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Treatments for Pick's Disease
Treatment list for Pick's Disease:
The list of treatments mentioned in various sources for Pick's Disease includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
Treatments of Pick's Disease: Online Medical Books
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Aphasia:
Treatment
(In a Page: Signs and Symptoms)
- Embolic stroke: Anticoagulation; however, if secondary to endocarditis, do not initiate anticoagulation, because of increased risk of hemorrhage; instead, treat with antibiotics
- Thrombotic stroke: Antiplatelet therapy (e.g., aspirin or clopidogrel) and risk factor reduction (e.g., lipid and hypertension therapy)
- Viral encephalitis: IV acyclovir for 10–14 days
- Dementia: Acetylcholinesterase inhibitors are of variable effectiveness in Alzheimer's disease
- Status epilepticus: IV lorazepam and anticonvulsants
- Hypoglycemia and other electrolyte abnormalities: Correction of underlying metabolic problem
- Dissociative state: Oral or IV benzodiazepines may “break the spell” of psychiatric separation of attention from the environment; ECT may be necessary
- Speech therapy is useful to help maintain motivation to improve language function and avoid depression from communication impairment
Aphasia [Dysphasia]:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
Quickly look for signs and symptoms of increased intracranial pressure (ICP), such as pupillary changes, a decreased level of consciousness (LOC), vomiting, seizures, bradycardia, widening pulse pressure, and irregular respirations. If you detect signs of increased ICP, administer mannitol I.V. to decrease cerebral edema. In addition, make sure that emergency resuscitation equipment is readily available to support respiratory and cardiac function, if necessary. You may have to prepare the patient for emergency surgery.
Aphasia [Dysphasia]:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
Quickly look for signs and symptoms of increased intracranial pressure (ICP), such as pupillary changes, decreased level of consciousness (LOC), vomiting, seizures, bradycardia, widening pulse pressure, and irregular respirations. If you detect signs of increased ICP, administer mannitol I.V. to decrease cerebral edema. In addition, make sure that emergency resuscitation equipment is readily available to support respiratory and cardiac function, if necessary. You may have to prepare the patient for emergency surgery.
Aphasia:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Maintain reality by frequently explaining what has happened, where the patient is located and why, and what the date is. Later, expect periods of depression as the patient recognizes his disability. Facilitate communication by providing a relaxed, accepting environment with a minimum of distracting stimuli. Prepare the patient for a psychiatric consultation if the depression becomes debilitating or is demonstrated by personality changes.
When you speak to the patient, don’t assume that he understands you. He may simply be interpreting subtle clues to meaning, such as social context, facial expressions, and gestures. To help avoid misunderstanding, use nonverbal techniques, speak to him in simple phrases, and use demonstration to clarify your verbal directions.
Remember that aphasia is a language disorder, not an emotional or auditory one, so speak to the patient in a normal tone of voice. Make sure that he has necessary aids, such as eyeglasses or dentures, to facilitate communication. Refer the patient to a speech pathologist early to help him cope with his aphasia.
Patient teaching
Carefully explain diagnostic tests, such as skull X-rays, computed tomography or magnetic resonance imaging, angiography, and electroencephalography. Explain the related effects of aphasia to the patient and his family, such as possible depression or the use of profanity.
Apraxia:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Prepare the patient for diagnostic studies, which may include computed tomography and radionuclide brain scans. Because weakness, sensory deficits, confusion, and seizures may accompany apraxia, take measures to ensure the patient’s safety. For example, assist him with gait apraxia in walking.
Patient teaching
Explain the disorder to the patient. Encourage him to participate in his normal activities as tolerated. Help him overcome frustration arising from the inability to perform routine tasks by breaking each task down into separate steps, demonstrating these steps, and having the patient repeat the actions you demonstrated as taught by the physical and occupational therapists. Allow him sufficient time to perform each step. Avoid giving complex directions. Encourage family members to assist in the patient’s rehabilitation.
Aphasia:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Quickly look for signs and symptoms of increased intracranial pressure (ICP), such as pupillary changes, decreased level of consciousness (LOC), vomiting, seizures, bradycardia, widening pulse pressure, and irregular respirations. If you detect increased ICP, administer mannitol I.V. to decrease cerebral edema. Also, make sure that emergency resuscitation equipment is readily available to support respiratory and cardiac function, if necessary. You may have to prepare the patient for emergency surgery.
Apraxia:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
During your assessment, be alert for signs and symptoms of increased intracranial pressure, such as headache and vomiting. If you detect any, elevate the head of the bed 30 degrees and monitor the patient closely for altered pupil size and reactivity, bradycardia, widened pulse pressure, and irregular respirations. Have emergency resuscitation equipment nearby, and be prepared to give mannitol I.V. to decrease cerebral edema.
If the patient is experiencing seizures, stay with him and have another nurse notify the physician immediately. Avoid restraining the patient. Help him to a lying position, loosen tight clothing, and place a pillow or other soft object beneath his head. If the patient’s teeth are clenched, don’t force anything into his mouth. If his mouth is open, protect the tongue by placing a soft object, such as a washcloth, between his teeth. Turn the patient’s head to provide an open airway.
Aphasia [Dysphasia]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If the patient becomes confused or disoriented, help restore a sense of reality by frequently telling him what has happened, where he is and why, and what the date is.
▪ Expect periods of depression as the patient recognizes his disability.
▪ Help him to communicate by providing a relaxed, accepting environment with a minimum of distracting stimuli and providing an alternate method of communication, if possible.
▪ Be alert for sudden outbursts of profanity by the patient reflecting intense frustration with his impairment and deal with such outbursts as gently as possible to ease embarrassment.
▪ When you speak to the patient, don't assume that he understands you. He may simply be interpreting subtle clues to meaning, such as social context, facial expressions, and gestures.
▪ To help avoid misunderstanding, use nonverbal techniques, simple phrases, and demonstration to clarify your verbal directions.
▪ Remember that aphasia is a language disorder, not an emotional or auditory one, so speak to the patient in a normal tone of voice.
▪ Make sure that he has necessary aids, such as eyeglasses or dentures, to facilitate communication.
▪ Refer the patient to a speech pathologist to help him cope with and recover, as best as possible, from his aphasia.
Patient teaching
▪ Carefully explain diagnostic tests, such as skull X-rays, computed tomography scan or magnetic resonance imaging, angiography, and EEG.
▪ Explain the underlying disorder and treatment plan.
▪ Teach the patient alternate means of communication, if possible.
▪ Discuss risk reduction measures for stroke, such as not smoking, eating a healthy diet, exercising regularly, and blood pressure control.
Discussion of treatments for Pick's Disease:
There is no cure or specific treatment for Pick's disease. Its progression cannot be slowed. However, some of the symptoms of the disease may be treated effectively. (Source: excerpt from NINDS Pick's Disease Information Page: NINDS)Find a Therapist or Health Professional
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