Posted: August 27th, 2022

A 67-year-old man presents to the HCP 8

Situation four: A 67-year-old man presents to the HCP with chief grievance of tremors in his arms. He additionally has seen some tremors in his leg as effectively. The affected person is accompanied by his son, who says that his father has turn out to be “stiff” and it takes him for much longer to carry out easy duties. The son additionally relates that his father wants Help rising from his chair. Bodily examination demonstrates tremors in the palms at relaxation and fingers exhibit “capsule rolling” motion. The affected person’s face just isn’t cell and reveals a mask-like look. His gait is uneven, and he shuffles when he walks and his head/neck, hips, and knees are flexed ahead. He reveals jerky or cogwheeling motion. The affected person states that he has episodes of maximum sweating and flushing not related to exercise. Laboratory knowledge unremarkable and the HCP has identified the affected person with Parkinson’s Illness.
In your Case Research Assessment associated to the situation offered, clarify the following:
1) Each the neurological and musculoskeletal pathophysiologic processes that will account for the affected person presenting these signs.

2) Any racial/ethnic variables that will influence physiological functioning.

three) How these processes work together to have an effect on the affected person.

The task is 1 to 2 pages and supply a minimal of three references

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Parkinson Illness Case Research Assessment

Scholar’s Title
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Professor’s Title
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Parkinson Illness Case Research Assessment
Neurological and Musculoskeletal Pathophysiologic Processes
The affected person has been identified with Parkinson’s illness which impacts the neurological and musculoskeletal techniques. The illness impacts the neurological system main to an uncontrolled and jerky motion that undermines the motion of a affected person (Ryan et al., 2021). Different signs embrace tremors, inflexible muscle mass, impaired posture, and lack of automated motion. The signs impair the means to full every day actions. Parkinson’s illness is self-limiting and will increase the reliance on different folks for help or engaging in every day actions (Ryan et al., 2021). The autoimmune sickness has no identified trigger and remedy is dependent upon the signs. The illness causes the cell that makes dopamine to die inflicting poor coordination of cells and muscle mass. The impact is poor coordination of the muscle mass and slowly with time the signs worsen (Ryan et al., 2021). The rigidity of the muscle mass impacts the legs, palms, neck, and face. Speedy medical consideration if efficient to keep away from antagonistic well being outcomes that may undermine the capability to perform actions independently.
Racial/Ethnic Variables
It’s tough to predict the function of racial and ethnic variables in the case research of the affected person. The case research doesn’t point out if the affected person is from a sure ethnic group. Nevertheless, analysis reveals that some ethnic teams are extra prone to Parkinson’s illness as in contrast to others (Newman et al., 2019). As an illustration, African-People are extra prone to Parkinson’s illness as in contrast to Caucasians. Hispanics are extra in danger in contrast to the non-Hispanics. Statistics point out that Hispanics have the highest incidence of the dysfunction whereas Blacks have the lowest incidence (Newman et al., 2019). The situation is frequent in males in contrast to feminine Hispanics. The details about the group prone to the illness is vital in taking precautions to keep away from antagonistic outcomes. As an illustration, healthcare staff can present training about the illness, Assessment, analysis, and remedy of the situation. States equivalent to Vermont have a duty to take a proactive function to deal with the problem (Seppi et al., 2019). Statistics point out that the state information the highest variety of Parkinson’s illness amongst Hispanics and Blacks (Seppi et al., 2019). Though the relationship between race and Parkinson’s illness is controversial it’s important to take precautions to keep away from the illness that impacts the neurological and musculoskeletal techniques.
Impact on the Affected person
The neurological and musculoskeletal techniques work together to have an effect on a affected person’s every day life. One in every of the main results of the illness is the motor perform of a affected person. As an illustration, the illness impacts the muscle mass main to poor coordination, sustaining stability, and strolling (Amara & Memon, 2018). A affected person could require Help to keep away from falling. If the illness continues to worsen, the well being of a affected person is in danger since it’ll intrude with the sleeping, reminiscence, speaking, and considering processes (Amara & Memon, 2018). Behavioral modifications are evident amongst sufferers affected by antagonistic results of the illness.
Sufferers affected by Parkinson’s illness expertise a variety of bodily, neurological, and psychological results. A few of the results embrace nervousness, melancholy, and lack of sense of scent (Amara & Memon, 2018). The impact of the illness on the mind impacts the transmission of messages to coordinate totally different physique organs. Though the illness can’t be cured, it’s important to prescribe medicine to sufferers to management the signs (Seppi et al., 2019). Levodopa is considered one of the medicines that sufferers can take to improve the performance of the mind and reduce the results on a affected person (Seppi et al., 2019). The target of the remedy is to reduce the destructive results on sufferers.
References
Amara, A. W., & Memon, A. A. (2018). Results of train on non-motor signs in Parkinson’s illness. Scientific therapeutics, 40(1), 8-15.
Newman, J. M., Sodhi, N., Wilhelm, A. B., Khlopas, A., Klika, A. Okay., Naziri, Q., … & Mont, M. A. (2019). Parkinson’s illness will increase the threat of perioperative problems after complete knee arthroplasty: a nationwide database research. Knee Surgical procedure, Sports activities Traumatology, Arthroscopy, 27(7), 2189-2195.
Ryan, D., Fullen, B., Rio, E., Segurado, R., Stokes, D., & O’Sullivan, C. (2021). The impact of motion commentary remedy (AOT) in the rehabilitation of neurological and musculoskeletal circumstances: a scientific evaluate. Archives of Rehabilitation Analysis and Scientific Translation, 100106.
Seppi, Okay., Ray Chaudhuri, Okay., Coelho, M., Fox, S. H., Katzenschlager, R., Perez Lloret, S., … & Djamshidian‐Tehrani, A. (2019). Replace on remedies for nonmotor signs of Parkinson’s illness—an proof‐based mostly drugs evaluate. Motion Issues, 34(2), 180-198.

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