Abstract
Female adolescent young adult patients who received a diagnosis of multiple sclerosis (MS) often experience unpredictable symptoms. Ineffective control of MS-related symptoms can adversely impact the quality of life of patients affected with MS. In this case study, we describe (a) a female adolescent young adult with unpredictable fatigue symptoms, (b) the pathophysiology of MS-related fatigue, (c) the National MS Society-recommended practice guidelines for fatigue, (d) current recommendations for pharmacology management of fatigue, and (e) stressors of patients with MS and their family caregivers. We propose that the use of multiple symptom-control interventions has the potential to promote quality of life and decrease suffering associated with unpredictable symptoms of MS.