cruz, john raymond nr32 ms-neuro

8/7/2019 CRUZ, John Raymond NR32 MS-neuro

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degenerative disorder of the central nervoussystem

impairs the sufferer's motor skills and speech

DOPAMINE normally sends signals that help

coordinate your movements- 80 percent or

more of these dopamine-producing cells aredamaged, dead, or otherwise degenerated

usually affects people over the age of 50


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John Michael "Ozzy" Osbourne (born 3 December 1948)is an English singer-songwriter and occasional actor, whosecareer has spanned over 40 years. As of December 2010,Osbourne has sold over 100 million albums worldwide


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People witnessed legendary

metal singer OzzyOsbourne shake, stammer,stutter and shuffle aroundwith a walk that grewincreasingly hunched over

and motor functions thatonly seemed to be gettingworse.

The 56-year-old singer presumed his body

shakes were a result of a lifetime of drug abuse

He complained his tremors were "practically

destroying (his) life".


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Ozzy said he first noticed

the tremor in his early20s and that he's always

stammered a bit when he

gets excited.

But lately, it had worsened and none of the

medication doctors had prescribed for him had

made any difference.


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More and more, he

started to feel like aprisoner in his own body.

"You try and mask it. You

try and walk around

hoping people won't see

your hands shaking," hesaid.

"I've done a fair amount of self-abuse and self-medication for years, but I've got no choice

anymore," he said. "If I drink alcohol or do any

recreational drugs like smoke pot it will

affect the medication I'm taking for this tremor

and it'll probably make it worse.


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Signs and Symptoms

Slow or uncontrolled

movement

Shaky hands Imbalance

Muscle stiffness

Speech problems

Features appeargradually and worsen

over time


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Encourage patient to participate in physical

therapy and an exercise program to improve

coordination and dexterity

Emphasize importance of a daily exerciseprogram.

Instruct patient in postural exercises and

walking techniques to offset shuffling gait and

tendency to lean forward.

Encourage warm baths and showers to help relax

muscles and relieve spasms.


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Instruct patient to

establish a regular bowel

routine with a high fiber

diet and plenty of fluids.Constipation is a problem

due to muscle weakness,

lack of exercise, and drug

effects.

Eat a well-balanced diet.

Nutritional problems

develop from difficulty

chewing and swallowing

and dry mouth from

medications.

Encourage patient to be an active participant in

his/her therapy and in social and recreational

events, as Parkinsonism tends to lead to

withdrawal and depression.


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Avoid frequent change in the environment to

minimize confusion if the memory deficit is very

severe, name boards and signboards by the side

of the rooms and things will be very helpful.

Instruct the patients to speak slowly and clearly,

and to pause and take a keep breath at

appropriate levels.

Patients should not be forced into situations in

which they feel ashamed of their appearance.

Suicidal precautions to be followed, if the patient

exhibits any suicidal ideas.


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GBS is an autoimmune disorder.

the peripheral nerves' myelin sheaths are injured or

degraded, the nerves cannot transmit signals efficiently.

Sometimes it is triggered by an infection, surgery or a

vaccination.

is called a syndrome rather than a disease because it is notclear that a specific disease-causing agent is involved.

can affect people of any age, but it becomes more common

with increasing age.


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Diana Sabine Moussier

(born 12 July 1966)

is a German-born,

Mexican-naturalized

actress who is best

known for her work,

frequently as a

villainess, in

numerousMexicantelenovelas such as

Entre el amor y el

and Rosalinda


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In late 2009, Moussier developedGuillain-Barr syndrome and wasforced to alter her shooting schedule

onMi pecado in order to promote herrecovery.

According to Juan Osorio, theproducer ofMi pecado, Moussier'sillness traveled from her spinal cordto her brain, affecting her ability toremember her lines and causing hersuch pain that doctors were forced toput her under sedation

additionally, he claimed that Moussier might be leftparalyzed as a result of the illness.


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As a result of her worsening health, Moussier

was forced to leave the cast ofMi pecado shortly

before the completion of filming.

Moussier announced in

late November 2009 that

her health was

improving and that shewould not be left

paralyzed, although she

stressed that Guillain-

Barr "is an illness that

takes months [from

which to recover]".


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Although she had

recovered from Guillain-Barr by March 2010, her

health has been further

complicated by a

diagnosis of chronicfatigue syndrome


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Respiratory and GI infections.

Vaccination

Surgery

PregnancyCamila PeraltaMoussier, born on 15 July 2003

Paulo PeraltaMoussier, born on 3 July 2006


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Numbness or tingling in the hands and feet and

occasionally around the mouth and lips.

Muscle weakness on both sides of the body in the

legs, arms, and face. Difficulty speaking, chewing, and swallowing.

Inability to move the eyes.

Back pain.


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Immunotherapy

Given that GBS is an autoimmune disorder,

therapies utilized in the acute management of

the disease involve immunotherapy. Thefollowing discusses the use of plasma exchange

(also known as

Plasmapheresis- plasma exchange

intravenous immunoglobulin (IVIg)

and corticosteroids in the treatment ofGBS.


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PLASMAPHERESIS

therapy resulted in significant improvements in

disability within 4 weeks of treatment, as well as

recovery to full strength within 1 year in anincreased proportion of patients

Plasma exchange is considered a safe and cost-effective treatment for GBS


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IVIg(intravenous immunoglobulin)

IVIg has become the preferred treatment for

severe GBS in recent years, largely due to itsrelative convenience of administration


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Corticosteroid Therapy

Various studies evaluating the use of

corticosteroids for the treatment ofGBS have

failed to demonstrate clinical improvements interms of disability after 4 weeks of treatment.

One theory concerning the lack of efficacy is that

corticosteroid therapy adversely affects the

recovery process ofGBS by inhibiting

macrophage clearance of myelin debris, thushindering the remyelination process and/or

aggravating the damage of denervated muscle

fibers


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Physical Therapyy The goals of the therapy programs are to reduce functional

deficits and to target impairments and disabilitiesresulting from GBS.

Occupational Therapy

y Occupational therapy professionals should be involvedearly in the rehabilitation program to promote upper bodystrengthening, ROM, and activities that aid functional self-care.

Speech Therapyy Speech therapy is aimed at promoting speech and safe

swallowing skills for patients who have significantoropharyngeal weakness with resultant dysphagia anddysarthria

Recreational Therapyy Participation in recreational therapy assists in the

patient's adjustment to disability and improves integrationinto the community.


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Treatment is nonspecific and symptomatic.

Patient must be continuously observed for

adequacy of respiratory effort.

Continuous EKG monitoring. Supportive nursing care measures indicated by

the patient's degree of paralysis.

In several weeks, paralysis will begin to

disappear, usually starting from the head andmoving downward.

Residual effects are rare, but prolonged flaccid

paralysis may lead to muscle atrophy requiring

rehabilitation and physical therapy.


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Avoid giving opioids and

sedatives that may depress

respirations.

Position patient correctly and

provide range-of-motion

exercises.

Provide good body alignment,

range-of-motion exercises, andchange of position to prevent

complications such as

contractures, pressure sores, and

dependent edema.

Ensure adequate nutritionwithout the risk of aspiration.

Encourage physical and

occupational therapy exercises to

help the patient regain strength

during rehabilitation phase.


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cruz, john raymond nr32 ms-neuro

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