The patient is a 62 year old Caucasian female who had a partial obstruction in the carotid artery on the right side for over two years and had a stroke in the right hemisphere 6 months ago. The main common carotid artery splits into the external carotid artery and the internal carotid artery. The external carotid artery supplies blood to the exterior features outside of the skull, primarily the exterior of the face and the neck. The internal carotid artery supplies blood to the interior of the skull, including the anterior of the brain, the eyes and its appendages. The first main branch of the internal carotid is the ophthalmic artery which further branches into the central retinal artery.…
12/16/15 Progress Report documented that the patient has left foot pain, which is described as stabbing, aching pain, which shoots up the leg with excessive walking and standing. The patient benefited greatly from a sympathetic nerve block. She was able walk and sensitivity of the foot was restored. The pain is rated 3/10-scale level with medications. There are no side effects, no aberrant behavior to the meds. The med provide good pain relief. She is currently taking Oxycodone, Norco and Gabapentin. The musculoskeletal exam revealed joint pain, swelling, muscle cramps, muscle weakness and stiffness. Treatment plan included Sympathetic nerve block for RDS. Follow-up is in 1 month.…
Alert gentleman, no acute distress who appears healthy, and walking without great difficulty. Blood pressure 126/76. Pulse 76. Respiratory rate 19. Temp 36.9. Weight 208. Palpation of the left SI joint is tender. Spine nontender. Right SI joint nontender. Negative straight leg test. _____(ETR/EPR)'s are +1 in the knees, and trace in the ankles. Sensation intact. No edema. Great toe and leg extensions _____(remain) intact.…
It is important for Multiple Sclerosis patients to stretch to be able to participate in everyday activities and also prevent injury to the body. Stretches should be performed in a sitting or lying position allowing gravity to help with particular muscles. The movements need to be slow and gentle because if the stretch is performed at a fast rate spasticity will increase. When muscles are spastic, the muscle fibers with in the muscle decrease in size. Stretching should be performed at least three times a day to stay on top of the spasticity episodes. Each stretch should be held anywhere from 30-60 seconds. The more frequently stretching is performed will allow the muscles to be more mobile. Without a daily stretching program, the muscles will continue to increase in stiffness, decrease in size and lead to contractures, overall decreasing the functional mobility of the…
1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.…
D: These characteristics are ineffective because drinking every night and not getting enough sleep will affect his work performance…
Different care strategies can be used to support a person that has MS and type 1 diabetes…
Neurological disorders are diseases of the brain and the nerves. Everybody knows that the brain is the most important organ of the body. The brain is the Part of the central nervous system that is made up of the nerves which are connected to the body through the spinal cord. The human brain is responsible for all the mental and physical processes According to MedlinePlus If the brain is in a good condition it works automatically, but if problems appear brain will lose its ability to control the body system. There are several neurological disorders that can affect the brain and the most common type is Multiple Sclerosis. This essay will describe what the disease does and will explain in details the most common type of Multiple Sclerosis (MS).…
Multiple sclerosis (MS) is a chronic, inflammatory, autoimmune disease of the central nervous system; it is characterized by demyelination of axons in the brain and spinal cord, with axonal damage or destruction. 1 MS affects predominately patients aged 20-40 years. The symptoms of MS vary, depending in part on the location of lesions within the CNS. Common symptoms include sensory disturbances in the limbs, optic nerve dysfunction, pyramidal tract dysfunction, bladder or bowel dysfunction, sexual dysfunction, ataxia, and diplopia.2 Although there is large variability in symptom manifestation and disease progression, MS is still the most common cause of non- traumatic disability in young adults and is associated with an average reduction in…
The goal of treatment is to maintain the person's optimal physical and emotional health by preventing joint and spinal deformities. This prolongs the ability to walk. Doctors may introduce assisted breathing as needed, and lifelong physiotherapy is necessary. You may need orthopedic devices may be needed for support. Hydrotherapy, such as continuous tub baths, may help maintain a full range of joint motion. Physical, occupational, respiratory, and speech therapy may also help patients manage the symptoms of MD. Some clinicians recommend submaximum aerobic exercise, especially in the early course…
Attention Getter: Imagine trying to take casual walk on a brisk autumn evening and not being able to feel your legs. This is one of the many symptoms that people with multiple sclerosis, also known as MS, deal with every day.…
Multiple sclerosis [MS] is a chronic, autoimmune, inflammatory, neurodegenerative condition of the central nervous system [CNS] (Boppanna, Huang, Ito & Dhib-Jalbut, 2011) characterized by demyelination and axonal loss (Chastain, Duncan, Rodgers & Miller, 2011). MS expresses itself in 4 forms: relapsing remitting MS [RRMS], secondary progressive MS [SPMS], primary progressive MS [PPMS], and progressive relapsing MS [PRMS] (Boppanna, Huang, Ito & Dhib-Jalbut, 2011). MS affects 0.1 per cent of the world’s population (Chastain, Duncan, Rodgers & Miller, 2011), occurring 2- and 2.5-fold more frequently in women than in men, having an incidence range of post-pubertal teenagers to adults in their 50’s (Calabresi, 2011).…
Juryńczyk, Maciej., Immune regulation of multiple sclerosis by transdermally applied myelin peptides, http://onlinelibrary.wiley.com/doi/10.1002/ana.22219/full, Retrieved December 3,…
Multiple sclerosis is a chronic, progressive neurological disease affecting all aspects of life: physical, cognitive, emotional, and social (Abma). It is known as an autoimmune disease, Where the body’s immune system turns against the body and destroys the protective covering that surrounds nerve cells. This damage to the nerve cells causes many problems for the patient including weakness, muscle stiffness, poor coordination and balance, tingling, numbness, tremors, blurred vision, slurred speech, and memory and concentration problems (Bren)…
Multiple Sclerosis is a “chronic inflammatory, demyelinating disease of the central nervous system” (Susan B. O’Sullivan, Physical Rehabilitation, p. 776). Multiple Sclerosis is a “disease where your body attacks itself, specifically the fatty coating called the myelin sheath on nerves in the brain, spinal cord, and eye area” (2016 EMD Serono,…