(SOLVED) Dx: Huntington's disease Hx: Poor Skin integrity: Skin tears and bruising Long Term Facility: Resident

Discipline: Nursing

Type of Paper: Question-Answer

Academic Level: High school

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Pages: 2 Words: 556

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Mrs. Kertain: 55year old female

Dx: Huntington's disease

Hx: Poor Skin integrity: Skin tears and bruising

Long Term Facility: Resident

Mrs. Keratin remains in bed much of the time. Due to agitation, confusion and moving about in bed Mrs. Keratins has padded side rails to aid in preventing injury when coming in contact with the bed rails. During your shift you walk into Mrs. Keratin's room and discover that she has become trapped between the mattress and the

bed rail. You've observed that Mrs. Keratin has no apparent injuries, but you are unable to free her. You immediately call your supervisor and request assistance.

• Research the diagnosis; identify the etiology, and prognosis common signs

and symptoms, treatment options (in brief) and treatment of choice.

• Identify the primary components of the health challenge (i.e., pain, loss of

function, immobility, fatigue, confusion, stress..etc.).

• Identify how the above components affect the clients' health and Physical

well being

• Identify how the above components affect the clients' health and social well

being

• Identify how the above components affect the client's health and Emotional

well being

• Identify how the above components affect the clients' health and Spiritual

well being

• Identify how the above components affect the clients' health and Cognitive

well being

• Identify measures that you can take to help the client maintain as much

independence as they can for as long as they can

• Identify your role as HCA in caring for and supporting the client. List comfort

measures that you can provide to assist the individual in a sense of well

being

• Identify community resources, in your local area, applicable to the specific

diagnosis that you, the family or the client might use

• Develop a poster highlighting at least one of the identified community

resources

• Report presented professionally in a report folder with cover page and

research cited

Expert preview solution

Huntington's Disease

Etiology

Rare neurodegenerative disease

that involves a repeated sequence

of DNA

Huntington disease is a genetic disorder

Males and females have the same risk of inheriting the disease

Several mechanisms of neuronal cell death have been proposed for HD

The selective neuronal dysfunction and subsequent loss of neurons

Diagnosis

A Diagnosis of Huntington's disease is based primarily on a patient's:

Answers to questions

Genetic counselling and testing and Predictive genetic testing

General physical exa.m

Neurological ex.am

Psychiatric ex.am

Prognosis

10 - 30 years

earlier in life the symptoms of the disease appear, the faster the disease progresses

final stage of the disease often dies from complications

Signs and Symptoms

Slight, uncontrollable muscular movements

Stumbling and clumsiness

Lack of concentration

Short term memory lapses

Depression

Changes of mood

Symptoms usually develop between ages 30-50 but they can appear as early as age 2 or late as age 80

Treatment and Treatment Choice

There are no treatments that will slow down or stop the disease in humans.

There are some drug treatments available that can reduce some of the symptoms of HD, such as depression, anxiety, and involuntary movements.

These drugs can have side effects, so not everyone with Huntington’s uses them.

Speech therapy

Physical therapy

Occupational therapy

Managing skin tears and preventing skin tear

Health Challenges in Huntington's

constipation, incontinence, and weight loss

Lack of physical activity

dietary problems

eating and swallowing problems

Psychiatric problems

cognitive problems

social isolation deep depression

Physical Well Being

The most common physical problem people face with Huntington’s disease is known as chorea

Mrs. Keratin's agitation and involuntary movements might have lead her to where she is

Dystonia means that you have rigidity or muscle stiffness as well as spasm in your muscles

swallowing problems occur and choking is a major concern

difficulty in speech. Their language are slurred. Eye movements may also cause problems

Physical Well Being

The most common physical problem people face with Huntington’s disease is known as chorea

Mrs. Keratin's agitation and involuntary movements might have lead her to where she is

Dystonia means that you have rigidity or muscle stiffness as well as spasm in your muscles

swallowing problems occur and choking is a major concern

difficulty in speech. Their language are slurred. Eye movements may also cause problems

Social Well Being

Lack of awareness of one's own behaviors and abilities

affects her way of thinnking

socially withdrawn

Isolate themselves from other people

Afraid of being judged

Loss of confidence

Lack of interest in social gatherings

Emotional Well Being

Difficulty controlling their emotions resulting in outburst, yelling, and agression

Experience anxiety and severe depression

Experience self-pitying

Lack confidence

Self-esteem and self actualization is very hard to achieve

Spiritual Well Being

This disease can affect the client's health and spiritual being in a negative way

Feel depressed

Difficulty with coping with activities of daily living

Feel down and think that God is not there

Prayers/wishes are not getting answered

Feel alone and a burden

Cognitive Well Being

Affects how MRs. Keratin thinks and make decisions

Slow the processing of information

Increasingly difficult to organize typical ADLs or multi-task

Problems with remembering words

Speech can become challenging

Issues with short term memory

In this scenario, she remains in bed much of the time. She may become confused more and may affect how she interacts with other people.