I don't think it is off topic at all. What symptoms are exacerbated right now? MS affects so much of the body: cognitive, muscular, occular, bowel/bladder control, sensory dysfunction, pain, fatigue, and more. It is such a hideous disease.

I guess if you view your actions as being uplifting rather than helpful perhaps she won't feel so much out of control. Not having MS, I can only imagine that her frustration is not so much as being private but that if she accepts help it will be just one more thing she has lost control of. Does that make any sense at all? I'm not sure if it does. And it might not apply to your friend, I'm just thinking how I'd feel if I were her.

Cookies for the kids are great. If you fix a dinner you might want to do a casserole that can be frozen and pulled out when she wants it, rather than having it ready right then and there and run the risk that she already had supper planned.

Books and movies are good, but if her vision is distorted, as it can get during exacerbations an audio book might be better.

Truly, I feel your frustration because as I read your post I thought 'what would I do?" and the answers just didn't come very easy. It is a very tricky thing to try and help someone who is trying their hardest to remain independent and keep their privacy.

Many prayers and hugs sent your way to both of you and her family.

P.S. I am a big believer in laughter. The tattoo idea is cute and hopefully will make her laugh.