MS and Parksinson Flashcards
How is Parkinsons caused?
Caused by degeneration of neurons in the substantia nigra
*these neurons produce dopamine, a neurotransmitter
What are the 3 major symptoms of Prk’s?
- Bradykinesia
- Muscle Rigidity
- Resting tremor
Some other Symptoms of Prks:
- Mask-like face
- Pill-rolling tremor
- Cog-wheel rigidity (rhythmic jerking during PROM)
- Dysdiadokokinesia (inability to perform rapid repetitive movements)
- Micrographia
what are some early signs of prks:
- hand tremor
- Fine motor difficulty
- Heavy feeling and stiffness in limbs
- Rigidity especially in neck area
- Difficulty negotiating way through small areas
what are some later signs of prks:
- festinating gait
- stooped posture
- loss of arm swing
what are the latest stages of prks:
Long term care?
- frequent falls
- incontinence
- skin breakdown
What is “freezing” in Prks?
momentary inability to move one’s feet or to keep an action moving
* “glued to the floor”
How TA can encourage client during their freezing episodes?
-deep breathing
-light touch!!
calm verbal support
What client can do during freezing epidose:
- exaggerate lifting of feet
- swing arms freely
- lift toes inside of shoes
- rocking back and forth
What is MS?
- a chronic progressive disease; Demyelination occurs in random and scattered areas throughout the CNS
- transmission of nerve frrom and to brain is impaired
What are some primary symptoms for MS?
- Fatigue
- Double vision
- Paresthesia
- Weakness
- Ataxia
What is the typical age for MS?
between 20 and 50
What is the typical age for Prks?
between 50 an 70
What is MS affected by?
ie. what makes it worse
- stress
- heat
- pain
- fatigue
When is treatment best for client in MS?
in the morning, when client is most rested
