According to the Mayo Clinic staff (2011), ”Muscular Dystrophy (MD) is a group of inherited muscle diseases in which muscle fibres are unusually susceptible to damage. Muscles, primarily voluntary ones, become progressively weaker.” Fat and connective tissue often replace…
symptoms vary according to the type of muscular dystrophy; but, generally, the symptoms may include muscle weakness; loss of coordination; and progressive crippling that result in fixations of the muscles around the joints and mobility loss (ibid.)
There are many types of muscular dystrophy. Dystrophinopathies are due to a genetic defect of the protein dystrophin. Duchenne’s muscular dystrophy , which is the most severe , occurs mostly in young boys and is the most common form that affects children.
There is no cure for any form of muscular dystrophy. Treatment attempts to reduce deformities in the joints and the spine to retain mobility for as long as possible. “Treatments may include various types of physical therapy, medications, assistive devices, and surgery” (ibid.). Because respiratory problems may occur in the later stages, it is important that patients be vaccinated for pneumonia and be current with flu shots.
According to Nursing Care Plan (2011), there is currently no cure for MD so therapeutic management is focused on managing the symptoms and maintaining the highest level of functional independence possible. Patients with MD are managed by a multidisciplinary team because of their complex needs. Nursing interventions are primarily preventive and ...
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(“Muscular Dystropy Essay Example | Topics and Well Written Essays - 250 words”, n.d.)
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(Muscular Dystropy Essay Example | Topics and Well Written Essays - 250 Words)
“Muscular Dystropy Essay Example | Topics and Well Written Essays - 250 Words”, n.d. https://studentshare.net/nursing/471731-muscular-dystropy.
The patient is a twelve-year-old boy with Duchenne Muscular Dystrophy and is confined to a wheelchair. He showed symptoms of Duchenne Muscular Dystrophy (DMD), as a pre-scholar at the age of 3 his legs were first affected making his walking and balancing a problem. He walked six months later than expected and had problems running.
In the 1870s, descriptions of people (particularly boys) who grew weaker over time, lost mobility, and died young became increasingly prominent in the medical field. During that period, these descriptions were documented in medical journals. In the next decade, Guillaume Duchenne, a French neurologist, provided a comprehensive evaluation of 13 boys with the most prevalent and severe form of the disease (Parker & Philip 14).
It is X-linked and affects mainly males. DMD occurs when a particular gene on the X chromosome (DMD gene) undergoes mutation and the protein dystrophin is not formed. The present article discusses the epidemiology, pathophysiology, anesthesia management with relevance to DMD.
DMD is generally identified by the age of five through its symptoms of delayed motor ability and weakness of the proximal muscles. The consequences of DMD are severe for the individual (Wu, Kuban, Allred, Shapiro & Darras, 2005).
, Ladewig, Ball & Bindler (2007, 1762), “bones provide a rigid framework for the body, muscles provide for active movement, and tendons and ligaments hold the bones and muscles together. Alterations in musculoskeletal functioning, therefore, can have a significant impact on a
The major cause for all kinds of muscular dystrophies is believed to be mutations that take place in individual genes encoding numerous proteins. Among the latter one can find extracellular matrix proteins, cytoplasmic enzymes, transmembrane and
Muscular Dystrophy is primarily characterized by weak skeletal muscles that progressively deteriorate over time, defective muscle proteins, and the eventual demise of cells and tissues constituting the muscles. As muscular Dystrophy is a genetic disorder, patients suffering from it have wrong or missing information in their genes.
This means that any of these diseases can surely arise even though no one in the family has ever been affected or has the abnormality. This paper is going to examine closely one of these muscular dystrophy disorders which is Duchenne muscular dystrophy (DMD).
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