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Short and long term consequences of parkinson disease
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Parkinson’s disease (PD) is a progressive and chronic neurodegenerative disorder. The disease is named after English physician James Parkinson, who made a detailed description of the disease in his essay: "An Essay on the Shaking Palsy" (1817). Parkinson 's disease belongs to a group of conditions called movement disorders. It is characterized by muscle rigidity, tremor, a slowing of physical movement (bradykinesia) and, in extreme cases, a loss of physical movement (akinesia) (Sue, Sue, Sue & Sue, 2014). Early symptoms of Parkinson’s include small handwriting, loss of smell, and restricted facial expression. Over time the disease worsens and symptoms become more pronounced and affect the quality of life. Shaking, slurred or slow speech and …show more content…
Parkinson’s affects about one million people within the United States and about five million people worldwide. Most individuals who develop Parkinson 's disease are 60 years of age or older. Parkinson 's disease occurs in approximately 1% of individuals aged 60 years and in about 4% of those aged 80 years (Heyn and Stoppler, 2013). Since overall life expectancy is rising, the number of individuals with Parkinson 's disease will increase in the future. According to Sweeny (2013) Parkinson’s affects approximately 1.5% to 2.0% of people aged 60 years and older. Though it is rare, young adults may also be diagnosed with PD. Before the age of age if 21, the diagnosis is deemed juvenile onset. Between the ages of 21 to 40 it is called early onset. A significantly higher incidence rate of Parkinson’s disease was found among men with the relative risk being 1.5 times greater in men than women. (Wooten, Currie, Bovbjerg, Lee, and & Patrie, …show more content…
Nerve cells in the substantia nigra send out fibers to other parts of the brain and release dopamine. Dopamine serves as a chemical messenger allowing communication between the substantia nigra and another area of the brain called the corpus striatum. When functioning, this system coordinates fine and gross motor skills. The gradual degeneration of the substantia nigra causes a lack of the neurotransmitter dopamine, which results in an inability to control body movements. Parkinson disease can also affect emotions and cognition as dopamine also helps regulate emotional responses. Approximately 15 percent of people with Parkinson disease have a family history of this disorder. Both, Familial or non-inherited cases of Parkinson disease may be caused by mutations in the LRRK2, PARK2, PARK7, PINK1, or SNCA genes. (National Library of Medicine, 2012). Maybe output in what they all do. Medicine net. Alterations in certain genes do not seem to cause Parkinson’s disease but may modify the risk of developing the
Parkinson’s disease is not a condition that is necessarily easy to be diagnosed. Therefore, the individual is advised to see a Parkinson’s specialist to receive the most accurate diagnosis and consider what the best course of treatment for the individual would be.
Parkinson’s disease can come in two forms; there is a late-onset disease, and early-onset disease. Generally, the disease will begin after the age of 50, being the late-onset. In the early-onset cases, they can begin as early as the age of 20, and can be referred to as a juvenile-onset case...
Goldmann, David R., and David A. Horowitz. American College of Physicians Home Medical Guide to Parkinson's Disease. New York: Dorling Kindersley Pub., 2000. Print.
Parkinson’s Disease is a progressive neurodegenerative disorder in the community resulting in significant disability. This global problem has consumed the lives of many. “Approximately 60,000 Americans are diagnosed with Parkinson's disease each year, and this number does not reflect the thousands of cases that go undetected” (Statistics on Parkinson’s, 2014). Once this unbiased disease has begun to affect the patient it is a lifelong battle. Parkinson’s disease has a tremendous impact on the patient as they battle for their independence and plead for their acceptance into their own community setting. People living with Parkinson’s disease struggle with tremors, bradykinesia and rigidity. It takes a skilled nurse to be able to care for the patient suffering with Parkinson. With education, support and exercise the patient will be able to feel some sense of hope for their future. The purpose of this paper to is educate the community about Parkinson’s disease and the impact on the patient and on the nurse caring for the patient.
With more than 200,000 US cases per year, Parkinson’s disease has become a major part
Dopamine sends signals to other nerve cells in the brain, which regulates movement, motivation, emotion, and feelings of pleasure.
Parkinson's is an idiopathic, multifactorial neurodegenerative disease that attacks neurotransmitters in the brain called dopamine. Dopamine is concentrated in a specific area of the brain called the substantia nigra. The neurotransmitter dopamine is a chemical that regulates muscle movement and emotion. Dopamine is responsible for relaying messages between the substantia nigra and other parts of the brain to control body movement. The death of these neurotransmitters affects the central nervous system. The most common symptoms are movement related, including shaking, rigidity, slowness of movement and difficulty with posture. Behavioral problems may arise as the disease progresses. Due to the loss of dopamine, Parkinson's patients will often experience depression and some compulsive behavior. In advanced stages of the disease dementia will sometimes occur. The implications of the disease on the anatomy and physiology of the respiratory and phonatory systems significantly control speech.
The fact that early signs of Parkinsonism can easily be overlooked as normal aging, further complicates diagnosis. Therefore, primary care physicians of the middle-aged and elderly population must be extremely sensitive to patients’ outward appearance and changes in movement ability. Most signs and symptoms of Parkinson disease correspond to one of three motor deficiencies: bradykinesia, akinesia, tremor, and rigidity. The first two qualities are usually present before tremor, but often attributed to aging by the patient and even the physician, and thus the disease is rarely diagnosed until tremor becomes evident much later. An average of 80% of the nigrostriatal neurons may have already degenerated by the time Parkinsonism is diagnosed, which complicates treatment (Fitzgerald, 130).
Thomas, C. G. (2013, November 25). National Institute of Neurological Disorders and Stroke. Gene-silencing study finds new targets for Parkinson's disease, pp. 1-2. Retrieved December 13, 2013, from http://www.nih.gov/news/health/nov2013/ninds-24.htm
716). Characteristic features of Parkinson's disease include “motor impairment (bradykinesia, rigidity, tremor, gait dysfunction, and postural instability), cognitive impairment (frontal lobe executive dysfunction), and mood disorders” (p. 716). Normally, motor performance depends on the interaction between automatic (unconscious) and volitional (cognitive) control of movement, however those with Parkinson's disease, experience an “early and preferential loss of dopamine in the caudal regions of the basal ganglia (dorsal regions in rodents), which leads to diminished automatic and increased cognitive control of movements that include frontal lobe circuitry” (p. 716). Consequently, those with Parkinson’s disease must sustain a larger cognitive load to execute either motor or cognitive tasks, such as working memory. In the past decade, increasing evidence has accrued for the role of exercise in the improvement of motor performance, which may help both the cognitive and automatic control of movement. Thus, exercise interventions can help those with Parkinson’s disease incorporate goal-based motor skill training, which then helps in engaging circuitry important in motor learning. Individuals with Parkinson's disease become cognitively engaged with the practice and acquiring of movements and skills that were formerly automatic and unconscious. In addition, aerobic exercise is also observed as important for improvement of blood flow and assistance of neuroplasticity in the elderly, which may also play a role in the improvement of behavioral function in those with Parkinson's disease. Petzinger et al. additionally states that exercise also uses goal-based training and aerobic activity which can improve “both cognitive and automatic
Without this vital dopamine nerve cells cannot properly transmit messages resulting in a loss of muscle function.Parkinson's Disease is a non-communicable disease and doctors have not yet found out whether or not it is a hereditary disease. Parkinson's Disease has many distinct symptoms. The symptoms are:Muscle Rigiditystiffness difficulty bending arms or legsunstable, stooped, or slumped-over posture loss of balancewalking pattern changesslow movements difficulty beginning to walk difficulty initiating any...
Many people around the world today suffer from Parkinson’s disease and other movement disorders. A movement disorder is a disorder impairing the speed, fluency, quality, and ease of movement. There are many types of movement disorders such as impaired fluency and speed of movement (dyskinesia), excessive movements (hyperkinesia), and slurred movements (hypokinesia). Some types of movement disorders are ataxia, a lack of coordination, Huntington's disease, multiple system atrophies, myoclonus, brief, rapid outbursts of movement, progressive supranuclear palsy, restless legs syndrome, reflex sympathetic dystrophy, tics, Tourette's syndrome, tremor, Wilson disease, dystonia, which causes involuntary body movement, and Parkinson's disease. Parkinson’s disease, Tourette’s syndrome, and tics are one of the most widely known of these disorders, known to impair people of movements and rob them of their lives.
The doctor looks for tremors in arms, if one’s expression is animated, how well they can recover balance or if it’s hard to rise from a chair, and stiffness in the neck. There are numerous types of treatment that can treat the symptoms, such as over-the-counter drugs, prescription medication, and even surgical treatment, but there is nothing as of now that can fully reverse the disease. The Parkinson’s Disease Foundation has four different research programs, all dedicated to finding a cure for PD, provides support to over 40 scientific research projects, for a total of $5.1
Parkinson’s disease may be inherited. If you have a close relative or family member who has had Parkinson's disease, scientists estimated that it might increase five percent of your chances in having the disease. But there is also ninety-five percent of the cases where there are no known cases of heredity. Which is why scientists believe the spread of this disease through heredity is rare, but it can also be
Parkinsonism: - Parkinsonism is a disorder of extrapyramidal system, characterized by tremor, rigidity, bradykinesia and postural disturbance. Parkinson’s disease (Paralysis Agitans) Parkinson’s disease (PD) most commonly affects person over the age of 55 year, and is characterized by: bradykinesia, rest tremor, rigidity and postural instability. (At least two of these and a response to levodopa should be usually present to make the diagnosis). The substantia nigra has two parts, the pars reticulata (made up of nonpigmented cells) and the pars compacta (made of pigmented neurons).