emotional lives. The diagnosis, often made after months of uncertainty, is a shock that disrupts plans and self-image. Supporting a person with MS also means supporting this existential upheaval, these successive losses (of abilities, of projects), and the necessity to reinvent oneself in the face of a disease that settles in for life.<\/pee>\n<pee>This dimension is essential to keep in mind, especially in institutions where one may encounter young people affected by severe disabilities. Their support cannot mirror that of elderly people: their expectations, needs for autonomy, social life, and projects remain those of young adults. Respecting their age and adult status, not infantilizing them, supporting their desires and projects as much as possible, is a strong requirement. The disease limits abilities, but it does not erase the aspirations or the adult dignity of the person.<\/pee>\n<h2>2. Symptoms and their impact on daily life<\/h2>\n<pee>To provide accurate support, one must know the major families of MS symptoms. They combine differently in each person and vary over time. The same person may experience fatigue, motor disorders, cognitive difficulties, and anxiety, in proportions and rhythms that are unique to them. This is why there is no \u201cstandard protocol\u201d for supporting MS: there are as many supports as there are individuals, built from careful observation of each.<\/pee>\n<div class=\"modality-grid\">\n<div class=\"modality-card m1\">\n<h5>\ud83d\ude34 Fatigue<\/h5>\n<div class=\"mc-for\">Major symptom<\/div>\n<pee>Intense, overwhelming fatigue, unrelated to the effort exerted. Often the most disabling symptom. It fluctuates throughout the day and limits everything.<\/pee>\n  <\/div>\n<div class=\"modality-card m2\">\n<h5>\ud83e\uddb5 Motor disorders<\/h5>\n<div class=\"mc-for\">Walking \u00b7 Balance<\/div>\n<pee>Weakness, stiffness, balance and coordination disorders, difficulties in walking. Variable depending on flare-ups and fatigue.<\/pee>\n  <\/div>\n<div class=\"modality-card m3\">\n<h5>\ud83e\udde0 Cognitive disorders<\/h5>\n<div class=\"mc-for\">Memory \u00b7 Attention<\/div>\n<pee>Memory difficulties, attention issues, concentration problems, slowing of information processing. Common but often unrecognized.<\/pee>\n  <\/div>\n<div class=\"modality-card m4\">\n<h5>\ud83d\ude22 Emotional disorders<\/h5>\n<div class=\"mc-for\">Anxiety \u00b7 Depression<\/div>\n<pee>Anxiety, depression, sometimes emotional lability. Related to the disease itself as well as the burden of living with uncertainty.<\/pee>\n  <\/div>\n<div class=\"modality-card m5\">\n<h5>\ud83d\udc41\ufe0f Sensory disorders<\/h5>\n<div class=\"mc-for\">View \u00b7 Sensitivity<\/div>\n<pee>Visual disturbances, tingling, pain, sensitivity disorders. Often among the first signs of the disease.<\/pee>\n  <\/div>\n<\/div>\n<h3>2.1 Fatigue: a central and misunderstood symptom<\/h3>\n<pee>Fatigue deserves special attention, as it is both one of the most common, most disabling, and most misunderstood symptoms of MS. It is not a simple temporary fatigue that rest would suffice to erase: it is a neurological fatigue, deep, that can occur suddenly and unrelated to activity. A person may feel exhausted after an effort that seems minimal, such as a conversation or a short trip. This fatigue fluctuates throughout the day (often more pronounced in the afternoon) and is exacerbated by heat. It limits everything: activities, concentration, social relationships.<\/pee>\n<pee>The most common mistake is to mistake this fatigue for laziness or lack of motivation. Pushing a tired person to &#8220;get moving&#8221; is not only ineffective but counterproductive: it worsens exhaustion and can trigger a decompensation. Support consists instead of respecting and anticipating this fatigue: breaking down activities, planning rest times, alternating effort and recovery, and scheduling important activities at times when the person has the most energy. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/visual-timer\/\">DYNSEO Visual Timer<\/a> can help dose efforts and structure activity and rest times, and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/3-column-table\/\">DYNSEO 3-column Board<\/a> can help organize and prioritize tasks to conserve energy.<\/pee>\n<pee>It is often said, for MS, that energy management is &#8220;in spoons&#8221;: each person has a limited energy capital each day, like a finite number of spoons, and each activity\u2014even mundane\u2014consumes some. Once the spoons are exhausted, nothing is possible until the next day. This vivid image helps caregivers understand why they need to help the person spend their energy wisely: prioritize what really matters to them, delegate or simplify the rest, and not &#8220;waste spoons&#8221; on secondary tasks. Supporting MS is partly about helping the person become a fine manager of their energy, to preserve what is most valuable to them.<\/pee>\n<h3>2.2 Cognitive disorders: memory and attention at stake<\/h3>\n<pee>Less known than motor disorders, cognitive disorders affect a large portion of people with MS. They manifest as difficulties with memory (forgetfulness, difficulty retaining new information), attention, and concentration, and especially by a slowing of information processing: the person understands and reasons well, but more slowly. These difficulties, invisible, are often a source of misunderstanding and suffering\u2014the person is aware of their forgetfulness and slowing down, which can fuel anxiety and loss of confidence.<\/pee>\n<pee>Supporting these disorders involves simple adaptations: allowing more time, simplifying and breaking down instructions, using written supports and visual cues, avoiding double-task situations. Fun cognitive stimulation, without performance pressure, can also support these functions and maintain confidence. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive spotting<\/a> helps distinguish what is related to fatigue from what is a lasting cognitive difficulty, and to adapt accordingly.<\/pee>\n<pee>It is important to highlight a significant link: fatigue and cognition are closely related in MS. Fatigue severely degrades cognitive performance\u2014a exhausted person memorizes less well, concentrates less, reasons more slowly. A cognitive difficulty observed at the end of the day, when fatigue is at its peak, does not necessarily reflect the person&#8217;s actual abilities in the morning, when rested. This has a major practical implication: place cognitively demanding activities (learning, procedures, decisions) at times of better energy, and lighten expectations when fatigue sets in. Confusing a drop in performance related to fatigue with a definitive cognitive decline would be a mistake, both unfair to the person and a source of discouragement.<\/pee>\n<h2>3. Adapting support in institutions<\/h2>\n<h3>3.1 Understanding to avoid misinterpretation<\/h3>\n<pee>As with many diseases with invisible symptoms, the quality of support for MS primarily depends on understanding. A team that knows the disease naturally adapts its practice; an uninformed team risks misinterpreting behaviors and adding suffering to the disease. The table below illustrates this decisive contrast.<\/pee>\n<pee>This erroneous interpretation of behaviors is undoubtedly the most common trap. Mistaking fatigue for laziness, variability for acting, forgetfulness for disinterest: these misunderstandings, fueled by the invisibility of symptoms, turn a helping relationship into a source of tension and judgment. However, often just a little knowledge about the disease is enough to change everything: understanding that fatigue is neurological, that capacities truly fluctuate, that cognitive disorders exist, defuses judgment and paves the way for a fair attitude. That is why training and informing teams is not a theoretical supplement, but the most direct lever for improving daily support.<\/pee>\n<div class=\"before-after\">\n<div class=\"ba-col before\">\n<h5>\u2717 Without understanding of MS<\/h5>\n<ul>\n<li>\u201cYesterday she could, today she exaggerates\u201d<\/li>\n<li>\u201cHe looks fit, he can make an effort\u201d<\/li>\n<li>The same pace is imposed every day<\/li>\n<li>\u201cHer forgetfulness is because she doesn&#8217;t pay attention\u201d<\/li>\n<li>Activity is pushed despite fatigue<\/li>\n<li>The person exhausts themselves, becomes discouraged, decompensates<\/li>\n<\/ul><\/div>\n<div class=\"ba-col after\">\n<h5>\u2713 With understanding of MS<\/h5>\n<ul>\n<li>We accept the fluctuation of abilities<\/li>\n<li>We believe the person about their feelings, without proof required<\/li>\n<li>We adjust the pace according to the state of the day<\/li>\n<li>We recognize cognitive disorders and adapt<\/li>\n<li>We respect and anticipate fatigue<\/li>\n<li>The person preserves their energy and confidence<\/li>\n<\/ul><\/div>\n<\/div>\n<h3>3.2 The principles of adaptation<\/h3>\n<pee>Some principles guide the support of MS. <strong>Adapting to fluctuation:<\/strong> accept that abilities vary from day to day, observe the current state, adjust accordingly without judgment. <strong>Managing energy:<\/strong> break tasks down, prioritize, plan rest times, place important tasks during better times. <strong>Adapting to heat:<\/strong> heat worsens symptoms; ensure cool environments, especially in summer. <strong>Supporting cognition:<\/strong> allow time, simplify, use visual and written aids. <strong>Accompanying emotions:<\/strong> recognize anxiety and distress related to the uncertainty of the disease, and respond with kindness.<\/pee>\n<pee>The common thread of all these principles is flexibility. While many supports rely on regularity and routine, MS, on the contrary, requires a constant ability to adapt. A rigid program, identical every day, is doomed to fail, as it does not take into account the variability of the disease. The effective supporter is one who observes the state of the day and adjusts: offer more on good days, lighten on difficult days, without ever blaming the person for their variations. This flexibility is not laxity; it is a fine and demanding adaptation to the reality of the disease. It also requires effectively communicating information within the team: what is observed about a person&#8217;s state must circulate, so that everyone can adjust their approach accordingly and the person does not have to justify themselves constantly.<\/pee>\n<div class=\"tip-box\"><pee><strong>\ud83d\udca1 Practical advice:<\/strong> heat is an unknown enemy of MS. An increase in body temperature (heatwave, hot bath, effort, fever) can temporarily worsen symptoms \u2014 this is the \u201cUhthoff phenomenon.\u201d In facilities, ensure cool rooms, offer cold drinks, avoid exertion during hot hours, and adapt activities in summer makes a real difference to the well-being and abilities of the person. Conversely, cooling strategies (cooling vest, misting device, air-conditioned room during heat peaks) can help preserve abilities. Knowing this phenomenon also prevents unnecessary worry: a worsening related to heat is reversible and does not mean a flare-up of the disease.<\/pee><\/div>\n<div class=\"formation-block\">\n<div class=\"formation-grid\">\n    <a href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\" class=\"formation-img\"><br \/>\n      <img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\" alt=\"Training on Multiple Sclerosis in facilities: understanding the disease and adapting professional practice\"><br \/>\n    <\/a><\/p>\n<div class=\"formation-inner\">\n      <span class=\"formation-badge\">\ud83c\udf93 Certifying training<\/span><\/p>\n<h3>Multiple sclerosis in institutions: understanding the disease and adapting professional practice<\/h3>\n<pee>This online training is aimed at support professionals (caregivers, AS, home helpers, facilitators) and families. It teaches you to understand MS, its visible and invisible symptoms, its fluctuating logic, and to adapt your practice flexibly. At your own pace, 100% online, certifying <strong>Qualiopi<\/strong>.<\/pee>\n<div class=\"formation-meta\">\n        <span>\ud83d\udcbb 100% online<\/span><br \/>\n        <span>\u23f1\ufe0f At your own pace<\/span><br \/>\n        <span>\u2705 Qualiopi<\/span>\n      <\/div>\n<p>      <a href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\" class=\"btn-formation\">Discover the training \u2192<\/a>\n    <\/div>\n<\/p><\/div>\n<\/div>\n<h2>4. MS in daily life: concrete examples<\/h2>\n<pee>Nothing helps understand MS better than lived situations. The three examples below show how understanding the disease transforms support, especially in the face of its invisible and fluctuating symptoms. Each time, the same shift occurs: a behavior initially interpreted as a flaw (laziness, disinterest, acting) turns out to be the direct manifestation of the disease, and understanding paves the way for fair and calm support.<\/pee>\n<div class=\"scenario-grid\">\n<div class=\"scenario-card\">\n<div class=\"sc-tag\">Situation 1 \u00b7 SSR \u00b7 Fatigue<\/div>\n<h5>Mrs. V., 42 years old, \u201cdoes nothing in the afternoon\u201d<\/h5>\n<div class=\"sc-label\">Misunderstood \u2717<\/div>\n<div class=\"sc-standard\">Active in the morning, Mrs. V. collapses in the afternoon and cancels her activities. The team believes she is unmotivated, even depressed, and pushes her to \u201cget moving.\u201d Under pressure, she exhausts herself further and feels guilty.<\/div>\n<div class=\"sc-label good\">Well supported \u2713<\/div>\n<div class=\"sc-adapted\">The trained team understands the fluctuating neurological fatigue of MS. Important activities are scheduled for the morning, rest is planned for the afternoon, and efforts are timed. Mrs. V., respected, manages her energy better and participates calmly.<\/div>\n<\/p><\/div>\n<div class=\"scenario-card\">\n<div class=\"sc-tag\">Situation 2 \u00b7 Home \u00b7 Cognition<\/div>\n<h5>Mr. D., 38 years old, \u201ccan\u2019t keep up, neglects himself\u201d<\/h5>\n<div class=\"sc-label\">Misunderstood \u2717<\/div>\n<div class=\"sc-standard\">Mr. D. forgets appointments, loses track of instructions, seems \u201celsewhere.\u201d It is interpreted as disinterest. He is blamed for it, which worsens his anxiety and loss of confidence.<\/div>\n<div class=\"sc-label good\">Well supported \u2713<\/div>\n<div class=\"sc-adapted\">Cognitive disorders related to MS are recognized: slowing down, attention and memory difficulties. Time is given, instructions are simplified, written and visual supports are used. Mr. D., understood and supported, regains confidence and organization.<\/div>\n<\/p><\/div>\n<div class=\"scenario-card\">\n<div class=\"sc-tag\">Situation 3 \u00b7 MAS \u00b7 Variability<\/div>\n<h5>Mrs. L., 50 years old, \u201cmoody depending on the day\u201d<\/h5>\n<div class=\"sc-label\">Misunderstood \u2717<\/div>\n<div class=\"sc-standard\">One day Mrs. L. walks without assistance, the next she needs a wheelchair. The team talks about inconsistency, suspects acting. The relationship becomes tense, Mrs. L. feels judged and misunderstood.<\/div>\n<div class=\"sc-label good\">Well supported \u2713<\/div>\n<div class=\"sc-adapted\">The team understands the fluctuation inherent to MS: abilities truly vary from day to day, depending on flare-ups and fatigue. We adapt to the state of the day without judgment. Mrs. L. finally feels believed and supported with flexibility.<\/div>\n<\/p><\/div>\n<\/div>\n<h2>5. Supporting daily life: DYNSEO tools<\/h2>\n<h3>5.1 Managing energy, organizing, motivating<\/h3>\n<pee>DYNSEO tools support the major challenges of daily life with MS: managing limited energy, organizing despite cognitive disorders, and maintaining motivation in the face of a demanding illness. Simple and visual, they can be used by both professionals and families.<\/pee>\n<pee>These supports follow a simple logic: compensate for what has become difficult to preserve autonomy and energy. When memory and organization falter, an external support (board, visual schedule) relieves the person of the effort to remember everything, and prevents additional stress and fatigue related to forgetfulness. When fatigue requires pacing, a visual timer makes the time for effort and rest tangible. When morale wavers in the face of illness, a motivation board values efforts and maintains engagement. Far from being gadgets, these tools specifically address the concrete difficulties that MS creates in daily life, and each can be adapted to the person&#8217;s current state \u2014 more support on difficult days, more autonomy on good days.<\/pee>\n<div class=\"resource-grid\">\n<div class=\"resource-card\">\n<h5>\u23f1\ufe0f Visual timer<\/h5>\n<pee>Pace efforts, structure activity and rest to manage fatigue.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/visual-timer\/\">Discover \u2192<\/a>\n  <\/div>\n<div class=\"resource-card\">\n<h5>\ud83d\udcca 3-column board<\/h5>\n<pee>Organize and prioritize tasks to save available energy.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/3-column-table\/\">Discover \u2192<\/a>\n  <\/div>\n<div class=\"resource-card\">\n<h5>\ud83c\udfc6 Motivation board<\/h5>\n<pee>Value efforts and maintain engagement in the face of a chronic illness.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/motivation-chart-dynseo-training-tool\/\">Discover \u2192<\/a>\n  <\/div>\n<div class=\"resource-card\">\n<h5>\ud83c\udf21\ufe0f Emotion thermometer<\/h5>\n<pee>Express and track feelings, valuable in the face of illness-related anxiety.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/emotion-thermometer\/\">Discover \u2192<\/a>\n  <\/div>\n<div class=\"resource-card\">\n<h5>\ud83c\udfaf Choice wheel<\/h5>\n<pee>Restore control and facilitate daily decisions.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/choice-wheel-outils-formation-dynseo\/\">Discover \u2192<\/a>\n  <\/div>\n<div class=\"resource-card\">\n<h5>\ud83e\uddf0 Complete catalog<\/h5>\n<pee>All DYNSEO support tools, ready to use.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">See all tools \u2192<\/a>\n  <\/div>\n<\/div>\n<h3>5.2 Supporting cognition and connection<\/h3>\n<pee>Playful cognitive stimulation, without performance pressure, can support the functions affected by MS (memory, attention) and maintain confidence. DYNSEO applications offer this type of support tailored to each individual.<\/pee>\n<pee>The absence of pressure is fundamental here. A person already weakened by awareness of their cognitive difficulties would not tolerate training perceived as a test to pass, which would only reinforce their feeling of failure. In contrast, a playful, rewarding activity, where one progresses at their own pace and is praised for their successes, restores pleasure and confidence. It is this positive dimension that makes stimulation effective: we do not engage the brain &#8220;against&#8221; the person, but &#8220;with&#8221; them, in a framework that benefits them. And as always with MS, pacing is essential: offer these activities at times of better energy, and know when to stop when fatigue sets in, without ever turning a moment of pleasure into a source of exhaustion.<\/pee>\n<div class=\"appli-grid\">\n<div class=\"appli-card\">\n<h5>\ud83d\udfe6 CLINT \u2014 Adults<\/h5>\n<pee>Designed for adults: memory, attention, logic, and language exercises, adaptable to each person&#8217;s level and energy. Ideal for young adults concerned about MS.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">Discover CLINT \u2192<\/a>\n  <\/div>\n<div class=\"appli-card\">\n<h5>\ud83d\udfea SCARLETT \u2014 Seniors<\/h5>\n<pee>For elderly people or in specialized facilities: gentle and rewarding cognitive stimulation, adapted to more fatigable profiles.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">Discover SCARLETT \u2192<\/a>\n  <\/div>\n<div class=\"appli-card\">\n<h5>\ud83d\udfe5 MY DICTIONARY \u2014 Communication<\/h5>\n<pee>For people with expression difficulties: expressing a need, a feeling, a discomfort \u2014 useful when fatigue or disorders affect communication.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\">Discover MY DICTIONARY \u2192<\/a>\n  <\/div>\n<div class=\"appli-card\">\n<h5>\ud83d\udfe9 COCO \u2014 Children 5-10 years<\/h5>\n<pee>For family and intergenerational contexts: creating connections through play, supporting shared and rewarding moments.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/jeux-de-memoire\/coco-jeux-enfants\/\">Discover COCO \u2192<\/a>\n  <\/div>\n<\/div>\n<div class=\"hl\">\n<h4>\ud83e\uddea Distinguish fatigue and cognitive disorder<\/h4>\n<pee>With MS, it is not always easy to distinguish what is related to fatigue (variable, reversible) from what is related to a more lasting cognitive disorder. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">DYNSEO cognitive tests<\/a> allow for simple identification (memory, attention) that helps better understand the difficulties, adapt the support, and track their evolution over time, in addition to the assessment by health professionals. Conducting these identifications at comparable times (for example, in the morning, at rest) allows for a more reliable picture of actual capabilities, limiting the effect of fatigue. Seeing one&#8217;s strengths recognized is also an encouragement for the person, whose confidence is often undermined by the disease.<\/pee>\n<\/div>\n<h2>6. Training to support people with MS<\/h2>\n<pee>Supporting a person with multiple sclerosis requires specific knowledge: understanding a variable and unpredictable disease, recognizing its invisible symptoms, adapting to fluctuations in abilities, managing fatigue, and supporting cognition and emotions. The DYNSEO training &#8220;Multiple Sclerosis in Institutions: Understanding the Disease and Adapting Professional Practice&#8221; is designed for this. Fully online and accessible at your own pace, Qualiopi certified, it is aimed at both professionals and families. It allows an entire team to share a common understanding of the disease \u2014 a condition for flexible, coherent, and caring support. Open to families, it also provides them with the same reference points as professionals, which reduces misunderstanding at home and makes relatives true partners in support.<\/pee>\n<pee>Team coherence is particularly decisive with MS, precisely because of its variability. If some team members understand the fluctuation and others interpret it as acting, the person receives contradictory messages and ends up having to justify themselves constantly \u2014 an exhausting burden added to the disease. When all stakeholders share the same foundational understanding (fatigue is real, abilities vary legitimately, invisible symptoms exist), the person is welcomed everywhere with the same fair perspective and flexibility. This is one of the keys to quality support, and it is precisely what the training aims to achieve: to create this common culture that transforms the daily lives of those being supported as well as that of the teams.<\/pee>\n<div class=\"cta-block\">\n<h3>\ud83e\udde0 Support MS with understanding and flexibility<\/h3>\n<pee>Understand the disease, its invisible symptoms, and its fluctuating logic: with the certified training &#8220;Multiple Sclerosis in Institutions&#8221; and DYNSEO tools, adapt your practice to preserve the energy, cognition, and dignity of each person.<\/pee>\n<div class=\"btns\">\n    <a href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\" class=\"btn-white\">Discover the training<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\" class=\"btn-outline\">Our tools<\/a>\n  <\/div>\n<\/div>\n<p><\/main><\/p>\n<section class=\"faq-section\">\n<div class=\"container\">\n<h2>\u2753 Frequently Asked Questions about MS in Institutions<\/h2>\n<div class=\"faq-item\">\n<h4>Why do the abilities of a person with MS vary from day to day?<\/h4>\n<pee>Because fluctuation is at the heart of the disease. MS often progresses in relapses (worsening of symptoms) and remissions (improvement), and daily fatigue, heat, or stress can vary abilities, sometimes from hour to hour. A person may walk unassisted one day and need a wheelchair the next \u2014 this is neither comedy nor inconsistency, but the reality of the disease. Support involves adapting to the current state, without judging or demanding an impossible consistency.<\/pee>\n    <\/div>\n<div class=\"faq-item\">\n<h4>Is MS fatigue real fatigue?<\/h4>\n<pee>Yes, and it is one of the most disabling and misunderstood symptoms. It is not ordinary fatigue that rest can erase: it is neurological fatigue, deep, which can occur suddenly and unrelated to effort. A simple conversation or a short trip can be exhausting. It is often more pronounced in the afternoon and worsened by heat. Mistaking it for laziness and pushing to &#8220;get moving&#8221; is counterproductive: on the contrary, it must be respected, activities should be broken down, and rest times planned.<\/pee>\n    <\/div>\n<div class=\"faq-item\">\n<h4>Does MS affect memory and concentration?<\/h4>\n<pee>Yes, in a significant number of cases, even if these cognitive disorders are less known than motor disorders. They manifest as forgetfulness, difficulties with attention and concentration, and especially a slowdown in information processing: the person understands and reasons well, but more slowly. These invisible difficulties cause suffering and anxiety. They are supported by allowing time, simplifying and breaking down instructions, using written and visual aids, and avoiding dual-task situations.<\/pee>\n    <\/div>\n<div class=\"faq-item\">\n<h4>Why does heat worsen symptoms?<\/h4>\n<pee>It is the &#8220;Uhthoff phenomenon&#8221;: an elevation in body temperature (heatwave, hot bath, intense effort, fever) slows down nerve conduction in fibers where the myelin is damaged, which temporarily worsens symptoms. These exacerbations are reversible with a return to normal temperature, but they are real and disabling. In practice, it is important to ensure cool environments, offer cold drinks, avoid exertion during hot hours, and adapt activities in summer. It is a simple adaptation but with a strong impact.<\/pee>\n    <\/div>\n<div class=\"faq-item\">\n<h4>How to react to a person who &#8220;seems to be doing well&#8221; but says they cannot?<\/h4>\n<pee>By believing them. The gap between appearance and experience is immense in MS: fatigue, cognitive disorders, and pain are not visible. Demanding visible proof of difficulty, or suspecting exaggeration, adds suffering to the disease and destroys trust. Believing the person in their feelings, without demanding justification, is a fundamental act of respect. It is also the most effective: a person who feels believed and understood invests more in their support.<\/pee>\n    <\/div>\n<div class=\"faq-item\">\n<h4>Can cognitive stimulation help in the case of MS?<\/h4>\n<pee>Yes, in addition to care. Playful cognitive stimulation, without performance pressure, can support affected functions (memory, attention) and maintain confidence, often weakened by awareness of difficulties. The application CLINT, designed for adults, offers exercises adaptable to each person&#8217;s level and energy \u2014 an important point, as fatigue must be respected. DYNSEO cognitive tests also help better understand difficulties and track their evolution. These tools complement rehabilitation, they do not replace it.<\/pee>\n    <\/div>\n<div class=\"faq-item\">\n<h4>How to support morale in the face of such an uncertain disease?<\/h4>\n<pee>Living with the uncertainty of MS \u2014 never knowing what tomorrow will bring \u2014 is a major psychological challenge, and anxiety as well as depression are common. Emotional support is therefore essential: recognizing distress without minimizing it, valuing what the person can still do rather than pointing out losses, maintaining social connections and enjoyable activities suited to their energy. Tools like the emotion thermometer help express feelings. And if depression sets in, it is important to refer to health professionals: it can be treated.<\/pee>\n    <\/div>\n<div class=\"faq-item\">\n<h4>Who is the DYNSEO training on MS aimed at?<\/h4>\n<pee>It is aimed at professionals providing support in institutions (SSR, group homes, MAS, Nursing home) as well as at home \u2014 caregivers, nursing assistants, home helpers, activity coordinators \u2014 as well as families and informal caregivers. Completely online and accessible at your own pace, it is Qualiopi certified. It covers understanding the disease, its visible and invisible symptoms, its fluctuating logic, and adapting practice (managing fatigue, cognitive and emotional support), with concrete solutions that can be directly applied in daily life.<\/pee>\n    <\/div>\n<\/p><\/div>\n<\/section>\n<div class=\"container\">\n<div class=\"cta-block\">\n<h3>\ud83c\udf1f Support multiple sclerosis with accuracy and kindness<\/h3>\n<pee>From managing fatigue to supporting cognition and emotions, through the certified training &#8220;Multiple Sclerosis in Institutions&#8221; and DYNSEO tools, adapt your support to a disease as unique as each person affected by it.<\/pee>\n<div class=\"btns\">\n    <a href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\" class=\"btn-white\">Follow the training<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\" class=\"btn-outline\">Our tools<\/a>\n  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24px;margin-top:56px}\n.dbi-art-af4425 .faq-section h2 {color:var(--blue)}\n.dbi-art-af4425 .faq-item {background:#fff;border-radius:var(--br);padding:26px 30px;margin-bottom:14px;box-shadow:var(--shc)}\n.dbi-art-af4425 .faq-item h4 {font-size:15px;color:var(--blue);font-family:'Montserrat',sans-serif;margin-bottom:12px}\n.dbi-art-af4425 .faq-item p {font-size:14px;margin:0;line-height:1.75}\n.dbi-art-af4425 footer {background:linear-gradient(135deg,var(--blue),var(--blue-dark));color:#fff;padding:40px 24px;text-align:center}\n.dbi-art-af4425 footer p {font-size:13px;color:rgba(255,255,255,.78);margin-bottom:16px}\n.dbi-art-af4425 .footer-links {display:flex;justify-content:center;gap:10px;flex-wrap:wrap}\n.dbi-art-af4425 .footer-links a {color:#fff;font-size:12px;font-weight:600;text-decoration:none;padding:6px 16px;border:1px solid rgba(255,255,255,.28);border-radius:50px}\n\n<\/style>\n<div class=\"dbi-art-af4425\">\n<header class=\"hero\">\n  <div class=\"hero-tag\">\ud83e\udde0 Multiple sclerosis \u00b7 MS \u00b7 Fatigue \u00b7 Cognition \u00b7 Establishment \u00b7 Support<\/div>\n  <h1>Multiple sclerosis in an establishment: understanding the disease and adapting professional practice<\/h1>\n  <p class=\"hero-sub\">MS is a confusing disease: invisible, fluctuating, unpredictable. A person may \"seem to be doing well\" and be exhausted, slowed down, struggling. Understanding the disease means stopping misinterpreting \u2014 and supporting accurately.<\/p>\n<\/header>\n\n<main class=\"container\">\n\n<div class=\"intro-box\"><p>Multiple sclerosis (MS) is one of the leading causes of non-traumatic disability in young adults. A chronic neurological disease, it is characterized by great variability: symptoms differ from person to person, fluctuate over time, and often remain invisible to those around them. Overwhelming fatigue, memory and attention disorders, motor difficulties, sensory or emotional disorders can coexist and vary from day to day \u2014 even from hour to hour. This unpredictability makes support particularly delicate: what was possible yesterday is no longer possible today, and a person who \"seems fit\" may be at the end of their strength. In an establishment (SSR, home, MAS, Nursing home) as well as at home, properly supporting a person with MS requires understanding the disease, its invisible symptoms, and its fluctuating logic, in order to adapt one's practice with flexibility and kindness. This article, aimed at professionals as well as families, offers the keys to achieve this. Because properly supporting MS does not require being a neurologist: it requires understanding the logic of the disease, believing the person, and demonstrating constant flexibility in the face of its variations.<\/p><\/div>\n\n<h2>1. Understanding multiple sclerosis<\/h2>\n\n<h3>1.1 A chronic and variable neurological disease<\/h3>\n<p>Multiple sclerosis is an autoimmune disease of the central nervous system: the immune system mistakenly attacks the myelin, the sheath that protects nerve fibers and allows rapid transmission of messages in the brain and spinal cord. When this myelin is damaged, nerve messages circulate poorly or not at all, causing symptoms that vary according to the affected areas. As lesions can occur anywhere in the central nervous system, symptoms are extremely diverse from person to person: there is not \"one\" MS, but as many presentations as there are affected individuals. This is an essential fact for the caregiver.<\/p>\n<p>The disease most often evolves in relapses: periods where symptoms worsen or appear (the relapses), followed by periods of improvement that may be more or less complete (the remissions). Over time, some forms progress towards gradual worsening. This unpredictable evolution is one of the major difficulties of the disease, for the person as well as for their surroundings: one never really knows what tomorrow will bring. Understanding this fluctuating logic is essential to support without being surprised or judging the variations in abilities.<\/p>\n<p>There are several evolving forms of the disease, which it is useful to know in broad terms. The most common form at the beginning evolves in relapses-remissions: episodes of worsening followed by returns to a state close to the initial one. Other forms are immediately progressive, or become so after several years. This diversity explains why two people with MS can have radically different paths: one maintains an almost normal life for decades, while the other sees their disability worsen more rapidly. For the caregiver, the important thing is not to make a prognosis \u2014 that is the doctors' job \u2014 but to understand that each person's trajectory is unique, and to support what is, day by day, without projecting either misplaced optimism or discouraging pessimism.<\/p>\n<div class=\"stats-grid\">\n  <div class=\"stat-card blue\">\n    <span class=\"stat-num\">~120,000<\/span>\n    <span class=\"stat-label\">people live with MS in France, with several thousand new cases each year<\/span>\n  <\/div>\n  <div class=\"stat-card teal\">\n    <span class=\"stat-num\">20-40 years<\/span>\n    <span class=\"stat-label\">most common age of onset: MS primarily affects young adults<\/span>\n  <\/div>\n  <div class=\"stat-card pink\">\n    <span class=\"stat-num\">~3\/4<\/span>\n    <span class=\"stat-label\">of people describe fatigue as one of their most disabling symptoms<\/span>\n  <\/div>\n  <div class=\"stat-card yellow\">\n    <span class=\"stat-num\">Variable<\/span>\n    <span class=\"stat-label\">symptoms fluctuate over time and differ greatly from person to person<\/span>\n  <\/div>\n<\/div>\n\n<h3>1.2 Symptoms that are often invisible<\/h3>\n<p>One of the most confusing aspects of MS is the invisibility of many symptoms. Fatigue, cognitive disorders (memory, attention), pain, and sensory disturbances are not visible. A person may appear \"in great shape\" yet be exhausted, slowed down, and have great difficulty concentrating. This invisibility generates painful misunderstandings: those around them, seeing nothing, may underestimate the difficulties or even suspect exaggeration or lack of will. Recognizing the reality of these invisible symptoms is the first condition for respectful support, and undoubtedly the most important message of this entire article.<\/p>\n<p>This invisibility has a heavy psychological cost for the person. Having to constantly prove or justify a difficulty that is not visible is exhausting and hurtful. Many people with MS talk about the fatigue of having to explain themselves (\"but you seem to be doing well\"), the feeling of not being believed, and the temptation to hide their difficulties to avoid the gaze of others \u2014 which exhausts them even more. The supporter has a valuable role here: to be the one who believes without asking for proof, who understands without needing an explanation. This simple fact of finally being heard and recognized alleviates part of the burden and restores trust, a condition for a quality support relationship.<\/p>\n<div class=\"teal-box\"><p>\ud83d\udc49 A key principle: <strong>\u201clooking fine\u201d does not mean feeling fine.<\/strong> With MS, the gap between appearance and experience is immense. Fatigue, cognitive disorders, and pain are real even if they are not visible. Believing the person on their word, without demanding visible proof of their difficulty, is a fundamental act of respect.<\/p><\/div>\n\n<h3>1.3 A disease of young adults, heavy with consequences<\/h3>\n<p>MS most often occurs between the ages of 20 and 40, that is, at the heart of active, family, and social life. This early onset profoundly changes the experience of the disease: unlike pathologies related to old age, it strikes individuals in the midst of building their professional, parental, and emotional lives. The diagnosis, often made after months of uncertainty, is a shock that disrupts plans and self-image. Supporting a person with MS also means supporting this existential upheaval, these successive losses (of abilities, of projects), and the necessity to reinvent oneself in the face of a disease that settles in for life.<\/p>\n<p>This dimension is essential to keep in mind, especially in institutions where one may encounter young people affected by severe disabilities. Their support cannot mirror that of elderly people: their expectations, needs for autonomy, social life, and projects remain those of young adults. Respecting their age and adult status, not infantilizing them, supporting their desires and projects as much as possible, is a strong requirement. The disease limits abilities, but it does not erase the aspirations or the adult dignity of the person.<\/p>\n\n<h2>2. Symptoms and their impact on daily life<\/h2>\n\n<p>To provide accurate support, one must know the major families of MS symptoms. They combine differently in each person and vary over time. The same person may experience fatigue, motor disorders, cognitive difficulties, and anxiety, in proportions and rhythms that are unique to them. This is why there is no \u201cstandard protocol\u201d for supporting MS: there are as many supports as there are individuals, built from careful observation of each.<\/p>\n\n<div class=\"modality-grid\">\n  <div class=\"modality-card m1\">\n    <h5>\ud83d\ude34 Fatigue<\/h5>\n    <div class=\"mc-for\">Major symptom<\/div>\n    <p>Intense, overwhelming fatigue, unrelated to the effort exerted. Often the most disabling symptom. It fluctuates throughout the day and limits everything.<\/p>\n  <\/div>\n  <div class=\"modality-card m2\">\n    <h5>\ud83e\uddb5 Motor disorders<\/h5>\n    <div class=\"mc-for\">Walking \u00b7 Balance<\/div>\n    <p>Weakness, stiffness, balance and coordination disorders, difficulties in walking. Variable depending on flare-ups and fatigue.<\/p>\n  <\/div>\n  <div class=\"modality-card m3\">\n    <h5>\ud83e\udde0 Cognitive disorders<\/h5>\n    <div class=\"mc-for\">Memory \u00b7 Attention<\/div>\n    <p>Memory difficulties, attention issues, concentration problems, slowing of information processing. Common but often unrecognized.<\/p>\n  <\/div>\n  <div class=\"modality-card m4\">\n    <h5>\ud83d\ude22 Emotional disorders<\/h5>\n    <div class=\"mc-for\">Anxiety \u00b7 Depression<\/div>\n    <p>Anxiety, depression, sometimes emotional lability. Related to the disease itself as well as the burden of living with uncertainty.<\/p>\n  <\/div>\n  <div class=\"modality-card m5\">\n    <h5>\ud83d\udc41\ufe0f Sensory disorders<\/h5>\n<div class=\"mc-for\">View \u00b7 Sensitivity<\/div>\n    <p>Visual disturbances, tingling, pain, sensitivity disorders. Often among the first signs of the disease.<\/p>\n  <\/div>\n<\/div>\n\n<h3>2.1 Fatigue: a central and misunderstood symptom<\/h3>\n<p>Fatigue deserves special attention, as it is both one of the most common, most disabling, and most misunderstood symptoms of MS. It is not a simple temporary fatigue that rest would suffice to erase: it is a neurological fatigue, deep, that can occur suddenly and unrelated to activity. A person may feel exhausted after an effort that seems minimal, such as a conversation or a short trip. This fatigue fluctuates throughout the day (often more pronounced in the afternoon) and is exacerbated by heat. It limits everything: activities, concentration, social relationships.<\/p>\n<p>The most common mistake is to mistake this fatigue for laziness or lack of motivation. Pushing a tired person to \"get moving\" is not only ineffective but counterproductive: it worsens exhaustion and can trigger a decompensation. Support consists instead of respecting and anticipating this fatigue: breaking down activities, planning rest times, alternating effort and recovery, and scheduling important activities at times when the person has the most energy. The <a href=\"https:\/\/www.dynseo.com\/nos-outils\/timer-visuel\/\">DYNSEO Visual Timer<\/a> can help dose efforts and structure activity and rest times, and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-3-colonnes\/\">DYNSEO 3-column Board<\/a> can help organize and prioritize tasks to conserve energy.<\/p>\n<p>It is often said, for MS, that energy management is \"in spoons\": each person has a limited energy capital each day, like a finite number of spoons, and each activity\u2014even mundane\u2014consumes some. Once the spoons are exhausted, nothing is possible until the next day. This vivid image helps caregivers understand why they need to help the person spend their energy wisely: prioritize what really matters to them, delegate or simplify the rest, and not \"waste spoons\" on secondary tasks. Supporting MS is partly about helping the person become a fine manager of their energy, to preserve what is most valuable to them.<\/p>\n\n<h3>2.2 Cognitive disorders: memory and attention at stake<\/h3>\n<p>Less known than motor disorders, cognitive disorders affect a large portion of people with MS. They manifest as difficulties with memory (forgetfulness, difficulty retaining new information), attention, and concentration, and especially by a slowing of information processing: the person understands and reasons well, but more slowly. These difficulties, invisible, are often a source of misunderstanding and suffering\u2014the person is aware of their forgetfulness and slowing down, which can fuel anxiety and loss of confidence.<\/p>\n<p>Supporting these disorders involves simple adaptations: allowing more time, simplifying and breaking down instructions, using written supports and visual cues, avoiding double-task situations. Fun cognitive stimulation, without performance pressure, can also support these functions and maintain confidence. The <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">cognitive spotting<\/a> helps distinguish what is related to fatigue from what is a lasting cognitive difficulty, and to adapt accordingly.<\/p>\n<p>It is important to highlight a significant link: fatigue and cognition are closely related in MS. Fatigue severely degrades cognitive performance\u2014a exhausted person memorizes less well, concentrates less, reasons more slowly. A cognitive difficulty observed at the end of the day, when fatigue is at its peak, does not necessarily reflect the person's actual abilities in the morning, when rested. This has a major practical implication: place cognitively demanding activities (learning, procedures, decisions) at times of better energy, and lighten expectations when fatigue sets in. Confusing a drop in performance related to fatigue with a definitive cognitive decline would be a mistake, both unfair to the person and a source of discouragement.<\/p>\n\n<h2>3. Adapting support in institutions<\/h2>\n\n<h3>3.1 Understanding to avoid misinterpretation<\/h3>\n<p>As with many diseases with invisible symptoms, the quality of support for MS primarily depends on understanding. A team that knows the disease naturally adapts its practice; an uninformed team risks misinterpreting behaviors and adding suffering to the disease. The table below illustrates this decisive contrast.<\/p>\n<p>This erroneous interpretation of behaviors is undoubtedly the most common trap. Mistaking fatigue for laziness, variability for acting, forgetfulness for disinterest: these misunderstandings, fueled by the invisibility of symptoms, turn a helping relationship into a source of tension and judgment. However, often just a little knowledge about the disease is enough to change everything: understanding that fatigue is neurological, that capacities truly fluctuate, that cognitive disorders exist, defuses judgment and paves the way for a fair attitude. That is why training and informing teams is not a theoretical supplement, but the most direct lever for improving daily support.<\/p>\n<div class=\"before-after\">\n  <div class=\"ba-col before\">\n    <h5>\u2717 Without understanding of MS<\/h5>\n    <ul>\n      <li>\u201cYesterday she could, today she exaggerates\u201d<\/li>\n      <li>\u201cHe looks fit, he can make an effort\u201d<\/li>\n      <li>The same pace is imposed every day<\/li>\n      <li>\u201cHer forgetfulness is because she doesn't pay attention\u201d<\/li>\n      <li>Activity is pushed despite fatigue<\/li>\n      <li>The person exhausts themselves, becomes discouraged, decompensates<\/li>\n    <\/ul>\n  <\/div>\n  <div class=\"ba-col after\">\n    <h5>\u2713 With understanding of MS<\/h5>\n    <ul>\n      <li>We accept the fluctuation of abilities<\/li>\n      <li>We believe the person about their feelings, without proof required<\/li>\n      <li>We adjust the pace according to the state of the day<\/li>\n      <li>We recognize cognitive disorders and adapt<\/li>\n      <li>We respect and anticipate fatigue<\/li>\n      <li>The person preserves their energy and confidence<\/li>\n    <\/ul>\n  <\/div>\n<\/div>\n\n<h3>3.2 The principles of adaptation<\/h3>\n<p>Some principles guide the support of MS. <strong>Adapting to fluctuation:<\/strong> accept that abilities vary from day to day, observe the current state, adjust accordingly without judgment. <strong>Managing energy:<\/strong> break tasks down, prioritize, plan rest times, place important tasks during better times. <strong>Adapting to heat:<\/strong> heat worsens symptoms; ensure cool environments, especially in summer. <strong>Supporting cognition:<\/strong> allow time, simplify, use visual and written aids. <strong>Accompanying emotions:<\/strong> recognize anxiety and distress related to the uncertainty of the disease, and respond with kindness.<\/p>\n<p>The common thread of all these principles is flexibility. While many supports rely on regularity and routine, MS, on the contrary, requires a constant ability to adapt. A rigid program, identical every day, is doomed to fail, as it does not take into account the variability of the disease. The effective supporter is one who observes the state of the day and adjusts: offer more on good days, lighten on difficult days, without ever blaming the person for their variations. This flexibility is not laxity; it is a fine and demanding adaptation to the reality of the disease. It also requires effectively communicating information within the team: what is observed about a person's state must circulate, so that everyone can adjust their approach accordingly and the person does not have to justify themselves constantly.<\/p>\n\n<div class=\"tip-box\"><p><strong>\ud83d\udca1 Practical advice:<\/strong> heat is an unknown enemy of MS. An increase in body temperature (heatwave, hot bath, effort, fever) can temporarily worsen symptoms \u2014 this is the \u201cUhthoff phenomenon.\u201d In facilities, ensure cool rooms, offer cold drinks, avoid exertion during hot hours, and adapt activities in summer makes a real difference to the well-being and abilities of the person. Conversely, cooling strategies (cooling vest, misting device, air-conditioned room during heat peaks) can help preserve abilities. Knowing this phenomenon also prevents unnecessary worry: a worsening related to heat is reversible and does not mean a flare-up of the disease.<\/p><\/div>\n\n<div class=\"formation-block\">\n  <div class=\"formation-grid\">\n    <a href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\" class=\"formation-img\">\n      <img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\" alt=\"Training on Multiple Sclerosis in facilities: understanding the disease and adapting professional practice\">\n    <\/a>\n<div class=\"formation-inner\">\n      <span class=\"formation-badge\">\ud83c\udf93 Certifying training<\/span>\n      <h3>Multiple sclerosis in institutions: understanding the disease and adapting professional practice<\/h3>\n      <p>This online training is aimed at support professionals (caregivers, AS, home helpers, facilitators) and families. It teaches you to understand MS, its visible and invisible symptoms, its fluctuating logic, and to adapt your practice flexibly. At your own pace, 100% online, certifying <strong>Qualiopi<\/strong>.<\/p>\n      <div class=\"formation-meta\">\n        <span>\ud83d\udcbb 100% online<\/span>\n        <span>\u23f1\ufe0f At your own pace<\/span>\n        <span>\u2705 Qualiopi<\/span>\n      <\/div>\n      <a href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\" class=\"btn-formation\">Discover the training \u2192<\/a>\n    <\/div>\n  <\/div>\n<\/div>\n\n<h2>4. MS in daily life: concrete examples<\/h2>\n\n<p>Nothing helps understand MS better than lived situations. The three examples below show how understanding the disease transforms support, especially in the face of its invisible and fluctuating symptoms. Each time, the same shift occurs: a behavior initially interpreted as a flaw (laziness, disinterest, acting) turns out to be the direct manifestation of the disease, and understanding paves the way for fair and calm support.<\/p>\n\n<div class=\"scenario-grid\">\n  <div class=\"scenario-card\">\n    <div class=\"sc-tag\">Situation 1 \u00b7 SSR \u00b7 Fatigue<\/div>\n    <h5>Mrs. V., 42 years old, \u201cdoes nothing in the afternoon\u201d<\/h5>\n    <div class=\"sc-label\">Misunderstood \u2717<\/div>\n    <div class=\"sc-standard\">Active in the morning, Mrs. V. collapses in the afternoon and cancels her activities. The team believes she is unmotivated, even depressed, and pushes her to \u201cget moving.\u201d Under pressure, she exhausts herself further and feels guilty.<\/div>\n    <div class=\"sc-label good\">Well supported \u2713<\/div>\n    <div class=\"sc-adapted\">The trained team understands the fluctuating neurological fatigue of MS. Important activities are scheduled for the morning, rest is planned for the afternoon, and efforts are timed. Mrs. V., respected, manages her energy better and participates calmly.<\/div>\n  <\/div>\n  <div class=\"scenario-card\">\n    <div class=\"sc-tag\">Situation 2 \u00b7 Home \u00b7 Cognition<\/div>\n    <h5>Mr. D., 38 years old, \u201ccan\u2019t keep up, neglects himself\u201d<\/h5>\n    <div class=\"sc-label\">Misunderstood \u2717<\/div>\n    <div class=\"sc-standard\">Mr. D. forgets appointments, loses track of instructions, seems \u201celsewhere.\u201d It is interpreted as disinterest. He is blamed for it, which worsens his anxiety and loss of confidence.<\/div>\n    <div class=\"sc-label good\">Well supported \u2713<\/div>\n    <div class=\"sc-adapted\">Cognitive disorders related to MS are recognized: slowing down, attention and memory difficulties. Time is given, instructions are simplified, written and visual supports are used. Mr. D., understood and supported, regains confidence and organization.<\/div>\n  <\/div>\n  <div class=\"scenario-card\">\n    <div class=\"sc-tag\">Situation 3 \u00b7 MAS \u00b7 Variability<\/div>\n    <h5>Mrs. L., 50 years old, \u201cmoody depending on the day\u201d<\/h5>\n    <div class=\"sc-label\">Misunderstood \u2717<\/div>\n    <div class=\"sc-standard\">One day Mrs. L. walks without assistance, the next she needs a wheelchair. The team talks about inconsistency, suspects acting. The relationship becomes tense, Mrs. L. feels judged and misunderstood.<\/div>\n    <div class=\"sc-label good\">Well supported \u2713<\/div>\n<div class=\"sc-adapted\">The team understands the fluctuation inherent to MS: abilities truly vary from day to day, depending on flare-ups and fatigue. We adapt to the state of the day without judgment. Mrs. L. finally feels believed and supported with flexibility.<\/div>\n  <\/div>\n<\/div>\n\n<h2>5. Supporting daily life: DYNSEO tools<\/h2>\n\n<h3>5.1 Managing energy, organizing, motivating<\/h3>\n<p>DYNSEO tools support the major challenges of daily life with MS: managing limited energy, organizing despite cognitive disorders, and maintaining motivation in the face of a demanding illness. Simple and visual, they can be used by both professionals and families.<\/p>\n<p>These supports follow a simple logic: compensate for what has become difficult to preserve autonomy and energy. When memory and organization falter, an external support (board, visual schedule) relieves the person of the effort to remember everything, and prevents additional stress and fatigue related to forgetfulness. When fatigue requires pacing, a visual timer makes the time for effort and rest tangible. When morale wavers in the face of illness, a motivation board values efforts and maintains engagement. Far from being gadgets, these tools specifically address the concrete difficulties that MS creates in daily life, and each can be adapted to the person's current state \u2014 more support on difficult days, more autonomy on good days.<\/p>\n\n<div class=\"resource-grid\">\n  <div class=\"resource-card\">\n    <h5>\u23f1\ufe0f Visual timer<\/h5>\n    <p>Pace efforts, structure activity and rest to manage fatigue.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/timer-visuel\/\">Discover \u2192<\/a>\n  <\/div>\n  <div class=\"resource-card\">\n    <h5>\ud83d\udcca 3-column board<\/h5>\n    <p>Organize and prioritize tasks to save available energy.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-3-colonnes\/\">Discover \u2192<\/a>\n  <\/div>\n  <div class=\"resource-card\">\n    <h5>\ud83c\udfc6 Motivation board<\/h5>\n    <p>Value efforts and maintain engagement in the face of a chronic illness.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-de-motivation\/\">Discover \u2192<\/a>\n  <\/div>\n  <div class=\"resource-card\">\n    <h5>\ud83c\udf21\ufe0f Emotion thermometer<\/h5>\n    <p>Express and track feelings, valuable in the face of illness-related anxiety.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/thermometre-des-emotions\/\">Discover \u2192<\/a>\n  <\/div>\n  <div class=\"resource-card\">\n    <h5>\ud83c\udfaf Choice wheel<\/h5>\n    <p>Restore control and facilitate daily decisions.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/roue-des-choix\/\">Discover \u2192<\/a>\n  <\/div>\n  <div class=\"resource-card\">\n    <h5>\ud83e\uddf0 Complete catalog<\/h5>\n    <p>All DYNSEO support tools, ready to use.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">See all tools \u2192<\/a>\n  <\/div>\n<\/div>\n\n<h3>5.2 Supporting cognition and connection<\/h3>\n<p>Playful cognitive stimulation, without performance pressure, can support the functions affected by MS (memory, attention) and maintain confidence. DYNSEO applications offer this type of support tailored to each individual.<\/p>\n<p>The absence of pressure is fundamental here. A person already weakened by awareness of their cognitive difficulties would not tolerate training perceived as a test to pass, which would only reinforce their feeling of failure. In contrast, a playful, rewarding activity, where one progresses at their own pace and is praised for their successes, restores pleasure and confidence. It is this positive dimension that makes stimulation effective: we do not engage the brain \"against\" the person, but \"with\" them, in a framework that benefits them. And as always with MS, pacing is essential: offer these activities at times of better energy, and know when to stop when fatigue sets in, without ever turning a moment of pleasure into a source of exhaustion.<\/p>\n\n<div class=\"appli-grid\">\n<div class=\"appli-card\">\n    <h5>\ud83d\udfe6 CLINT \u2014 Adults<\/h5>\n    <p>Designed for adults: memory, attention, logic, and language exercises, adaptable to each person's level and energy. Ideal for young adults concerned about MS.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">Discover CLINT \u2192<\/a>\n  <\/div>\n  <div class=\"appli-card\">\n    <h5>\ud83d\udfea SCARLETT \u2014 Seniors<\/h5>\n    <p>For elderly people or in specialized facilities: gentle and rewarding cognitive stimulation, adapted to more fatigable profiles.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">Discover SCARLETT \u2192<\/a>\n  <\/div>\n  <div class=\"appli-card\">\n    <h5>\ud83d\udfe5 MY DICTIONARY \u2014 Communication<\/h5>\n    <p>For people with expression difficulties: expressing a need, a feeling, a discomfort \u2014 useful when fatigue or disorders affect communication.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\">Discover MY DICTIONARY \u2192<\/a>\n  <\/div>\n  <div class=\"appli-card\">\n    <h5>\ud83d\udfe9 COCO \u2014 Children 5-10 years<\/h5>\n    <p>For family and intergenerational contexts: creating connections through play, supporting shared and rewarding moments.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/jeux-de-memoire\/coco-jeux-enfants\/\">Discover COCO \u2192<\/a>\n  <\/div>\n<\/div>\n<div class=\"hl\">\n  <h4>\ud83e\uddea Distinguish fatigue and cognitive disorder<\/h4>\n  <p>With MS, it is not always easy to distinguish what is related to fatigue (variable, reversible) from what is related to a more lasting cognitive disorder. The <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">DYNSEO cognitive tests<\/a> allow for simple identification (memory, attention) that helps better understand the difficulties, adapt the support, and track their evolution over time, in addition to the assessment by health professionals. Conducting these identifications at comparable times (for example, in the morning, at rest) allows for a more reliable picture of actual capabilities, limiting the effect of fatigue. Seeing one's strengths recognized is also an encouragement for the person, whose confidence is often undermined by the disease.<\/p>\n<\/div>\n\n<h2>6. Training to support people with MS<\/h2>\n\n<p>Supporting a person with multiple sclerosis requires specific knowledge: understanding a variable and unpredictable disease, recognizing its invisible symptoms, adapting to fluctuations in abilities, managing fatigue, and supporting cognition and emotions. The DYNSEO training \"Multiple Sclerosis in Institutions: Understanding the Disease and Adapting Professional Practice\" is designed for this. Fully online and accessible at your own pace, Qualiopi certified, it is aimed at both professionals and families. It allows an entire team to share a common understanding of the disease \u2014 a condition for flexible, coherent, and caring support. Open to families, it also provides them with the same reference points as professionals, which reduces misunderstanding at home and makes relatives true partners in support.<\/p>\n<p>Team coherence is particularly decisive with MS, precisely because of its variability. If some team members understand the fluctuation and others interpret it as acting, the person receives contradictory messages and ends up having to justify themselves constantly \u2014 an exhausting burden added to the disease. When all stakeholders share the same foundational understanding (fatigue is real, abilities vary legitimately, invisible symptoms exist), the person is welcomed everywhere with the same fair perspective and flexibility. This is one of the keys to quality support, and it is precisely what the training aims to achieve: to create this common culture that transforms the daily lives of those being supported as well as that of the teams.<\/p>\n\n<div class=\"cta-block\">\n  <h3>\ud83e\udde0 Support MS with understanding and flexibility<\/h3>\n  <p>Understand the disease, its invisible symptoms, and its fluctuating logic: with the certified training \"Multiple Sclerosis in Institutions\" and DYNSEO tools, adapt your practice to preserve the energy, cognition, and dignity of each person.<\/p>\n  <div class=\"btns\">\n    <a href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\" class=\"btn-white\">Discover the training<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\" class=\"btn-outline\">Our tools<\/a>\n  <\/div>\n<\/div>\n\n<\/main>\n<section class=\"faq-section\">\n  <div class=\"container\">\n    <h2>\u2753 Frequently Asked Questions about MS in Institutions<\/h2>\n    <div class=\"faq-item\">\n      <h4>Why do the abilities of a person with MS vary from day to day?<\/h4>\n      <p>Because fluctuation is at the heart of the disease. MS often progresses in relapses (worsening of symptoms) and remissions (improvement), and daily fatigue, heat, or stress can vary abilities, sometimes from hour to hour. A person may walk unassisted one day and need a wheelchair the next \u2014 this is neither comedy nor inconsistency, but the reality of the disease. Support involves adapting to the current state, without judging or demanding an impossible consistency.<\/p>\n    <\/div>\n    <div class=\"faq-item\">\n      <h4>Is MS fatigue real fatigue?<\/h4>\n      <p>Yes, and it is one of the most disabling and misunderstood symptoms. It is not ordinary fatigue that rest can erase: it is neurological fatigue, deep, which can occur suddenly and unrelated to effort. A simple conversation or a short trip can be exhausting. It is often more pronounced in the afternoon and worsened by heat. Mistaking it for laziness and pushing to \"get moving\" is counterproductive: on the contrary, it must be respected, activities should be broken down, and rest times planned.<\/p>\n    <\/div>\n    <div class=\"faq-item\">\n      <h4>Does MS affect memory and concentration?<\/h4>\n      <p>Yes, in a significant number of cases, even if these cognitive disorders are less known than motor disorders. They manifest as forgetfulness, difficulties with attention and concentration, and especially a slowdown in information processing: the person understands and reasons well, but more slowly. These invisible difficulties cause suffering and anxiety. They are supported by allowing time, simplifying and breaking down instructions, using written and visual aids, and avoiding dual-task situations.<\/p>\n    <\/div>\n    <div class=\"faq-item\">\n      <h4>Why does heat worsen symptoms?<\/h4>\n      <p>It is the \"Uhthoff phenomenon\": an elevation in body temperature (heatwave, hot bath, intense effort, fever) slows down nerve conduction in fibers where the myelin is damaged, which temporarily worsens symptoms. These exacerbations are reversible with a return to normal temperature, but they are real and disabling. In practice, it is important to ensure cool environments, offer cold drinks, avoid exertion during hot hours, and adapt activities in summer. It is a simple adaptation but with a strong impact.<\/p>\n    <\/div>\n    <div class=\"faq-item\">\n      <h4>How to react to a person who \"seems to be doing well\" but says they cannot?<\/h4>\n      <p>By believing them. The gap between appearance and experience is immense in MS: fatigue, cognitive disorders, and pain are not visible. Demanding visible proof of difficulty, or suspecting exaggeration, adds suffering to the disease and destroys trust. Believing the person in their feelings, without demanding justification, is a fundamental act of respect. It is also the most effective: a person who feels believed and understood invests more in their support.<\/p>\n    <\/div>\n    <div class=\"faq-item\">\n      <h4>Can cognitive stimulation help in the case of MS?<\/h4>\n      <p>Yes, in addition to care. Playful cognitive stimulation, without performance pressure, can support affected functions (memory, attention) and maintain confidence, often weakened by awareness of difficulties. The application CLINT, designed for adults, offers exercises adaptable to each person's level and energy \u2014 an important point, as fatigue must be respected. DYNSEO cognitive tests also help better understand difficulties and track their evolution. These tools complement rehabilitation, they do not replace it.<\/p>\n    <\/div>\n    <div class=\"faq-item\">\n      <h4>How to support morale in the face of such an uncertain disease?<\/h4>\n      <p>Living with the uncertainty of MS \u2014 never knowing what tomorrow will bring \u2014 is a major psychological challenge, and anxiety as well as depression are common. Emotional support is therefore essential: recognizing distress without minimizing it, valuing what the person can still do rather than pointing out losses, maintaining social connections and enjoyable activities suited to their energy. Tools like the emotion thermometer help express feelings. And if depression sets in, it is important to refer to health professionals: it can be treated.<\/p>\n    <\/div>\n    <div class=\"faq-item\">\n      <h4>Who is the DYNSEO training on MS aimed at?<\/h4>\n      <p>It is aimed at professionals providing support in institutions (SSR, group homes, MAS, Nursing home) as well as at home \u2014 caregivers, nursing assistants, home helpers, activity coordinators \u2014 as well as families and informal caregivers. Completely online and accessible at your own pace, it is Qualiopi certified. It covers understanding the disease, its visible and invisible symptoms, its fluctuating logic, and adapting practice (managing fatigue, cognitive and emotional support), with concrete solutions that can be directly applied in daily life.<\/p>\n    <\/div>\n  <\/div>\n<\/section>\n<div class=\"container\">\n<div class=\"cta-block\">\n  <h3>\ud83c\udf1f Support multiple sclerosis with accuracy and kindness<\/h3>\n  <p>From managing fatigue to supporting cognition and emotions, through the certified training \"Multiple Sclerosis in Institutions\" and DYNSEO tools, adapt your support to a disease as unique as each person affected by it.<\/p>\n  <div class=\"btns\">\n    <a href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\" class=\"btn-white\">Follow the training<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\" class=\"btn-outline\">Our tools<\/a>\n  <\/div>\n<\/div>\n<\/div>\n\n<footer>\n  <p>DYNSEO \u2014 Specialist in cognitive stimulation and professional training in health \u00b7 Paris 75015<\/p>\n  <div class=\"footer-links\">\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">Our tools<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">Our tests<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-formations\/\">Our training<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/\">dynseo.com<\/a>\n  <\/div>\n<\/footer>\n<\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[2915],"tags":[],"class_list":["post-720738","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-conseils-des-coachs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Multiple Sclerosis in Institutions: Understanding the Disease and Adapting Practice - DYNSEO - DYNSEO - Educational apps &amp; 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