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Published byRoy Horton Modified over 7 years ago
Dementia A degenerative syndrome characterized by deficits in memory, language, and mood. The most common form: Alzheimer’s Disease Usually slow onset Characterized by three stages.
What happens in the brain? Plagues & Tangles Signs & Symptoms: Short-term memory loss Psychosis, aggression, may have personality changes, Eventually loss of judgment, unable to care for oneself
Alzheimer’s Association, 2011
Those affected by Alzheimer’s Caregiver burden is high: Who are the caregivers? 17.5 billion hours of unpaid care to patients with Alzheimer’s (Alzheimer’s Association, 2013) Estimated value of $216 billion Medicare is the largest payer for paid care (hospitals, doctors, etc)
Treatment / Prevention Medications available to help slow progression, treat some symptoms Lifestyle factors Vitamin E
Parkinson’s Disease (PD) Movement disorder that results from degeneration of nerve cells in basal ganglia. Cause: Unknown Environmental factors may be key, especially undetected viruses
Signs & Symptoms of PD Tremor Rigidity Loss of reflexes Mask-like facial expression
Surgical Treatment of PD Deep brain stimulation Generates electrical activity Not curative
Treatment / Prevention of PD Medications Physical therapy Occupational therapy Supportive care Prevention??
Chronic, progression disorder of unknown origin. Possible causes: Viruses, immunologic reaction to virus, bacteria, trauma, autoimmunity, and genetics. Cause remains inconclusive
Signs & Symptoms of MS Muscle impairment Loss of balance / poor coordination Numbness / tingling Difficulty speaking clearly Double vision
Treatment & Prevention of MS Currently, no cure Some therapies may help with symptoms Physical Therapy Muscle relaxants Acupuncture Connection to Vitamin D???
Amyotrophic Lateral Sclerosis (ALS)
AKA: Lou Gehrig’s Disease Chronic, terminal, neurological disease characterized by progressive loss of motor neurons. Cause: unknown Slightly more common in men
Symptoms of ALS Early symptoms include Tripping, dropping things, abnormal fatigue of arms/legs, slurred speech, muscle cramps As the disease progresses: Difficulty in lifting, walking or using arms/hands, chewing, swallowing and eventually breathing become difficult Only affects motor neurons
Treatment / Prevention of ALS Early education to patient and family on how to care for patient. Special attention to airway Can it be prevented?
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