Week 4 - C - Allied Health Professionals in Neurology Flashcards

1
Q

Allied health professionals are very important when it comes to helping with neurological conditions

Which allied helath professionals aim is this?
Optimise independence & enable participation,

 no matter what form that may take.
A

This is the role of the occupational therapist

They help assess the patient ability to carry out ADLs and any imporvements that can be made to help make their home environment more comfortable

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2
Q

Which AHP is this?

AIM: Maximise physical function by implementing approaches to re-learn or re-establish movement patterns.

A

This is the role of the physiotherapist

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3
Q

Which AHP?

AIM: Overcome issues with eating, drinking & swallowing,

 and help those with difficulty speaking or using 

 language to communicate.
A

This is the role of the speech and language therapist

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4
Q

AIM: Optimise nutritional status through assessment,
monitoring & review of dietary needs & intake, to

 positively impact on overall neuro rehab goals.

Which AHP?

A

This is the role of the dietitian

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5
Q

This AHP helps creat an externally applied device used to modify the structural and functional characteristics of the neuromuscular and skeletal system”.

The aim is

Maximise safety, mobility & recovery, and minimise need

for long-term care by preventing secondary complications.

What AHP is this?

A

This is the orthotist

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6
Q

AIM: Use music therapy techniques to target deficits arising
from acquired & neurodegenerative conditions, and help secondary impact of deficits on mental health.

Which allied health professional is this?

A

This is music therapy - a branch of arts therapy

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7
Q

What is multiple sclerosis?

A

An autoimmune inflammatory demyleinating disorder of the CNS

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8
Q

What is the main type of MS?

What are some common symptoms?

A

Relasping remitting MS - roughly 85% of cases

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9
Q

What are some of the symptoms of MS?

A

Optic neuritis
Cerebellar and brainstem features - CN VI,VII
Lower urinary tract symptoms

Fatigue

Depression

Pyramidal dysfunction

Sensory symptoms (pain, loss of proprioception and vibration ie balance problems)

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10
Q

What AHPs are involved in MS?

Also what is given to treat the fatigue?

A

Physiotherapy - support for the balance problems
Occupational Therapy - techniques to manage fatigue
Speech and language therapy - helps manage dysphagia

Dietitian - helps to combat the weight loss

Amtanadine is given to treat the fatigue

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11
Q

Progressive, terminal illness that affects motor neurones
transmitting messages between the brain & spinal cord and

muscles throughout the body.

WHat is this?
What AHP is helpful to help with breathing exercises for the breathing difficulty?

A

Motor neuron disease

Physiotherapist

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12
Q

What other AHPs are in MND?

What drug can be gven in MND?

A

Phsyiotherapist
Orthotist - devices for head support as muscles arent working

Speech and language therapist

Riluzole - only drug licensed for treatment - After 12-18 months of treatment, it may increase survival by two to four months

on average.

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13
Q

Chronic, progressive neurodegenerative condition characterised by motor & non-motor difficulties arising from brain dysfunction through reduced production of dopamine.
3 main symptoms are?

What is this disease?

What area is affected by the loss of the dopaminergic neurons?

A

Parkinsons disease
Loss of the dopaminergic neurons of the substantia nigra

Bradykinesia, resting tremor, rigidity

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14
Q

What AHPs in Parkinson’s disease?

A

Physiotherapist
Occupational therapist
Music Therapist

Aid motor & cognitive rehabilitation in PD. Playing & listening to music, as well as rhythm, can play a vital role in the rehab process. Positive effect on balance, limb co-ordination, & gait as well as impacting emotional & cognitive aspects.

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15
Q

Rare but most common form of neuromuscular paralysis mainly affecting young adults and usually triggered by an infection. Whilst most people recover fully, rehab & recovery can be extensive and some will be left with long-term residual disability.

WHat is this?
What infections can trigger it? ( most common)

A

Guillain Barre syndrome - triggered by camplbacter jejuni - most common (and mycoplasma pneumoniae)

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16
Q

What can be given as treatment for GBS?

What allied health professionals are important in the acute phase?
How long is the acute phase?

A

IV immunoglobulin and/or plasma exchange

Physiotherapist, Speech and language therapist and Occupational therapist are important in the acute phase

Progressive phase of up to 4 weeks followed by recovery