(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

Paper Format: APA

Pages: 2 Words: 556

Question

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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.