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Degenerative conditions (Multiple sclerosis (Eitiology (Unkown), Medical…
Degenerative conditions
Multiple sclerosis
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Risk factors
Smoking, Obesity, Genetic
Nursing management
Avoid skin pressure and immobility, Perform muscle stretching exercise to minimise joint contraction
clinical manifestations
Weakness, Fatigue, Loss of balance, Numbness, Diplopia
Health education
Importance of eating a well balance diet, Encourage adequate fluid intake and frequent urination, Avoid exposure to bacteria or virus
Parkinsons disease
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Medical management
Dopaminergic agents, Dopamine agonist, Anticholinergics are to be administered PRN
Pathophysiology
The deficit is depletion of dopamine due to the loss of neurons in the substantia nigra, Ious cerulus and pigmented areas of the brainstem and basal ganglia
Surgical management
Ablative surgery, Thalamotomy and Deep brain stimulation surgeries
Nursing management
Improve mobility, Enhance self care, Improve bowel elimination, Enhance swalowing
Risk factors
Head trauma, Gender, Genetic factors, Age
Clinical manifestation
Tremors, Rigid muscle loss, Impaired posture or balance, Speech changes, Loss of automatic movement
Huntington's chorea
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Medical management
Antispasmodic agent, Antipsychotic agents and Antidepressant may be used to alleviate behavioural problems and anxiety
Clinical manifestation
Unsteady gait, Paranoia, Stronger deep tendon reflexes, Abnormal eye movement
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Nursing management
Provide emotional support to patient, Muscle stretching exercise, Enhance swallowing
Health education
If patient have family history of Huntington's chorea is advice to have genetic counselling before having kids
Alzheimers disease
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Health education
Educate family members to remove all harmful or hazardous objects to promote patient safety, Make sure that patient take medication accordingly
Risk factors
Stroke, High blood pressure, Cardiovascular diseases are risk factors for Alzhemier, Daibetes, Age, Family history
Medical management
Antipyschotic agents and antidepressant can be used to alleviate behavioural problems and distressing anxiety
Nursing management
Reduce anxiety, Assess level of confusion and disorientation, Maintain daily schedule routine to prevent problems that may result fro thirst, hunger or lack of sleep
Clinical manifestations
Delusions, Social withdrawal, Distrusting in others, Behavioral dysfuntion, Apraxia, memory loss