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Is a disease in which the function or structure of the affected
tissues or organs increasingly deteriorate over time, whether due
to normal bodily wear or lifestyle choices such as exercise or
eating habits
often contrasted with infectious diseases
A. AMYOTROPHIC LATERAL SCLEROSIS (ALS)
 from the Greek words:
a – no
myo – muscles
trophic – nourishment
lateral – side of the spinal cord
sclerosis – hardening or scarring
 Charcot disease
– (French)
named after
Dr. Jean-Martin
Charcot(1869)
 Lou Gehrig's disease – (USA) named
after Lou Gehrig, a hall of fame baseball
player for the New York Yankees(1930)
 Motor Neuron Disesase(MND)
(England and Australia)
=> it damages the
motor neurons in
the brain and
spinal cord
*motor neurons
are the nerve cells
that controls
muscle movements
Cause:
According to ALS Association most people who develop the disease
were adults between 40-70
 2out of 100 people each year get the disease
 half of all people with ALS live at least 3years after they found out
they have the disease
 20% or 1 in 5 live 5 years or more
 10% will survive more than 10years
 5-10% hereditary; which means the disease runs in the family,
called familial ALS
 90% is not inherited, this is called sporadic ALS
 Potential Causes: Occupation(chemical exposure, electromagnetic
field, physical trauma, electric shock) but without consistent findings
**Generally the cause of the disease is unknown.
Symptoms:
 leg-onset form - may experiences awkwardness in
walking or running
 arm-onset form – may experience difficulty with
tasks requiring manual dexterity
 bulbar-onset – difficulty speaking clearly or
swallowing
 respiratory-onset - muscles that support breathing
are affected first
* Patients may ultimately lose the ability to initiate
and control all voluntary movement, most patients
are not able to walk or use their hands and arms,
but will maintain hearing, sight, touch, smell and
taste.
Treatment:
=( There's no way to prevent or cure ALS, but
treatments are available to people with the
disease:
 Medicine: Riluzole or Rilutek it can slow the
development of the disease but does not
reverse the damage already done to motor
neurons.
*Patients must be
monitored for liver
damage(10%).
 Therapy: physical therapist can set goals and
promote benefits by delaying loss of strength,
maintaining endurance, limiting pain,
preventing complications and promoting
functional independence(aerobic exercise
and performing activities of daily living;
walking, swimming, stationary biking)
 speech therapists teach strategies or
techniques to help patients speak louder and
clearly or recommend use of augmentative
and alternative communications(voice
amplifiers, speech generating device or
voice output communication
devices)
and low tech
communication
techniques
(alphabet boards,
yes/no signals)
The following gestures are an easy way
to quickly communicate with ALS
patients.
Eyebrows Up I’m interested, tell me more
Eyes Up
Yes
Hard Blink
No
Eyes Closed for a moment I need a break or rest
Multiple Blinks I need something
 Breathing Support - ventilator can ease
problems with breathing and prolong
survival, it does not affect the progression
of ALS
 Nutrition: prepare numerous small meals that
provide enough calories, fiber, and fluid; avoid
foods that are difficult to swallow
 feeding tube may be advised by doctors when
patients can no longer get enough nourishment
from eating, it reduces the risk of choking and is
not painful
 research has found out that people who ate
fruits and vegetables containing carotenoids
had reduced chance of developing ALS(carrots,
watermelon, and tomatoes)
Notable Case:
 Lou Gehrig
 Stephen Hawking – famous physicist who furthered our
understanding of the universe
B. ALZHEIMER'S DISEASE
 named after the
German scientist and
neuropathologist
Aloysius
Alzheimer(1901)
 is the most common
form of dementia
 there is no cure for the
disease, which
worsen as it
progresses and
eventually leads to
death
 diagnosed most often in people over 45-65
years of age
 life expectancy 7 years, less than 3% live
more than 14years
 in 2006, there were 26.6 million people
worldwide with AD
 is predicted to affect 1 in 85 people globally
by 2050
 men have a less favorable survival than
women
2 Division:
 a. Early onset- it happens before the age of
65
 b. Late onset- symptoms started after 65
Causes:
 Alzheimer cases is mostly unknown
 Hypothesis: 1%-5% genetic, exposure to air
pollution and smoking
Treatment:
There is no cure for Alzheimer's. Treatments can be divided into
three:
 Pharmaceutical – medications are currently used to treat AD, yet
the benefit from their use is small. No medication has been clearly
shown to delay the progression of the disease. Side effects are
nausea and vomiting, muscle cramps, decreased heart rate,
decreased appetite and weight, and increased gastric acid
production.
 Psychosocial- used as an adjunct to pharmaceutical treatment, it
can reduce problem in behavior such as wandering. ex. Music
therapy
 Care giving - the role is taken by the spouse or a close relative
Notable
Cases:
 former US
President
Ronald
Reagan
C. PARKINSON'S DISEASE
 is a disorder of the central
nervous system, which
includes the brain and
spinal cord and controls
everything you do including
moving
 first describe as “shaking
palsy” by English physician,
Dr. James Parkinson(1817)
 about 1million people in US
have the disease both men
and women
Causes
 low dopamine level
in the brain but no
one really knows
why the nerve cells
that produce
dopamine get
damaged and die
 environmental
factors; pesticides or
other chemicals
Symptoms:
 Symptoms usually appear when someone is
older than 50.
 tremors or trembling – shaking hands
 difficulty maintaining balance and coordination
– trouble standing or walking
 slowness
 overtime a person may have trouble smiling,
talking or swallowing- their faces may appear
flat or without expression
 sometimes have trouble thinking and
remembering
 * it develops slowly, most people can live a
long life
Treatment:
 a. levodopa/l-dopa increases the
amount of dopamine in the body and
has shown to improve a persons
ability to walk and move around
*Side effects: nausea, vomiting and
fainting;
Notable Cases
 Michael J. Fox – actor
 Muhammad Ali – boxer
 Coach Freddie Roach – boxing coach
 Love and Other Drugs - starring Anne
Hathaway and Jake Gyllenhaal
Degenerative Diseases

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Degenerative Diseases

  • 1. Is a disease in which the function or structure of the affected tissues or organs increasingly deteriorate over time, whether due to normal bodily wear or lifestyle choices such as exercise or eating habits often contrasted with infectious diseases
  • 2. A. AMYOTROPHIC LATERAL SCLEROSIS (ALS)  from the Greek words: a – no myo – muscles trophic – nourishment lateral – side of the spinal cord sclerosis – hardening or scarring
  • 3.  Charcot disease – (French) named after Dr. Jean-Martin Charcot(1869)
  • 4.  Lou Gehrig's disease – (USA) named after Lou Gehrig, a hall of fame baseball player for the New York Yankees(1930)
  • 5.  Motor Neuron Disesase(MND) (England and Australia) => it damages the motor neurons in the brain and spinal cord *motor neurons are the nerve cells that controls muscle movements
  • 6. Cause: According to ALS Association most people who develop the disease were adults between 40-70  2out of 100 people each year get the disease  half of all people with ALS live at least 3years after they found out they have the disease  20% or 1 in 5 live 5 years or more  10% will survive more than 10years  5-10% hereditary; which means the disease runs in the family, called familial ALS  90% is not inherited, this is called sporadic ALS  Potential Causes: Occupation(chemical exposure, electromagnetic field, physical trauma, electric shock) but without consistent findings **Generally the cause of the disease is unknown.
  • 7. Symptoms:  leg-onset form - may experiences awkwardness in walking or running  arm-onset form – may experience difficulty with tasks requiring manual dexterity  bulbar-onset – difficulty speaking clearly or swallowing  respiratory-onset - muscles that support breathing are affected first * Patients may ultimately lose the ability to initiate and control all voluntary movement, most patients are not able to walk or use their hands and arms, but will maintain hearing, sight, touch, smell and taste.
  • 8. Treatment: =( There's no way to prevent or cure ALS, but treatments are available to people with the disease:  Medicine: Riluzole or Rilutek it can slow the development of the disease but does not reverse the damage already done to motor neurons. *Patients must be monitored for liver damage(10%).
  • 9.  Therapy: physical therapist can set goals and promote benefits by delaying loss of strength, maintaining endurance, limiting pain, preventing complications and promoting functional independence(aerobic exercise and performing activities of daily living; walking, swimming, stationary biking)
  • 10.  speech therapists teach strategies or techniques to help patients speak louder and clearly or recommend use of augmentative and alternative communications(voice amplifiers, speech generating device or voice output communication devices) and low tech communication techniques (alphabet boards, yes/no signals)
  • 11. The following gestures are an easy way to quickly communicate with ALS patients. Eyebrows Up I’m interested, tell me more Eyes Up Yes Hard Blink No Eyes Closed for a moment I need a break or rest Multiple Blinks I need something
  • 12.  Breathing Support - ventilator can ease problems with breathing and prolong survival, it does not affect the progression of ALS
  • 13.  Nutrition: prepare numerous small meals that provide enough calories, fiber, and fluid; avoid foods that are difficult to swallow  feeding tube may be advised by doctors when patients can no longer get enough nourishment from eating, it reduces the risk of choking and is not painful  research has found out that people who ate fruits and vegetables containing carotenoids had reduced chance of developing ALS(carrots, watermelon, and tomatoes)
  • 14. Notable Case:  Lou Gehrig  Stephen Hawking – famous physicist who furthered our understanding of the universe
  • 15. B. ALZHEIMER'S DISEASE  named after the German scientist and neuropathologist Aloysius Alzheimer(1901)  is the most common form of dementia  there is no cure for the disease, which worsen as it progresses and eventually leads to death
  • 16.  diagnosed most often in people over 45-65 years of age  life expectancy 7 years, less than 3% live more than 14years  in 2006, there were 26.6 million people worldwide with AD  is predicted to affect 1 in 85 people globally by 2050  men have a less favorable survival than women
  • 17. 2 Division:  a. Early onset- it happens before the age of 65  b. Late onset- symptoms started after 65 Causes:  Alzheimer cases is mostly unknown  Hypothesis: 1%-5% genetic, exposure to air pollution and smoking
  • 18. Treatment: There is no cure for Alzheimer's. Treatments can be divided into three:  Pharmaceutical – medications are currently used to treat AD, yet the benefit from their use is small. No medication has been clearly shown to delay the progression of the disease. Side effects are nausea and vomiting, muscle cramps, decreased heart rate, decreased appetite and weight, and increased gastric acid production.  Psychosocial- used as an adjunct to pharmaceutical treatment, it can reduce problem in behavior such as wandering. ex. Music therapy  Care giving - the role is taken by the spouse or a close relative
  • 20. C. PARKINSON'S DISEASE  is a disorder of the central nervous system, which includes the brain and spinal cord and controls everything you do including moving  first describe as “shaking palsy” by English physician, Dr. James Parkinson(1817)  about 1million people in US have the disease both men and women
  • 21. Causes  low dopamine level in the brain but no one really knows why the nerve cells that produce dopamine get damaged and die  environmental factors; pesticides or other chemicals
  • 22. Symptoms:  Symptoms usually appear when someone is older than 50.  tremors or trembling – shaking hands  difficulty maintaining balance and coordination – trouble standing or walking  slowness  overtime a person may have trouble smiling, talking or swallowing- their faces may appear flat or without expression  sometimes have trouble thinking and remembering  * it develops slowly, most people can live a long life
  • 23. Treatment:  a. levodopa/l-dopa increases the amount of dopamine in the body and has shown to improve a persons ability to walk and move around *Side effects: nausea, vomiting and fainting;
  • 24. Notable Cases  Michael J. Fox – actor  Muhammad Ali – boxer  Coach Freddie Roach – boxing coach  Love and Other Drugs - starring Anne Hathaway and Jake Gyllenhaal