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Presentation (27).pptxhshbshhsjhhshhhhhhhh
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- 3. Introduction •Huntington’s disease isa chronic progressive, hereditary disease of central nervous system in which degeneration cause progressive chorea (involuntary and irregular
- 4. •Huntington’s disease isan inherited Disease that causes the progressive breakdown of nervous cell in the Brain.
- 5. •Huntington’s disease is alsocalled Huntington’s chorea, chronic progressive chorea and adult chorea. •It was first describe in 1872 by American George Huntington.
- 6. DEFINITION •Huntington’s disease is anchronic progressive hereditary Disease of central nervous system.
- 7. Or •Huntington’s Disease marked bydegeneration of brain cells and causing chorea and progressive dementia.
- 9. ETIOLOGY AND RISKFACTOR •Infection •Family history of the disease •Genetic disorder •Age: people between 25 to 55 •Gender: Affecting men and
- 10. ClINICAL MANIFESTATIONS •Mild tremor •Clumsiness •Lack ofconcentration •Irritability •Short term memory •Mood changes
- 11. Later symptoms fallinto Three categories •A) movement disorder: movement disorder associated with the huntington’s disease •Involuntary Jerking or writhing movement •Involuntary, sustained contracture of muscle
- 12. • Slow finemovement • Abnormal eye movements • Difficulty swallowing ( Dysphagia)
- 13. B) CONGNITIVE DISORDER •Difficultyplanning organizing •Difficulty in learning •Lack of flexibility •Lack of start a task or conversation
- 14. PSYCHIATRIK DISORDER • Themost common Psychiatric disorder associated with Huntington’s disease is depression • Feeling of sadness or unhappiness • Insomnia • Social Withdrawal • Change in appetite • Loss of memory • Personality change • Confusion • Fatigue
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- 16. LATE FEATURE •A) CONGNITIVECHANGES •Disorientation •Difficulty in concentration
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- 19. 3 Stage of Huntington’sdisease 1. Early Stage 2. Middle stage 3. Late stage
- 20. 1 Early Stage •Depression •Moodchange •Involuntary movement •Irritability •Lack of coordination
- 21. 2 Middle stage •Shakes •Moredifficulty performing Normal •Activities •Slurred speech
- 22. 3 Late stage Dependingothers Struggles to sleep, chew Eat and walk
- 23. DIAGNOSTIC EVALUATION •History collection •Physicalexamination •CT- scan •EEG(Electroencephalogram) •Neurological Examination •PET(Positron Emission Tomography) •MIR( magnetic reasons imaging)
- 24. 3. Stage ofHuntington's disease 1.Early Stage 2.Middle stage 3.Late Stage
- 25. 1 EARLY STAGE •Depression •Moodchange •Involuntary movement •Irritability •Lack of coordination
- 26. 2. Middle stage •Shakes •Moredifficulty performing Normal Activities •Slurred speech
- 27. 3) Late stage •Dependingon others •Struggles to sleep, chew Eat and walk
- 28. MANAGEMENT •1) Medical management •Administertetrabenazine to treat involuntary movement jerky movement •Mood stabilizer drug e.g. Volproic acid •Antidepressant drugs
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- 30. Nursing management •Asses thelevel of anxiety •Provide a calm quiet Environment for the patient •Provide psychological support •Administer drugs as prescription
- 31. REHABILITATION •1) PSYCHOTHERAPY •A psychotherapistcan provide talk therapy •To help person manage behavior problems, Develop coping strategies
- 32. •A speech therapistcan help improve ability to speak clearly 2) Speech therapist
- 33. 3 physics therapy •Aphysical therapy can teach appropriate and safe exercise
- 34. 4) Occupational therapy •An occupationaltherapy can assist the person with Huntington’s disease, family members and caregivers
- 35. COMPLICATIONS •High blood pressure •Heartfailure •Kidney Failure
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