OCTY2210 Lecture Notes - Lecture 13: Chorea, Cerebral Cortex, Feeding Tube
Document Summary
Signs: tremor resting and pill rolling, rigidity, dyskineasias, festinating gait, difficulty swallowing, autonomic deficits, weakness, hyperreflexia, visual loss in one eye, fatigued, worsening of symptoms with increased body temp. Three patterns of ms: relapsing and remitting, secondary progressive, primary progressive, assistive tech, home modifications, alternate strategies, community. Access: community support groups, education, energy conservation. Ot role with destruction of substania nigra: levodopa a dopamine. 10 years of use: stereotatic surgery, motor side effects after 5. Psychosocial consequences: distress with tremor, role changes, depression, self esteem, financial burden. Immune modulating medications: medications for fatigue, spasticity, depression, pain and bladder movement. Impact on worker role: financial consequences, social isolation, depression, role changes, self esteem/ identity. Lateral sclerosis motor neuron disease, late onset impacting umn and. Impacts voluntary muscle control: medication for muscle cramping, excessive salvia, depression and pain, ventricular support, feeding tube. Lower motor neuron: weakness of extremities, cervical extensor weakness, breathing problems.
