Tremor Case Study Essay

It is intermittently worse and he does not want to be on a medication on a daily basis. He is wondering if there is anything he could take during those periods of time when the tremor is worse. I did discuss the possibility of a low dose Inderal to be taken p.r.n. We both agreed that we should wait until after his cardiology evaluation for his bradycardia. Also the patient was told that there is a possibility that he is going in and out of atrial fibrillation. This cardiac evaluation may or may not have an effect on how we proceed with the right corona radiata lesion. To me this looks like an old bleed, possibly a bleed into a cavernous hemangioma. If, indeed he is in atrial fibrillation and may have to go on Coumadin, we do need to better identify the vasculature involved with this lesion. Therefore, I am going to set him up for CT angiogram to make sure that he does not have any evidence for aneurysm or other obvious vascular malformations would be at increased risk of bleeding, if he is put on Coumadin. Another possibility is that if he does have atrial fibrillation, it is possible that this lesion could have been a small cerebral emboli that

Certain physical locations take on important meanings in the world’s religions. Religions consider various geographic elements such as different cities, regions, mountains, and rivers to be sacred. For example, Hindus travel to the Ganges River to cleanse themselves from their sins (Momen 157). One of the requirements of all Muslims is that they make a pilgrimage to the holy city of Mecca (Eastman 398). Judeo-Christian religions also have certain places that are held sacred to their followers. The concept of sacred space is important to Judeo-Christian religions, because it helps to explain the questions of existence. Sacred space provides something tangible to represent

The 13th Amendment, created out of the ashes of the American Civil War, declared that “Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States, or any place subject to their jurisdiction." It was an end to the harsh cruelty that was brought upon African Americans for generations; however, a loophole exists within a simple phrase: “except as a punishment for crime…”. Even though all Americans are considered free under the 13th Amendment on paper, in reality this cannot be further from the truth as people were still considered a slave to the state if they committed a crime. Over time though, this “hands-off” doctrine approach gradually started to shift throughout the 1960s and 70s because the Civil Rights Movement stretched far beyond just African Americans. For prisoners, it was a justifiable call to action for basic human rights.

Patients will report to physical therapists with a multitude of impairments throughout the progression of the disease. The most prominent impairments will present during cerebellar testing. Patients will show signs of dysmetria, dysphasia, dysdiadochokinesia, and ataxia primarily as a result of the atrophy and damage to the cerebellum. Instability and lack of postural control will be demonstrated during the Romberg's test. Additionally, cranial nerve testing will have positive results for many cranial nerve palsies such as CN III, V, VII, IX, and XII. Patients show weakness in their trunk and extremities during the manual muscle testing. Vestibular testing will result in abnormal VOR, saccades, smooth pursuits and nystagmus. As a result of these impairments, patients experience functional limitations. Primarily, these patients are considered to be “high fall risks,” which ultimately decreases their independence due to weakness, instability and decreased postural control. These patients will feel uncomfortable in many situations and be unable to function independently in the community. This creates an increased risk for further injury. Due to the dysmetria and weakness, patients will also experience difficulty with their daily living skills, such as maintaining proper hygiene; They will have trouble bathing themselves and brushing their teeth without assistive equipment. PT interventions can help minimize and control these limitations. The implementation of balance training and assistive devices will be imperative interventions for an individual to modify and adapt to their gait

J.N., a 65-year-old Caucasian female with a history of anxiety and depression, presents for diagnostic testing at Saint Mary Medical Center in Hobart, Indiana to confirm or deny a diagnosis of Parkinson’s Disease, after presenting with recent onset of upper extremity tremor affecting both sides and facial masking. Patient history also includes bradykinesia, restlessness, fatigue, muscle weakness, and poor balance and coordination, all of which are common in a diagnosis of Parkinson’s Disease. J.N. was referred to the Neurology Department of Saint Mary Medical Center after a routine appointment with her Cardiologist, who noted the recent onset of additional signs and symptoms. J.N. is my mother and my inspiration for this assignment.

By the 1920s, the United States of America was the most economically powerful country. Their industries were very successful and they had a huge amount of resources. The USA had taken part in the First World War, but only took part late. Therefore, suffered relatively little. In fact, their industries benefitted because there was a great demand for war materials. In the 1920s the US flourished more than ever before, mainly because of mass-production techniques such as those used to make Ford automobiles cheap enough for plenty of people to buy.

In February 2009 Mr. Tim was diagnosed with Cataract. His vision started getting worse because of high blood pressure and cataract surgery is needed but is not recommended due to his high blood pressure. Without this surgery his vision will continue to decline with complete loss of vision in three to four years. He considers himself as low vision and can see better at night. Mr. Tim has high blood pressure but he is not taking any medication because he does not have any health insurance. He is also developing Parkinson’s and might have limited use of his body in the near future. He informed the evaluator that he has shaking of hands which according to WebMD and National Parkinson Foundation is the first stage of Parkinson’s. There are five states of Parkinson’s and they progress over time. A patient with Parkinson’s become unable to move around independently and may need wheelchair as the disease progress.

By the time someone shows signs and symptoms of Parkinson 's, Dopamine production in the brain has been reduced by 60 to 80% and is fairly advanced. This results in the most recognizable sign of Parkinson 's disease, the resting tremor of the hand or hands. During deliberate movement, the resting tremor goes away, at first. At rest, the tremor will become exacerbated,

The Impact of DaTscan on the Diagnosis and Management of Movement Disorders: A Retrospective Study.

Essential tremor (ET) is the most common movement disorder among adults. Cerebellar dysfunction is thought to be involved in the pathogenesis of ET; however, imaging, electrophysiological studies, and clinical observations have suggested that the cerebral cortex also may participate. We sought to investigate the possible motor cortical contribution to ET by assessing response to continuous theta-burst stimulation (cTBS), a recognized tool that can produce transient plastic changes, in the primary motor and premotor cortex of patients with

Parkinson disease (PD) is one of the most common neurologic disorders. and it affects approximately 1% of individuals older than 60 years old. Parkinson’s disease is a condition that progresses slowly by treatment. In addition, loss of pigmented dopaminergic neurons of the substantianigra pars compacta and the presence of Lewy bodies and Lewyneurites are the two major neuropathologic findings in Parkinson disease (Hauser, 2016).

Parkinson disease (PD), also referred to as Parkinson’s disease and paralysis agitans, is a progressive neurodegenerative disease that is the third most common neurologic disorder of older adults. It is a debilitating disease affecting motor ability and is characterized by four cardinal symptoms: tremor rigidity, bradykinesia or kinesis (slow movement/no movement), and postural instability. Most people have primary, or idiopathic, disease. A few patients have secondary parkinsonian symptoms from conditions such as brain tumors and certain anti-psychotic drugs.

Essential tremors, the most common form of tremors, are prevalent at some scale in approximately 98% of the elderly population. This type of tremor becomes more severe with age, rendering simple daily tasks such as cooking and writing very difficult, due to the involuntary movement. With such a large percentage of senior citizens affected, much of the population would benefit from a solution to this issue. Therefore, this study demonstrates an experimental design that has been created to reduce oscillations caused by the tremors, thus increasing hand dexterity in tremor sufferers. To do this, a combination of gyroscopes and weight were made into a glove that patients could wear to counteract movement from the tremor, allowing the patient to

Parkinson disease (PD) is a progressive neurodegenerative disorder characterized mainly by physical and psychological disabilities. This disorder was named after James Parkinson, an English physician who first described it as shaking palsy in 1817 (Goetz, Factr, and Weiner, 2002). Jean- Martin Charcot, who was a French neurologist, then progressed and further refined the description of the disease and identified other clinical features of PD (Goetz, Factr, and Weiner, 2002). PD involves the loss of cells that produce the neurotransmitter dopamine in a part of the brain stem called the substansia nigra, which results in several signs and symptoms (Byrd, Marks, and Starr, 2000). It is manifested clinically by tremor,

The Functional movement screening, (FMS™), was introduced to the scientific community in 1997 by Gray Cook and Lee Burton, as a pre-participation evaluation tool attempting to assess the fundamental movement patterns of an individual, in a dynamic and functional capacity (Cook et al. 1999).