Challenges of modern medicine – a case study of a patient with ALS after age 60
Background. Amyotrophic lateral sclerosis is a degenerative disease of the nervous system, neurodegenerative cerebral cortex, pad and spinal cord due to damage to the upper and lower motor neurons, with progressive course, various symptoms with varying intensity and duration (from several months to...
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2019-08-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/26436 |
| _version_ | 1811304004779507712 |
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| author | Paulina Kasperska Eliza Oleksy Anna Ziółkowska Wojciech Stemplowski Remigiusz Sokołowski Karolina Klimkiewicz-Wszelaki Walery Zukow Kornelia Kędziora-Kornatowska |
| author_facet | Paulina Kasperska Eliza Oleksy Anna Ziółkowska Wojciech Stemplowski Remigiusz Sokołowski Karolina Klimkiewicz-Wszelaki Walery Zukow Kornelia Kędziora-Kornatowska |
| author_sort | Paulina Kasperska |
| collection | DOAJ |
| description | Background. Amyotrophic lateral sclerosis is a degenerative disease of the nervous system, neurodegenerative cerebral cortex, pad and spinal cord due to damage to the upper and lower motor neurons, with progressive course, various symptoms with varying intensity and duration (from several months to even 10 years), extremely unfavorable prognosis. As an incurable and progressive disease, due to the deterioration of mobility it leads to complete stopping of muscles, including respiratory ones, with the intellectual ability of the patients fully preserved
Case report. A 65-year-old patient was hospitalized in Geriatrics Clinic in University Hospital A. Jurasza in Bydgoszcz. Patient with shortness of breath, present paradoxical chest movement, impaired chest mobility, present whirring, wheezing during auscultation examination. The patient was admitted to the ward because of pneumonia. Amyotrophic lateral sclerosis, chronic respiratory failure, hypertension, and hyperthyroidism were diagnosed. In the medical history she had swallowing problems, abdominal pain, insufficient cough reflex, dysphagia, increased body temperature, difficulty falling asleep, depressed mood. The patient did not consent to a tracheotomy for aspiration of secretions from the respiratory tract. The patient required suctioning of excessively accumulating secretions in the mouth. The patient was patted. Patient's skin without pathological changes. During the night, the patient requires non-invasive mechanical ventilation - BIPAP respirator. Patient under the care of the Palliative Medicine Clinic. Patient fed an industrial diet (Isosource Protein) for PEG (percutaneous endoscopic gastrostomy) - self-service.
Results. Although the disease is incurable, many of its symptoms can be alleviated, and the goal of therapy should be to improve the quality of life and maintain patient independence for as long as possible. SLA patients and their relatives often experience depression, feelings of despair and anxiety. Therefore, psychological help is recommended for patients and their relatives. The continuous development of medicine remains a hope for this disease. There is a need to continue research into the search for an effective cure for amyotrophic lateral sclerosis. |
| first_indexed | 2024-04-13T07:58:13Z |
| format | Article |
| id | doaj.art-914e7baeee16495ab1eccc422ce04d1e |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-04-13T07:58:13Z |
| publishDate | 2019-08-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-914e7baeee16495ab1eccc422ce04d1e2022-12-22T02:55:21ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062019-08-0198Challenges of modern medicine – a case study of a patient with ALS after age 60Paulina Kasperska0Eliza Oleksy1Anna Ziółkowska2Wojciech Stemplowski3Remigiusz Sokołowski4Karolina Klimkiewicz-Wszelaki5Walery Zukow6Kornelia Kędziora-Kornatowska7Department of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, BydgoszczDepartment of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, BydgoszczDepartment of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, BydgoszczDepartment of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, BydgoszczDepartment of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz Clinic Neurosurgery and Neurology, Stroke Care Unit, Collegium Medicum, Nicolaus Copernicus University, BydgoszczDepartment of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, BydgoszczNicolaus Copernicus University in Torun, TorunDepartment of Geriatrics, Collegium Medicum, Nicolaus Copernicus University, BydgoszczBackground. Amyotrophic lateral sclerosis is a degenerative disease of the nervous system, neurodegenerative cerebral cortex, pad and spinal cord due to damage to the upper and lower motor neurons, with progressive course, various symptoms with varying intensity and duration (from several months to even 10 years), extremely unfavorable prognosis. As an incurable and progressive disease, due to the deterioration of mobility it leads to complete stopping of muscles, including respiratory ones, with the intellectual ability of the patients fully preserved Case report. A 65-year-old patient was hospitalized in Geriatrics Clinic in University Hospital A. Jurasza in Bydgoszcz. Patient with shortness of breath, present paradoxical chest movement, impaired chest mobility, present whirring, wheezing during auscultation examination. The patient was admitted to the ward because of pneumonia. Amyotrophic lateral sclerosis, chronic respiratory failure, hypertension, and hyperthyroidism were diagnosed. In the medical history she had swallowing problems, abdominal pain, insufficient cough reflex, dysphagia, increased body temperature, difficulty falling asleep, depressed mood. The patient did not consent to a tracheotomy for aspiration of secretions from the respiratory tract. The patient required suctioning of excessively accumulating secretions in the mouth. The patient was patted. Patient's skin without pathological changes. During the night, the patient requires non-invasive mechanical ventilation - BIPAP respirator. Patient under the care of the Palliative Medicine Clinic. Patient fed an industrial diet (Isosource Protein) for PEG (percutaneous endoscopic gastrostomy) - self-service. Results. Although the disease is incurable, many of its symptoms can be alleviated, and the goal of therapy should be to improve the quality of life and maintain patient independence for as long as possible. SLA patients and their relatives often experience depression, feelings of despair and anxiety. Therefore, psychological help is recommended for patients and their relatives. The continuous development of medicine remains a hope for this disease. There is a need to continue research into the search for an effective cure for amyotrophic lateral sclerosis.https://apcz.umk.pl/JEHS/article/view/26436amyotrophic lateral sclerosiscase reportchallenges of modern medicine |
| spellingShingle | Paulina Kasperska Eliza Oleksy Anna Ziółkowska Wojciech Stemplowski Remigiusz Sokołowski Karolina Klimkiewicz-Wszelaki Walery Zukow Kornelia Kędziora-Kornatowska Challenges of modern medicine – a case study of a patient with ALS after age 60 Journal of Education, Health and Sport amyotrophic lateral sclerosis case report challenges of modern medicine |
| title | Challenges of modern medicine – a case study of a patient with ALS after age 60 |
| title_full | Challenges of modern medicine – a case study of a patient with ALS after age 60 |
| title_fullStr | Challenges of modern medicine – a case study of a patient with ALS after age 60 |
| title_full_unstemmed | Challenges of modern medicine – a case study of a patient with ALS after age 60 |
| title_short | Challenges of modern medicine – a case study of a patient with ALS after age 60 |
| title_sort | challenges of modern medicine a case study of a patient with als after age 60 |
| topic | amyotrophic lateral sclerosis case report challenges of modern medicine |
| url | https://apcz.umk.pl/JEHS/article/view/26436 |
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