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Parkinsons disease and treatment paper
Parkinsons disease and treatment paper
Parkinsons disease and treatment paper
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Parkinson’s disease has a dramatic impact on one’s ability to control everyday movements, thus affecting quality of life and independence. (Sage, Johnston, & Almeida,2011). Parkinson’s disease is chronic, progressive, as-of-yet incurable(Hirsch, Iyer, Englert, & Sanjak,2011). Pharmacotherapy remains to be the primary treatment for Parkinson’s disease. However, it arouses complications such as motor fluctuations, dyskinesia and wearing off (Sage, Johnston, & Almeida,2011). It prompted the researchers to discover alternative therapies such as exercising, which may have the potential to improve the individual’s suffering from Parkinson’s disease, as exercise is commonly associated with cardiovascular and musculoskeletal benefits. (Sage, Johnston, & Almeida,2011).Based on two journal articles written upon this subject, this article will analyse how exercise have potential to improve the indvidual’s suffering from Parkinson’s disease. It will also compare similarities and differences of the research. The first article, “Promoting exercise in Parkinson’s Disease through community-based participatory research” written by Hirsch, M.A., Iyer, S.S., Englert,D. & Sanjak,M., was published in 2011 by future medicine limited. The aim of this article was to introduce a novel approach on delivering physical activity (exercise) for clients with Parkinson’s disease. The authors describe the community -based participatory research (CBPR) which engaged people with Parkinson’s disease. Patients were advocating as co- researchers in the development of community based research programs (Hirsch, Iyer, Englert, & Sanjak,2011). This was followed by a further discussion of providing some examples of community exercise programs and suggestions(Hirsch, Iyer,... ... middle of paper ... ... exercise intervention. Thus, the only addition to a participant’s normal routine was the exercise program they were assigned.” (Sage, Johnston, & Almeida, 2011).Therefore this method used was appropriate as they only used diagnosed participants for research instead of using all people with different types of Parkinson’s disease as it might not yield the same results as it’s really hard to proceed with so much information; whereas according to Hirsch et al. (2011), study was based on community and engages people with Parkinson’s disease and patients were advocating as a co researchers. This study was not that much appropriate as research was done on whole community without diagnosed any participants with Parkinson’s disease. Results yield from this study was based on whole community and was not limited to the diagnosed participants for the exercise research group.
Many people, like myself, after watching an episode of “The Michael Jay Fox Show,” started to be come curious as to what exactly this disease is. You ask yourself; What is this disease? What causes it? Can it be passed down from generation to generation? Is there a treatment? What would your life be like suffering from this? Through my research on Parkinson’s disease, I am determined to answer these questions. I hope to have a better understanding on this disease, and how it affects the lives of patients that I might see in a hospital.
Salgado, S., Williams, N., Kotian, R., & Salgado, M. (2013). An Evidence-Based Exercise Regimen for Patients with Mild to Moderate Parkinson's Disease. Brain Sciences (2076-3425), 3(1), 87-100.
Goldmann, David R., and David A. Horowitz. American College of Physicians Home Medical Guide to Parkinson's Disease. New York: Dorling Kindersley Pub., 2000. Print.
With more than 200,000 US cases per year, Parkinson’s disease has become a major part
Parkinson disease (PD), also referred to as Parkinson’s disease and paralysis agitans, is a progressive neurodegenerative disease that is the third most common neurologic disorder of older adults. It is a debilitating disease affecting motor ability and is characterized by four cardinal symptoms: tremor rigidity, bradykinesia or kinesis (slow movement/no movement), and postural instability. Most people have primary, or idiopathic, disease. A few patients have secondary parkinsonian symptoms from conditions such as brain tumors and certain anti-psychotic drugs.
Parkinson's is an idiopathic, multifactorial neurodegenerative disease that attacks neurotransmitters in the brain called dopamine. Dopamine is concentrated in a specific area of the brain called the substantia nigra. The neurotransmitter dopamine is a chemical that regulates muscle movement and emotion. Dopamine is responsible for relaying messages between the substantia nigra and other parts of the brain to control body movement. The death of these neurotransmitters affects the central nervous system. The most common symptoms are movement related, including shaking, rigidity, slowness of movement and difficulty with posture. Behavioral problems may arise as the disease progresses. Due to the loss of dopamine, Parkinson's patients will often experience depression and some compulsive behavior. In advanced stages of the disease dementia will sometimes occur. The implications of the disease on the anatomy and physiology of the respiratory and phonatory systems significantly control speech.
Nurse’s play a very important role in the delivery of care to an older person and in complex disease such as Parkinson’s disease, the care provided by a nurse is vital for both the patient and the family of the affected person. The aim of this essay is to understand briefly about Parkinson’s disease and associated issues and the role of the nurse in the management of the condition.
There exists a group of people who live the final years of their lives in glass boxes. They are perfectly capable of seeing outside, but incapable of reaching out to the world around them. Their emotions can not be shown through facial expression, and as their condition continues, speech also becomes difficult or even impossible. These people are men and women of all races and geographical areas, constituting one percent of the world’s population over 50 years old. Parkinson disease is their affliction. Although Parkinsonism has been around almost as long as recorded history, there is yet to be found a cause or a cure. Medications tame the symptoms and prolong life, but are incapable of reversing the disease progression.. Diagnosis relies exclusively upon clinical signs and symptoms, because almost all laboratory and radiography tests are normal in the Parkinson patient. For this reason early diagnosis is very difficult. The fact that early signs of Parkinsonism can easily be overlooked as normal aging, further complicates diagnosis. Therefore, primary care physicians of the middle-aged and elderly population must be extremely sensitive to patients’ outward appearance and changes in movement ability.
Parkinson's Disease is a perpetual, dynamic, neurodegenerative sickness of the elderly for the most part influencing individuals at the age of 60. Nearly 5 million people are suffering from this disease all over the world and 1.2 million people are suffering in United States and Canada with approximately 480 per million people are newly diagnosed each year. This disease not only affects the patient but also it is a cause of worry among patient's loved ones and family members. Though, the news of the recent disease diagnosis haunt every individual and his nears and dears but due to several support groups and societies and several scientific breakthroughs have put a ray of hope in the life of individual living with Parkinson's disease.
The National Institute of Neurological Disorders and Stroke (NINDS) has published several informational papers on Parkinson’s disease that can be found at http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease.htm. More than a dozen genes have been identified to influence the risk of developing the disease if they are altered. Genes found in the Parkinson disease gene family have a variety of functions in the brain, as well as other activities in other organs and tissues. The survival of particular nerve cells, called neurons, have been impacted by the mutations of these genes, which impact the normal movement, balance and coordination.... ...
The first scientist who discovered Parkinson Disease (PD) was an English doctor, James Parkinson. In 1847 Dr Parkinson published a paper entitled "Essay on Shaky Palsy" describing six
716). Characteristic features of Parkinson's disease include “motor impairment (bradykinesia, rigidity, tremor, gait dysfunction, and postural instability), cognitive impairment (frontal lobe executive dysfunction), and mood disorders” (p. 716). Normally, motor performance depends on the interaction between automatic (unconscious) and volitional (cognitive) control of movement, however those with Parkinson's disease, experience an “early and preferential loss of dopamine in the caudal regions of the basal ganglia (dorsal regions in rodents), which leads to diminished automatic and increased cognitive control of movements that include frontal lobe circuitry” (p. 716). Consequently, those with Parkinson’s disease must sustain a larger cognitive load to execute either motor or cognitive tasks, such as working memory. In the past decade, increasing evidence has accrued for the role of exercise in the improvement of motor performance, which may help both the cognitive and automatic control of movement. Thus, exercise interventions can help those with Parkinson’s disease incorporate goal-based motor skill training, which then helps in engaging circuitry important in motor learning. Individuals with Parkinson's disease become cognitively engaged with the practice and acquiring of movements and skills that were formerly automatic and unconscious. In addition, aerobic exercise is also observed as important for improvement of blood flow and assistance of neuroplasticity in the elderly, which may also play a role in the improvement of behavioral function in those with Parkinson's disease. Petzinger et al. additionally states that exercise also uses goal-based training and aerobic activity which can improve “both cognitive and automatic
James Parkinson first discovered Parkinson's Disease in 1817. Parkinson's Disease is a common neurologic disorder for the elderly. It is a disorder of the brain characterized by shaking and difficulty with walking, movement, and coordination. This disease is associated with damage to a part of the brain that controls muscle movement. Parkinson's Disease is a chronic illness that is still being extensively studied.
Many people around the world today suffer from Parkinson’s disease and other movement disorders. A movement disorder is a disorder impairing the speed, fluency, quality, and ease of movement. There are many types of movement disorders such as impaired fluency and speed of movement (dyskinesia), excessive movements (hyperkinesia), and slurred movements (hypokinesia). Some types of movement disorders are ataxia, a lack of coordination, Huntington's disease, multiple system atrophies, myoclonus, brief, rapid outbursts of movement, progressive supranuclear palsy, restless legs syndrome, reflex sympathetic dystrophy, tics, Tourette's syndrome, tremor, Wilson disease, dystonia, which causes involuntary body movement, and Parkinson's disease. Parkinson’s disease, Tourette’s syndrome, and tics are one of the most widely known of these disorders, known to impair people of movements and rob them of their lives.
In order to examine if there was a link between Parkinson's Disease and smoking habits, scientists conducted a case-control study involving a cohort of 50,002 men who attended Harvard and the University of Pennsylvania. The subjects were given medical evaluations upon college entrance at the time of the study and a series of follow-up mailed questionnaires were sent out to the subjects following their graduation, resulting in a 70% response rate. Four control subjects were randomly selected for each case from the self-reporting subjects in one of these questionnaires, and all of these control subjects satisfied the criteria of all other subjects in the study (i.e. no Parkinson's, attended the same university, had a college entrance exam, etc).