Huntington`s disease

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Huntington's disease

What is Huntington's disease?

Huntington’s disease is an inherited brain disorder that results in the loss of both mental and physical control.

Between the ages of 30 to 50 symptoms will occur. They will worsen over a 10 to 25 year period. When someone has HD they will die, but from pneumonia, heart failure or another complications .Everyone has the HD gene but it is those individuals that inherit the expansion of the gene who will develop HD and may then maybe pass it onto children.

There is no cure for this disease.

Patient with Huntington’s disease

Lisa Marie, a 45 year old women, said that she was having a hard time balancing; she also added that she was stumbling and falling and seemed to be very clumsy lately. She adds that she has lost all coordination and has slurred many of her words. Her family members have noticed she's had poor judgment and difficulty remembering important events as well as concentrating and answering questions.

Symptoms

Physical symptoms of Huntington's disease would include:

Development of tics (involuntary movement) in the fingers, feet, and face.

Loss of coordination and balance

Slurred speech

Jaw clenching or teeth grinding, as well as difficulty swallowing or eating

Continual muscular contractions

Stumbling or falling

Increased clumsiness

Emotional symptoms:

Hostility and irritability

Ongoing disinterest in life (lack of pleasure or joy)

Bipolar disorder (manic-depression) in some Huntington's patients

Lack of energy

Mental symptoms would include:

Decreased concentration, forgetfulness and memory decline.

Poor judgment

Difficulty making decisions or answering questions and difficulty driving.

Regions of the Brain

Effected by

Huntington's

Disease

The part of the brain most affected by HD is a group of nerve cells at the base of the brain known collectively as the basal ganglia.

Movements of the body are organized at the basal ganglia. It is so heavily effected because nerve cells of the striatum are the first to die as HD progresses.

Diagnosis-tests done

A neurologist will interview the individual intensively to obtain the medical history and rule out other conditions. By running small tests involving motor symptoms like reflexes, muscle strength, coordination and

Balance as well as sensory symptoms.

a psychiatrist may be needed for an examination to judge a number of factors that could contribute to the diagnosis, which would include emotional state, patterns of behaviors, quality of judgment, etc.

Genetic testing is used to confirm the diagnosis.

If someone has family history a predictive genetic test can be run even if the person but shows no signs or symptoms.

Treatment

There is no cure for Huntington's disease but medications can relieve some symptoms. The

Research for this disease has yet to find a means of slowing the deadly progression of HD. Medications including:

Tetrabenazine (Xenazine) which is used to suppress the involuntary jerking and writhing movement from HD.

Antipsychotic drugs, such as haloperidol (Haldol) and chlorpromazine.

Other treatments include staying in good physical condition and changing to a healthy diet. This has been known to slow and diminish symptoms.

Treatment

Psychologist can provide therapy to help a person manage behavioral problems, develop coping strategies, manage expectations during progression of the disease and facilitate effective communication among family members. Is will help a patent try to have a more normal life style and it will help them cope with HD.

Huntington's disease can significantly impair control of muscles of the mouth and throat that are essential for speech, eating and swallowing. A speech therapist can help improve your ability to speak clearly or teach you to use communication devices such as a board covered with pictures of everyday items and activities. Speech therapists

An occupational therapist can assist the person with Huntington's disease, family members and caregivers on the use of assistive devices that improve functional abilities. These strategies may include, handrails at home, assistive devices for activities such as bathing and dressing, as well as eating and drinking utensils adapted for people with limited fine motor skills.

Prognosis

Huntington's disease runs in a full terminal course in 10 to 30 years, and the earlier the symptoms appear, the faster the disease progresses. Huntington's disease patients need to be physically active, and exercise as much as possible. This has been known to slow down and decrease the symptoms. As well as social activities which gives loved ones valuable time with the patient. Most people with the disease die from complications like infections, choking, or pneumonia. Everyone has the HD gene, but HD is caused by a gene that activates the other gene, which causes the disease. However now that the both genes have been located, they are studying and trying to find out how the genes causes this disease.

Error in communication

In Huntington's disease this is really no error. The problem is that cells that make up the basal ganglia die.

So the communication in that part of the brain is nonexistent.

The tissue in this area has been destroyed due to HD

First Biomedical Professional

Psychologist-

Education Requirements:

A PH.D in psychology is usually needed to become a Psychologist, along with a one year internship. Most doctorate programs do no need a undergraduate degree only a masters. There is also a lot of licenses and Registration that is needed.

Job Description:

They asses, diagnose, and treat mental, emotional and behavioral disorders. Psychologist help people deal with personal issues. They can do this by giving people a release, teaching them techniques, and by helping through tough times. They are responsible for treatment and the wellbeing of their patient .

How they with help their patient:

Psychologist can provide therapy to help a person manage behavioral problems, develop coping strategies, manage expectations during progression of the disease and facilitate effective communication among family members. Is will help a patent try to have a more normal life style and it will help them cope with HD.

Second Biomedical Professional

Occupational Therapists-

Education Requirements:

Occupational therapists typically have to have a master’s degree in occupational therapy. They also have to be licensed by the state.

Job description:

Occupational therapists treat injured, ill, or disabled patients through the therapeutic use of every day activates. They help them improve skills for every day living and can also recommend the installation of railing and assistive devices.

How They with help the patient:

An occupational therapist can assist the person with Huntington's disease, family members and caregivers on the use of assistive devices that improve functional abilities. These strategies may include, handrails at home, assistive devices for activities such as bathing and dressing, as well as eating and drinking utensils adapted for people with limited fine motor skills.

Citations By: Ryan C and Olivia

 Facts About HD. (n.d.). Retrieved November 14, 2014, from http://www.hdsa.org/images/content/2/2/v2/22556/HDSA-FastFacts-2-7-14-final.pdf

 HDSA Fast Facts. (n.d.). Retrieved November 14, 2014, from http://www.hdsa.org/new-to-hd-

1/new-to-hd.html

 HOPES. (n.d.). Retrieved November 14, 2014, from http://web.stanford.edu/group/hopes/cgibin/wordpress/2010/06/the-basic-neurobiology-of-huntingtons-disease-text-and-audio/#whatparts-of-the-brain-are-most-affected-in-hd-patients

 Huntington's Disease Symptoms, Causes, Treatment - How is Huntington's disease diagnosed?

- MedicineNet. (n.d.). Retrieved November 14, 2014, from http://www.medicinenet.com/huntington_disease/page5.htm

 Huntington's Disease Treatment, Prognosis. (n.d.). Retrieved November 14, 2014, from http://www.healthcommunities.com/huntingtons-disease/treatment.shtml

 Summary. (n.d.). Retrieved November 14, 2014, from http://www.bls.gov/ooh/Healthcare/Occupational-therapists.htm

 Summary. (n.d.). Retrieved November 14, 2014, from http://www.bls.gov/ooh/life-physicaland-social-science/psychologists.htm

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