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O Huntington's Disease Case Study

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O Progressive, degenerative, inherited neurologic disease characterized by increasing dementia and chorea (jerking, rapid, involuntary movements) and speech problems
O Decrease in acetylcholine, resulting in relative excess of dopamine
O Excess dopamine causes the excessive uncontrolled movements
O Onset at about 40yrs of age
O If there are more genetic mutations found on the affected chromosome, clinical manifestations can occur even earlier
O Autosomal Dominant
O 50% chance of passing
O Huntingtin (HTT) found on Chromosome 4
O Genetic testing looks at the amount of times “CAG” is repeated in the coding for glutamine
O In Huntington’s “CAG” is repeated over 36 times when normally, it is only repeated 10-35 times
O Magnetic resonance imaging …show more content…
A serious side effect is the risk of worsening or triggering depression
O Psychiatric Disorders:
O Antipsychotics, such as haloperidol (Haldol) and chlorpromazine, have a side effect of suppressing movements.
O Antidepressants, such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem) and sertraline (Zoloft).
O Speech Therapy
O Occupational Therapy
O Provide safe environment (jerking movement)
O Provide a calm and stress-free environment
O Provide ample time for communication
O Breaking down tasks into manageable steps
O Regular toileting intervals and skin care
O Monitoring nutritional intake; may need gastrostomy feedings
O Assist with ADLs
O Explain need for guardianship and advanced directives
O Use of hand rail while in home
O Use of assistive devices (ie.

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