An advantage of supportive therapies is that patient’s
notice a difference if they point effort into it, for example they start to
walk better and their strength improves as they continue to gain strength as
they work on their muscle. In addition as they again strength they also gain
muscle flexibility and improve their joints, so they will be more confident
doing day to day activities. This links with other developments (PIES), as if
they are more physically confident they also become more emotionally confident
as they suffer less and are able to do an activity which makes them enjoy life
and have a positive mind-set.
A disadvantage of supportive therapy is that the
patient might not find it comfortable getting help from therapist that they
don’t know. For example they might find it easier to discuss their problem with
a family member as they believe a family member won’t judge them.
Medication is used to improve main symptoms of
Parkinson’s like tremors and movement problems. The medication that are
normally used are levodopa, dopamine and monoamine oxidise which help long term
and short term effects. Levodopa is absorbed by the nerve cells in the brain
and made chemical dopamine, which sends messages between the brain and nerve
cells. This medication is given because
it improves a movement problem which is administered by oral administration.
Furthermore dopamine is a substitute for dopamine in the brain and it is
normally taken with levodopa.
An advantage of medication for Parkinson’s is
that it is the quickest way to improve tremors for Parkinson’s disease. For
instance dopamine improves messages between the brain and nerve cells therefore
it makes a difference in the amount of tremors and then will also lessen it.
A disadvantage of medication for Parkinson’s is
it produces side effects like nausea, tiredness and dizziness. The first dose
is very small as the patient’s body has to get used to it, later on they would
have to increase the dosage as nerve cells are lost as there are fewer being
absorbed. Therefore this could cause them to sleep more often which stops them
from doing their jobs, which might include driving.
Finally deep brain stimulation (DBS) is when you
go through surgery, which involves implanting a pulse generator into your chest
wall. This is connected to wires placed under your skin and is inserted into
areas of the brain. Then electric current is produced that goes through the
wire and stimulates the brain affected by Parkinson’s disease.
An advantage of this type of surgery is that DBS
is reversible which makes it easier to make other surgical operations.
Furthermore long term complications are fewer than with other surgical methods
as surgery sometimes involves destroying small parts of the brain, while DBS
does not kill the small parts.
A disadvantage is that the surgery might have
complications and end up having bleeding in the brain which can cause a stroke.
If the patient has a stroke they could end up having paralysis, loss of speech
and serious cases death. Furthermore they could end up having infections which
can cause death.
In this assignment I will be discussing how the
practitioners and agencies involved in the care pathways work together to
provide the care needed for both physiological disorders. Then I will be
evaluating the effectiveness of health and social care practitioners and
agencies working together to deliver the care pathway for one of the chosen
physiological disorders. A care pathway is a method of having a mutual
decision, making partnership between the patient and the service provider. For the first part I will be describing two
practitioners for each disorder and how they work together and the final
section I will be choosing one and discussing the strengths and weakness of
service providers working together.
Informal and formal carers can both be involved in the
delivery of care pathways. Formal care is qualified who are employed by an
organisation, which makes the follow the professional code of conduct (CQC).
While informal care is not qualified individuals like the family as they work
with the person on daily basis they might be more stressed.