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2.2.5

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by

Madison Bogtong

on 2 December 2016

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Transcript of 2.2.5

Thank You!
Patient 4 Background Info.
Severity of symptoms vary, depending on the patient.
Some symptoms of Parkinson's Disease include:
Change in writing (could be small or illegible)
Slow body movements
Loss of Balance
Muscle stiffness, difficulty walking or standing, problems with coordination
Hands or fingers are shaking when hand is at rest
Speech changes
Difficulty thinking or understanding
Dizziness
Overtime, symptoms can get worse.
John's Symptoms
Moves in slow motion
Slow movement because it takes longer for him to get ready in the mornings
Loses balance
Shaky hands
Illegible handwriting
Evidence leading to Diagnosis

Errors That Lead To Parkinson's
We know that Parkinson's disease is caused by dead neurons that work improperly, then neurons produce dopamine which sends messages to the part of the brain that controls movement. As the disease becomes worse, the amount of dopamine being produced decrease which makes patients suffering from PD unable to control their movements.

The causes of Parkinson's are unknown but there are many factors that seem to lead to the disease such as:
Your Genes
Environmental Triggers: Although there is a small chance, certain toxins that we are exposed to can increase the risk for getting Parkinson's.
Symptoms
Madison, J'Leigh, Madi, & Alexis
2.2.5 Communication Breakdown
John, 55 years old, comes in to your office with his wife, Rita. She is concerned because she has seen some changes in her husband. She reports that at some points he seems to be moving in slow motion. Getting dressed and ready to leave the house in the morning seems to take longer every day. She has also noticed that he often loses his balance and when he thinks she is not looking, he often keeps a hand on the wall for support. John keeps relatively quiet and when asked, claims nothing is wrong, but as he passes you his paperwork, you notice that his hand is shaking. You look down at the paper and notice that his handwriting is so tiny that it is almost illegible
What Life is Going to be Like
Symptoms of
Parkinson's
First Biomedical Professional
Other Professionals that are Able to Help the Patient
Regions of the Brain
linked to each symptom
Although Parkinson's disease cannot be cured, physical therapist are able to work with the patient to help manage the symptoms, such as weakness and tightness of muscles and joints.
Occupational therapists can make life more manageable and enjoyable, by helping develop, recover, and improve the skills needed for daily life.
In-Home caregivers provide emotional and physical support to the patient and his/her family.
Second Biomedical Professional
Most of John's symptoms are linked to symptoms of Parkinson's disease. John shows the main symptoms of Parkinson's disease, which are hands shaking, poor balance, small handwriting, and slow body movements.
The most well-known signs for Parkinson's disease is tremor in the hands and slow movement, which explains John's shaky hands, illegible handwriting, and slow movement.
John is 55 years old, and Parkinson's Disease is commonly developed around people his age.
Prognosis
If a patient has Parkinson's disease, he or she will die
with
the disease, not
from
it.
Parkinson's is unique to each person, and the severity varies from person to person; some will experience involuntary flailing or jerking of body movements (which can result from long-term use of Parkinson's medication), the sudden inability to move, or short, almost running steps that seem to accelerate on their own.
slow movement- motor cortex (frontal lobe)
illegible writing- cerebrum (motor skills)
loss of balance- cerebellum
shaky hands- cerebellum (involuntary quivering of the muscles)
Life with Parkinson's disease makes patient's more prone to fatal falls, broken bones, concussions as well as more trouble walking and standing as the disease progresses.
If the patient is cared for correctly their life expectancy is near the same as for a person without Parkinson's.
Parkinson's also makes everyday tasks more difficult and less safe to complete.
Neurologist

Because Parkinson's is a brain disease, a neurologist, or a doctor who specializes in treated diseases of the nervous system, would be very important in the treatment process.
They study the brain and diseases within it, and search for cures; however, because a Parkinson's cure has not been found yet, neurologists give treatments that help lessen the symptoms.
Parkinson's Brain vs Normal Brain
Genetic Counselor
Because one of the leading causes of Parkinson's is genetics, another professional that could help with prevention is a genetic counselor. They specialize in determining diseases and disorders in a family tree.
If a genetic counselor catches that Parkinson's runs in a family, they could prevent it from spreading any further.
Patient Chart
Diagnosis
We came to the conclusion that John is diagnosed with Parkinson's disease. Parkinson's Disease is a progressive disorder of the nervous system that affects movement. It develops gradually overtime, and is commonly found in people that are around the age of 45-60+ years old. With John's symptoms, we can conclude that John is in the early stages of Parkinson's disease. He shows mild symptoms of Parkinson's, such as the hands shaking and loss of balance. They are mild symptoms because he can still take care of himself and he doesn't need constant nursing care.
References:
http://www.mayoclinic.org/diseases-conditions/parkinsons-disease/basics/causes/con-20028488
http://study.com/articles/Genetic_Counseling_Jobs_Salaries_Duties_and_Requirements.html
http://www.healthline.com/health/parkinsons/life-expectancy#Treatment8
http://www.parkinson.org/understanding-parkinsons/living-well/activities-of-daily-living
https://www.michaeljfox.org/understanding-parkinsons/living-with-pd/topic.php?prognosis
http://www.niehs.nih.gov/health/topics/conditions/parkinson/
http://www.pdf.org/about_pd
http://www.webmd.com/parkinsons-disease/guide/parkinsons-stages
http://www.gwc.maricopa.edu/class/bio201/parkn/jcadis51.htm
https://medlineplus.gov/ency/imagepages/19515.htm
http://www.buzzle.com/articles/cerebrum-function.html
http://www.mayoclinic.org/diseases-conditions/parkinsons-disease/basics/symptoms/con-20028488
http://www.pdf.org/en/science_news/release/pr_1399644766
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