Multiple Sclerosis Case Summary

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A 21 years old man with multiple sclerosis (MS) is admitted. The interdisciplinary team feels he may need a feeding tube for nutritional purpose. They ask the patient about this in the morning and he agrees. However, before the tube has been placed in the evening, the patient becomes disoriented and seems puzzled about his verdict to have the feeding tube placed. He tells the team he doesn't want it in. The team goes back to the question in the morning when the patient is again coherent. Incapable of recollection of his feelings from the previous evening, the patient again reach a decision to proceed with the procedure. This patient's fundamental disease is damaging his executive capacity. If his wishes are consistent during his articulate
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