DISEASES
> Affects myelin and nerve fibers of the brain and spinal cord.
> Chronic disease characterized by demyelination.
Multiple Sclerosis
•resting tremors
•rigidity
•bradykinesia
Parkinson's disease
Medication management for Alzheimer's disease (classification)
•cholinesterase inhibitors
•monoclonal antibodies
•NMDA receptor antagonists
Women are at risk with this type of headache, puberty, PMS, birth control pills, smoking, obesity, high intake of tyramine rich foods
Migraine
Throbbing at AM, pounding, pulsating
severe/ moderate with nausea and vomiting
unilateral pain
pain starts in the morning
Migraine
Type of MS:
>may be mild to moderate
>Sx develop & resolve over weeks to months
>patient returns to baseline until a relapse
Relapsing Remitting
Deep brain stimulation
Management for Parkinson's Disease
Medications to treat cluster headache.
Triptans
Lifestyle modifocations
A type of headache that has no pathological cause.
Primary
Pressure, tight
Mild/moderate in the evening
Bilateral forehead/ temples
Tension Headache
Type of MS:
>frequent lapses with partial recovery
> patient does not return to baseline, but continues to deteriorate over several years
Progressive Relapsing MS
•mild memory loss
•short attention span
•difficulty planning & organizing
•subtle changes in personality
•problems w/ judgment
•decreased knowledge of current events
Mild early-stage Alzheimer's disease
preventative management for cluster headache
- CCB, no alcohol, no smoking, sleep
A type of headache that has a pathological cause.
Secondary
Phono and photosensitivity
Migraine Headache
•Movement is accomplished by coordination of cerebral cortex, basal ganglia, and cerebellum
Parkinson's Disease
•severe impairment of all cognitive functions
•confusion/disorientation
•depressed / agitated / withdrawn / frustrated
•loss of self-care ability
•speech and language deficits
Moderate- middle stage
Nursing intervention for cluster headache to relief pain (non- pharma)
>movement
> pacing
>o2 therapy
This type of headache occurs rarely.
Cluster headache
Excessive tearing
Cluster Headache
>Neurotransmitters are involved in Parkinson's Disease
acetylcholine and dopamine
•lose the ability to respond to the environment
•speaking in single words or short phrases; may be non-verbal
•need extensive assistance w/ ADLs
•vulnerable to infections – especially pneumonia
Severe-late stage
> Tylenol
>NSAIDS
This type of headache are common.
Tension
No visual disturbances
no photosensitivity
Tension headache