BRAIN RELATED SYMPTOMS

NUR 330 Exam 6

• Central Nervous System Disorders

Disorders affecting the brain and spinal cord.

-PD -MS -ALS

BRAIN RELATED SYMPTOMS

• Parkinson's Disease (PD)

a chronic, degenerative central nervous disorder in which there is a lack of dopamine which causes progressive loss of control over movement.

• Parkinson's Disease (PD)

Risk Factors

Environmental and Genetic

Exposure to chemicals or harsh metals Family History Older than 40 Male

• Parkinson's Disease (PD) 1 / 3

Manifestations

Four Cardinal Signs

Tremor -Resting tremors in upper extremities

Muscle Rigidity -(not as flexible, very stiff) -"Mask Like" facial expression -Reduced arm swinging Bradykinesia (move slower)

Postural Instability (shuffling gait)

• shorter steps
• reduced arm swinging
• Forward tilt of trunk

• Parkinson's Disease (PD)

Assessment

History

Physical

• 4 cardinal Manifestations
• Emotional Changes

-Due to imbalance of NT

• Speech changes
• Bowel and Bladder Changes
• Due to CNS affected

• Parkinson's Disease (PD)

Priorities and Management 2 / 3

SUBSCRIBE

There are no Diagnos- tic tests, only rule out other disorders.

Priorities

• Safety (Fall Risk)
• Promote Sleep (Cog Dysfunction)
• Infection

-Home care prep

• Promote Mobility (DVT)

• Multiple Sclerosis (MS)

Autoimmune disorder that affects the myelin sheath and nerve fibers of the brain and spinal cord.Demyelination

Nerve signals are slowed = WEAKNESS

• Multiple Sclerosis (MS)

Etiology and Risk

Ages 20-50

Caucasian of Northern European ancestry !!

• Multiple Sclerosis (MS)

Assessment and Manifestations

History

• Changes in vision- BLURRY
• Changes in sensory perception- NUMB AND TINGLING
• / 3