ABSTRACT
We demonstrate the feasibility of estimating clinical tremor scores using an eating utensil with motion-sensing and tremor-cancellation technology in thirteen patients with tremor. Three experts scored hand tremor using the modified Fahn- Tolosa-Marin (FTM) scale. A linear model was trained to estimate tremor severity using the recorded motion signals. The average neurologist FTM score was 1.6±0.7 for PD and 2.6±0.7 for ET patients. The average model score was 1.6±0.7 for PD and 2.6±0.6 for ET. Correlation coefficient between the clinical and model tremor scores was 0.91 (pâ<â0.001). Motion data from an instrumented eating utensil accurately derived tremor ratings enabling practical, objective daily monitoring.
Subject(s)
Cooking and Eating Utensils , Tremor/diagnosis , Tremor/nursing , Aged , Female , Humans , Linear Models , Male , Middle Aged , Parkinson Disease/nursing , Severity of Illness IndexSubject(s)
Analgesics, Opioid/administration & dosage , Analgesics, Opioid/adverse effects , Conscious Sedation/adverse effects , Conscious Sedation/nursing , Infant, Extremely Low Birth Weight , Pain/drug therapy , Pain/nursing , Substance Withdrawal Syndrome/nursing , Tremor/chemically induced , Tremor/nursing , Humans , Infant, Newborn , Intensive Care Units, Neonatal , Substance Withdrawal Syndrome/prevention & control , Tremor/prevention & controlABSTRACT
The range of drugs available to treat people with Parkinson's disease has never been greater. However, patients still encounter difficulties in non-specialist settings where there is often confusion over drug selection, dosage and the timing of dosages. Small adjustments to the type of drug used, dosage and timing can have a significant impact on the control of Parkinson's disease and with it the quality of life of patients, carers and their families. This article provides a brief overview of Parkinson's disease including how to identify poor symptom control.
Subject(s)
Antiparkinson Agents/therapeutic use , Parkinson Disease/drug therapy , Parkinson Disease/nursing , Behavioral Symptoms/etiology , Behavioral Symptoms/nursing , Cholinergic Antagonists/therapeutic use , Dopamine Agonists/therapeutic use , Dose-Response Relationship, Drug , Humans , Hypokinesia/drug therapy , Hypokinesia/etiology , Hypokinesia/nursing , Levodopa/therapeutic use , Muscle Rigidity/drug therapy , Muscle Rigidity/etiology , Muscle Rigidity/nursing , Nursing Assessment/methods , Parkinson Disease/complications , Treatment Outcome , Tremor/drug therapy , Tremor/etiology , Tremor/nursingSubject(s)
Antipsychotic Agents/adverse effects , Community Health Nursing/standards , Dyskinesias/etiology , Dyskinesias/nursing , Nursing Assessment/methods , Psychiatric Nursing , Akathisia, Drug-Induced/etiology , Akathisia, Drug-Induced/nursing , Community Mental Health Services/standards , Dyskinesia, Drug-Induced/etiology , Dyskinesia, Drug-Induced/nursing , Dystonia/chemically induced , Dystonia/nursing , Humans , Hypokinesia/chemically induced , Hypokinesia/nursing , Muscle Rigidity/chemically induced , Muscle Rigidity/nursing , Nursing Evaluation Research , Psychiatric Nursing/methods , Psychiatric Nursing/standards , Tremor/chemically induced , Tremor/nursing , United KingdomABSTRACT
A number of post-operative patients experience uncontrollable shivering and shaking after regional or general anaesthesia (GA). As a recovery room nurse, I frequently observed this unpleasant phenomenon and wanted to find out more about it. The purpose of the research was twofold: to investigate the incidence of post-anaesthetic shaking in my own workplace and to develop a clinical tool for its treatment.
Subject(s)
Anesthesia, General/adverse effects , Postoperative Complications/nursing , Tremor/etiology , Anesthesia, Conduction/adverse effects , Humans , Postoperative Complications/prevention & control , Tremor/nursingABSTRACT
Although shaking in the post-anaesthetic period is common, the cause of this phenomenon is obscure. Many predisposing factors have been identified, but the medical treatments and measures of care for patients with post-anaesthetic shaking are as controversial as the causes.
Subject(s)
Anesthetics/adverse effects , Tremor/chemically induced , Causality , Humans , Postanesthesia Nursing , Tremor/nursingABSTRACT
While the cause of postanesthesia shaking (PS) remains unknown, nurses traditionally believe that the etiology of PS is hypothermia. Two theoretical constructs have been proposed to describe the development of PS. The first is based on classic thermoregulation theory. The second is based on spinal reflex hyperactivity. The purpose of this comparison study was to determine if significant differences in postoperative temperature, as well as change in preoperative to postoperative temperature, exists between patients who develop and who do not develop PS. The study also examined the difference in postoperative temperature between women and men. Postoperative axillary temperature was measured on admission to the PACU. The nonprobability convenience sample consisted of patients between the ages of 18 and 89 years who were extubated and breathing spontaneously following general anesthesia. PS developed in 120 of 533 patients. By t-test analysis, there was no statistical significant difference between groups in postoperative mean temperature (P greater than .10) or in preoperative to postoperative mean temperature change (P greater than .40). The group that developed PS had a narrower and higher range of postoperative temperature and a smaller preoperative to postoperative temperature change than those who did not develop PS. In both groups, 52% of the patients were hypothermic (less than 35 degrees C[less than 95 degrees F]) on PACU admission. Women had lower postoperative mean temperature than men (P less than .05). Findings indicate that temperature on PACU admission is not a variable of difference between groups of patients who develop or who do not develop PS. As postoperative temperature decreases, the incidence of PS does not increase.(ABSTRACT TRUNCATED AT 250 WORDS)
Subject(s)
Anesthesia/adverse effects , Body Temperature , Tremor/etiology , Adolescent , Adult , Aged , Body Temperature Regulation/physiology , Clinical Nursing Research , Female , Humans , Male , Middle Aged , Sex Factors , Tremor/nursing , Tremor/physiopathologyABSTRACT
Tremor is a rhythmic, involuntary muscular contraction with consistency of rate, amplitude and pattern. It is the most common of all involuntary movements. Several systems for classifying tremor exist with the most frequent system classed according to behavioral context, ie, resting, postural and action. Clinical recognition of tremor type is extremely important as type determines prognosis, treatment and need for genetic counseling. The most common forms are parkinsonian, physiological, cerebellar intention and essential tremor. Essential or hereditary tremor is the most common of all neurologic conditions with 3-4 million Americans affected. Nursing implications of caring for essential tremor patients are presented.
Subject(s)
Tremor/classification , Adrenergic beta-Antagonists/administration & dosage , Adrenergic beta-Antagonists/adverse effects , Adrenergic beta-Antagonists/therapeutic use , Humans , Patient Care Planning , Primidone/administration & dosage , Primidone/adverse effects , Primidone/therapeutic use , Tremor/drug therapy , Tremor/nursingABSTRACT
The dyskinesia syndromes are a group of physically, socially and psychologically debilitating diseases. Many patients may be helped through medical management consisting of drugs, physical and speech therapy, and vocational rehabilitation. However, when medical management fails to palliate symptoms, surgical intervention may be the patient's alternative. The ultimate goal of therapy is to lead an improved quality of life. As a neurosurgical nurse, you have an important role in achieving that goal.