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2.2.5 communication breakdown

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Paxtynn Risk

on 7 December 2012

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Transcript of 2.2.5 communication breakdown

Ana Seini Fifita & Paxtynn Risk Patient Background Symptoms Diagnosis potential to develop more symptoms
Average life span is 25 to 35 yrs after onset (vary from person to person)
15 years after disease is onset the chance of walking without help is 50%
can lead to death due to ms
pneumonia
chronic bed sores
trouble swallowing and breathing
immobility
chronic urinary tract infections
urogenital sepsis (infections and
rashes in your genital/urinal area) Name: Helen Sue
Age: 28
D.O.B: October 3, 1984
Enjoys physical activity and is training for the summer olympics. In high school Helen was a gymnast and has kept it up through the years. Helen has a part time job as a gymnastics teacher but on the side she works at a nursing home. Helen's symptoms Multiple Sclerosis Reduce Muscle Spasm: Lioresal (Baclofen), tizanidine (Zanaflex), or a benzodiazepine
Reduce Urinary problems: Cholinergic medications
Fatigue: Amantadiner
Cane, make adjustments to her house to help her keep balance(railing)
Physical Therapy Prognosis 2.2.5 communication breakdown “Pins and needles” feeling in hands and feet (Parietal lobe)
Depressed (Hippocampus)
Fatigue and tired (Brain stem)
come and go
vision loss (Occipital lobe)
balance problems (Cerebellum)
weakness (Cerebellum) Other symptoms http://history.sigmachi.org/women/IS/1967-69 numbness
dizziness
bladder dysfunction
bowel problems
Tremor
mild cognitive and memory difficulties
sexual dysfunction
slurred speech
spasticity (leg stiffness)
swallowing disorders
chronic aching pain Treatment Physiological error Specialist (neurologist) Specialist (physical therapist) Documentation MRI: magnetic resonance imaging
Tests for scar tissue and brain lesions caused by MS
EP: evoked potentials
Tests the electrical activity of nerves. Check if its normal
Spinal Tap
tests for abnormalities in the fluid
Rule out all other diseases and causes: Stroke, Alzheimers, HIV, or Lyme disease educational background
a graduate degree
major in science
some schools offer a pre-physical therapy major
health related courses such as exercise physiology, physical education methods and personal wellness
volunteer hours
a physical therapist program
salary
The average hourly wage is $38.59
$80,264 is the average annual salary Specialist (physical therapist) cont. responsibilities
assess joint motion, muscle strength, and other body functions and structures.
making patients stronger, relieving their pain, helping them to regain and maintain maximum human performance, and educating patients on proper health maintenance.
therapeutic exercise, cardiovascular endurance training, and training in activities of daily living.
employed in hospitals, private physical therapy offices, community health centers, industrial health centers, sports facilities, rehabilitation centers, nursing homes, home health agencies, schools, research institutions, or teach in colleges or universities.
physicians, occupational therapists, nurses, mental health professionals, and speech pathologists and audiologists.
How it’s going to help
with balance
pain
movement and mobility
weakness
fatigue an autoimmune disease
Can be caused from genetics, infectious or environmental factors
Disease attacking the central nervous system
Myelin sheath are being destroyed
the immune system mistakes proteins or antigens as foreign and attacks itself
ms is a result of thinning or completely destroying the myelin and also later on destroying axon’s
t-cells fight off foreign substances in the body and they enter through the blood brain barrier and attack the myelin as if they were foreign
more leaks in the blood brain barrier cause other antibodies to attack, causing swelling and activation of other destructive proteins
The name multiple sclerosis refers to the scars (scleroses; plaques or lesions) that form on the nervous system
lesions cause the leak in the blood brain barrier
lesions most commonly involve white matter areas close to the ventricles of the cerebellum, brain stem, basal ganglia and spinal cord; and the optic nerve.
lesion- an organ or tissue region that has suffered damage educational background
a major most likely in science or a pre-med major
attend medical school
must attend a medical school accredited by the Liaison Committee on Medical Education
pass the United States Medical Licensing Examination (USMLE)
a residency in neurology (4 to 5 years)
clinical fellowship programs are available for doctors who want to go deeper into study
be board certified
Responsibilities
work in hospitals, clinics, or universities treating patients, conducting research, or teaching students
experts at diagnosis and treatment of neurological disorders
examine patients
order and interpret diagnostic tests to determine best course of treatment
participate in clinical studies
conduct research
Salary
the average annual salary is $213,849 Brody, J. E. (2008, March 4). From Multiple Sclerosis, a Multiplicity of Challenges. Retrieved from The New York Times website: http://www.nytimes.com/2008/03/04/health/04brod.html
(2012, December 6). Education required to become a physical therapist. Retrieved from Education Portal website: http://education-portal.com/education_required_to_become_a_physical_therapist.html
Karriem-Norwood, V. (2011, October 10). A visual guide to multiple sclerosis. Retrieved from WebMD website: http://www.webmd.com/multiple-sclerosis/ss/slideshow-multiple-sclerosis-overview
Multiple sclerosis. (2012, November 22). In Wikipedia, The Free Encyclopedia. Retrieved 04:10, December 7, 2012, from http://en.wikipedia.org/w/index.php?title=Multiple_sclerosis&oldid=524371284
(2012, December 6). Multiple sclerosis. Retrieved from The New York Times website: http://health.nytimes.com/health/guides/disease/multiple-sclerosis/overview.html
(2012, December 6). Neurologist: Job requirements and description. Retrieved from Education Portal website: http://education-portal.com/articles/Neurologist_Job_Requirements_and_Description.html
(2012, March 27). Occupational employment and wages, may 2011. Retrieved from Bureau of Labor Statistics website: http://www.bls.gov/oes/current/oes291123.htm
(2012, December 6). Physician - neurology - u.s. national averages. Retrieved from Salary.com website: http://www1.salary.com/neurologist-Salary.html
(2012, December 6). Pre-health career services physical therapy. Retrieved from UCLA career center website: http://career.ucla.edu/students/gradprofschcounseling/PreHealthCareerServices/PhysicalTherapy.aspx
Rose, J. W., Houtchens, M., & Lynch, S. G. (2012, December 6). Lectures: Prognosis. Retrieved from Multiple sclerosis website: http://library.med.utah.edu/kw/ms/prognosis.html
(2012, July). Symptoms of Multiple Sclerosis. Retrieved from Multiple Sclerosis Foundation website: http://www.msfocus.org/Symptoms-of-Multiple-Sclerosis.aspx
(2012, June 12). What are the symptoms of ms? Retrieved from Multiple Sclerosis Association of America website: http://www.msassociation.org/about_multiple_sclerosis/symptoms/?gclid=CMqu1ezb_rMCFYYWMgodBH0Avg Picture Documentation http://www.google.com/imgres?um=1&hl=en&sa=X&tbo=d&biw=1366&bih=679&tbm=isch&tbnid=xpzBl9Sf4LwyKM:&imgrefurl=http://health.howstuffworks.com/diseases-conditions/musculoskeletal/multiple-sclerosis1.htm&docid=NR0QKCXCVCRV0M&imgurl=http://static.ddmcdn.com/gif/multiple-sclerosis-demyelinization.gif&w=400&h=332&ei=iuS4UPKFGMm1ygGWvYC4Ag&zoom=1&iact=hc&vpx=4&vpy=164&dur=1022&hovh=204&hovw=246&tx=138&ty=140&sig=110455366977855722101&page=1&tbnh=151&tbnw=182&start=0&ndsp=24&ved=1t:429,r:0,s:0,i:149
http://www.google.com/imgres?hl=en&sa=X&tbo=d&biw=1366&bih=630&tbm=isch&tbnid=ZvVZjuJsotJ-xM:&imgrefurl=http://www.netguide4u.com/blog/business_finance/jobs_careers/how-to-answer-what-are-your-major-weaknesses/&docid=8LERA4CGuS_ZGM&imgurl=http://www.netguide4u.com/blog/wp-content/uploads/2009/12/weakness1.jpg&w=450&h=358&ei=w3bBUNekLsPxygHS9IHIBQ&zoom=1&iact=hc&vpx=758&vpy=155&dur=2063&hovh=200&hovw=252&tx=145&ty=151&sig=114260740636430582398&page=1&tbnh=129&tbnw=169&start=0&ndsp=23&ved=1t:429,r:4,s:0,i:165
http://www.google.com/imgres?hl=en&tbo=d&biw=1366&bih=667&tbm=isch&tbnid=WmwK44V-rKl4WM:&imgrefurl=http://en.wikipedia.org/wiki/File:MRI_head_side.jpg&docid=JF63egg9dJfujM&imgurl=http://upload.wikimedia.org/wikipedia/commons/3/36/MRI_head_side.jpg&w=256&h=256&ei=R3fBUJCpFunvygHH2IGYCw&zoom=1&iact=hc&vpx=1121&vpy=311&dur=929&hovh=204&hovw=204&tx=116&ty=111&sig=114260740636430582398&page=1&tbnh=137&tbnw=144&start=0&ndsp=24&ved=1t:429,r:15,s:0,i:195
http://www.google.com/imgres?hl=en&tbo=d&biw=1366&bih=667&tbm=isch&tbnid=WELbZt8rokD_TM:&imgrefurl=http://www.upstate.edu/chp/programs/pt/&docid=7bcfZEb6vXIIWM&imgurl=http://www.upstate.edu/chp/programs/pt/images/pt_index.jpg&w=390&h=260&ei=sXfBULTqLYG4yQHv2YHICw&zoom=1&iact=hc&vpx=4&vpy=334&dur=1209&hovh=183&hovw=275&tx=213&ty=66&sig=114260740636430582398&page=1&tbnh=146&tbnw=238&start=0&ndsp=21&ved=1t:429,r:7,s:0,i:171
http://www.google.com/imgres?hl=en&tbo=d&biw=1366&bih=667&tbm=isch&tbnid=xXLB7-kJu9dXQM:&imgrefurl=http://www.northernstar.com.au/news/apn-wheelchair-woman/12098/&docid=X016hXwtPLhkXM&imgurl=http://media2.apnonline.com.au/img/media/images/2008/03/11/NS1103A6.jpg&w=185&h=300&ei=AXjBUKH3K-jhygHWmICYAg&zoom=1&iact=hc&vpx=1037&vpy=294&dur=3844&hovh=240&hovw=148&tx=65&ty=200&sig=114260740636430582398&page=1&tbnh=151&tbnw=92&start=0&ndsp=32&ved=1t:429,r:20,s:0,i:215
http://www.google.com/imgres?hl=en&tbo=d&biw=1366&bih=667&tbm=isch&tbnid=xpzBl9Sf4LwyKM:&imgrefurl=http://normability.com/tag/my-life-with-ms/&docid=CCyBMTlHcTXAbM&imgurl=http://normability.com/wp-content/uploads/2011/06/multiple-sclerosis-demyelinization.gif&w=400&h=332&ei=i3jBUJmzOoagywGjq4HYCQ&zoom=1&iact=hc&vpx=4&vpy=277&dur=2745&hovh=204&hovw=246&tx=156&ty=142&sig=114260740636430582398&page=1&tbnh=138&tbnw=166&start=0&ndsp=29&ved=1t:429,r:8,s:0,i:108
http://www.google.com/imgres?hl=en&tbo=d&biw=1366&bih=667&tbm=isch&tbnid=NeBvNPf0-L5UnM:&imgrefurl=http://www.oklahomasurgicalhospital.com/index.cfm%3Fid%3D24&docid=IAg9cNUw9k0_BM&imgurl=http://www.oklahomasurgicalhospital.com/imgUL/Image/physical-therapy.jpg&w=282&h=289&ei=-HjBULiPMoeXyAHX1oGgDQ&zoom=1&iact=hc&vpx=983&vpy=141&dur=498&hovh=144&hovw=137&tx=130&ty=141&sig=114260740636430582398&page=2&tbnh=144&tbnw=137&start=24&ndsp=41&ved=1t:429,r:31,s:0,i:248
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