Bonita Gordon – Neuromuscular & Neurodegenerative Disorders

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 Bonita Gordon – Neuromuscular & Neurodegenerative Disorders

Description:
Management Strategies for:

Multiple Sclerosis
Alzheimer’s Disease
Myasthenia Gravis
Parkinson’s Disease
Guillain-Barré Syndrome
Amyotrophic Lateral Sclerosis

Neuromuscular & Neurodegenerative Disorders remain the nation’s leading cause of disability. They are devastating and costly. There is a need to provide early diagnosis and apply effective therapies for these disorders. Join expert, Bonita Gordon, MSN, RN, APRN-BC, CNRN, and gain new insights into the pathophysiologic changes, clinical manifestations, and diagnostic studies for each of these disorders. Learn the latest in innovative medications that are geared to slow or stop the disorder progression.
Through an engaging presentation style and enlightening case studies, Bonita will enhance your knowledge regarding current practice issues. The evidence-based content is valuable to all healthcare providers caring for patients with neuromuscular and neurodegenerative disorders.
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OUTLINE
Multiple Sclerosis

Four Classifications of MS
Look for the Oligoclonal Bands
ABCs of Medication Management

Immunomodulating disease-modifying agents
Corticosteroids
Antispasmotic
Anticholinergic
Antiviral
CNS stimulant
Antiepileptic
Antidepressant
Beta blocker
Natalizumab

Manage the Symptoms

Optic neuritis
Fatigue
Ataxia

Alzheimer’s Disease Diagnosis

Staging the Disease
Disease-Specific Treatment

Drug therapy to slow the progression
Treatment of behavioral manifestations

Provide a Therapeutic Environment

Participate in activities of daily living
Monitor and protect from injury
Community resources
Caregiver stress

Myasthenia Gravis

Neuromuscular Junction Disorder

Autoimmune process
Reduced acetyl-choline receptor sites

Doing the Edrophonium Test

Evaluate response to edrophonium (telsilon)
Short-acting anticholinesterase inhibitor
Increase neurotransmission

Pathways to Recovery

Medications – anticholinesterase inhibitors, corticosteroids, immunosppressive agents
Thymectomy
Plasmapheresis or intravenous immunoglobulin

Parkinson’s Disease

Degeneration of Substantia Nigra

Basal ganglia degeneration
Deficiency of dopamine

Know the Symptoms “T-R-A-P”

Tremors – resting
Rigidity – cogwheel jerking
Akinesia – bradykinesia
Posture – stooped, shuffling gait

Treatment Options

Medications – dopaminergics, anticholinergics, dopamine agonist, MAO-B inhibitor, COMT inhibitors, antiviral
Neuroprotective agents
Deep brain stimulation

Guillain-Barré Syndrome

Syndrome Variants

Ascending
Pure-motor
Descending
Miller-Fisher Syndrome

Treatment Options

Plasmapheresis
Intravenous immunoglobulin

Amyotrophic Lateral Sclerosis

Degeneration of Motor Neurons

Excitotoxic damage
Defect in transport proteins

Slow and Progressive Weakness

Muscle atrophy
Paralysis
Respiratory failure
Death

Symptom Management
Alternatives

Megadose vitamin
Pancreatic enzymes
Wheat germ
Snake venom
Bee pollen

OBJECTIVES

Explain the appropriate medication management in the care of the multiple sclerosis patient.
Compare the latest options to manage the various symptoms of the multiple sclerosis patient.
Illustrate how to provide a therapeutic environment for the Alzheimer’s disease patient.
Explain the latest drug therapy options available to slow down the progression of Alzheimer’s disease.
Diagram the pathways to recovery for the patient with myasthenia gravis.
Analyze treatment considerations for the patient with Parkinson’s disease.
Contrast the syndrome variants for the patient with Guillain-Barré Syndrome.
Develop symptomatic management for the patient with amyotrophic lateral sclerosis.