Huntingotns

Question 1

What is HD

Answer 1

progressive neurological disorder
destroys basal ganglia
repetition of Chromosone 4

Question 2

Symptoms of HD

Answer 2

Involuntary movt (chorea)
Postural instability (LOB, Falls)
Problems w/ memory retrieval, executive function, math abilities
Irritability/restless/outburst/moody
Depression
Hallucinations/paranoia 
social w/drawl
insomnia
Dysphagia (slurred speech, difficulty swallowing, nutritional risk)

Question 3

Meds for HD

Answer 3

Tetrabenazine (suppress movt)
Antipsychotics
Antidepressants

Question 4

Characteristics of early stage

Answer 4

Subtle changes in mood/irratability/depression/problem solving
less capable of ADL and work activities
Subtle chorea/invol movt

Question 5

Middle stage HD characteristics

Answer 5

Med utilized to relieve invol movt
Sig memory and decision making skills impairment
Unable to maintain paid employment
sig impact of daily function

Question 6

Later stage HD characteristics

Answer 6

Complete dependence
non ambulatory
choking is a sig concern
severe chorea and develops into rigidity
often unable to speak (can still comprehend language and aware of fam)

Question 7

What does death occur from in HD

Answer 7

Secondary cause like choking or pneumonia

Question 8

OTs role

Answer 8

ADLs 
Balance 
Cog
Environment assessment (home/work)
Driving assessment 
social exploration
safety
dysphagia mod
exercise and flexibility 
EC/WS

Question 9

When do symptoms usually appear in HD

Answer 9

30-50