Chewing or grimacing repetitive jerky or writhing

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Chewing or grimacing Repetitive jerky or writhing movements Some side effects may be reduced by anti-Parkinson agents Psychotherapy and psychosocial rehabilitation Creutzfeld Jacob disease- type of dementia Rare, rapidly progressive Cause by prion ingestion or transmitted through contaminated blood May be iatrogenic (invasive procedures, surgery, and transfer prions) Mostly sporadic Long incubation period Memory loss, behavioral changes, motor dysfunction, progressive dementia Huntington’s Disease (opposite of Parkinson) movement disorder Congenital disorder, Autosomal dominant (meaning it’s on the first 22 genes and all you have to have is one carrier) – late onset disease can possibly be genetic or spontaneous for no reason It has dementia with it but dopamine is increased amounts so client is over active causing constant movement- over while they are unable to feed themselves due to over active movement, eventually lose cognitive understanding, become hostile, this happens in 40-50 and they sometimes need 6,000-7,000 calories a day to keep them from starving to death due to their constant movement Inherited disease from Autosomal dominant gene that is carried on chromosome 4
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Does not usually manifest until 40+ years Progressive atrophy of the brain (particularly in basal ganglia (nuclei( and frontal cortex) Depletion of GABA in basal nuclei Levels of ACH in brain appear to be reduced Signs & symptoms Mood swings, personality changes Restlessness, choreiform movements in arms and face Late onset of symptom development Diagnostic tests: DNA analysis Treatment: Currently no therapy to slow disease process only symptomatic therapy Parkinson’s Disease (movement disorder) -Movement disorder because of inadequate amount of dopamine- the patient becomes stiff and produces tremors -Classics: client is so stiff that it takes so long to take movement and when they start to walk they have a short shuffle and clients usually flop into a chair but cannot get themselves up you may see them push their head to the floor and use lower body to eventually get themselves up (this is classic toward the end stage) they have trouble chewing, swallowing, and eating – medication should be taken before hand so they can swallow and the onset is when they eat Progressive degenerative disorder Dysfunction of the extrapyramidal motor system Progressive degeneration in basal nuclei with imbalance between excitation and inhibition in basal nuclei Excess stimulation affects movement and posture Resting tremors, muscular rigidity, difficulty initiating movement and postural instability Primary or secondary Parkinson’s (due to trauma, drugs (phenothiazine) or environment Common early signs and symptoms Fatigue, muscle weakness, muscle aching Less spontaneous changes in facial expression Tremors in the hands at rest, repetitive “pill-rolling” motion of the hands Later signs and symptoms
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