The Novartis website makes the case for a patch over a pill by saying "On average, an older American takes 5 prescription medicines. These medicines may need to be taken at different times and managing them all may seem overwhelming" (Novartis, para. 1). In this case, a patch eliminates having to remember several doses each day of one of the medications.
5. What is "moderate" dementia? What is dementia?
Dementia affects brain function. There is no known cure for dementia. It refers to several illnesses (Alzheimer's disease, Lewy or DLB) involving behavior, memory, communication and learning problems. There are other conditions in the brain which damage nerves or blood vessels, which also can create dementia. Dementia diseases are usually progressive, so "moderate" dementia usually refers to the beginning stages of the illness.
6. What are the implications of the health issue from an economic, social, lifestyle, legal, political, medical and ethical standpoint?
Treating a patient with Alzheimer's disease with rivastigmine may create false hopes in the caregiver's mind, which affects the economic, social, lifestyle, legal, political, medical and ethical considerations of both patient and caregiver. If the drug, which seems to promise delay of full-time care of a progressive disease, does not deliver this delay, the expectations and therefore the planning of future activities and care are deeply affected. Liability increases on the part of diagnostician, the one prescribing the drug and the administrator. The political ramifications are multiple, as a body of people prepare for long-term care of millions of affected patients. Much time and money is being spent by the government to determine whether this drug affects the millions who take it in a positive way.
7. What circumstances contributed to this being a current health care issue?
The drug companies seem to promise that this drug is a cure-all, at the very least delaying full-time care for patients, which it does not. Moreover, at high doses, rivastigmine causes gastrointestinal distress, including nausea, diarrhea, vomiting, weight loss and decreased appetite. Therefore, a patient should start with a low dose and increasing the dose to the next level...
Parkinson disease is considered to be an idiopathic condition. This means that there are no known cures and researchers are still trying to determine its primary causes. When someone is first diagnosed they will exhibit a number of symptoms. The most notable include: shaking, rigidity, slowness of movement, trouble walking and gait. (Sanchez, 2009) (Follet, 2010) (Cummings, 1992) (Leroy, 1998) As the disease progresses, it will contribute to dementia and depression.
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Abstract Alzheimer’s disease is a type of dementia, while Parkinson’s disease is known as a debilitating neurodegenerative disease that affects significantly more men than women. The two disorders have some similar symptoms but are also very different. With regards to treatment, no standard intervention has been developed for the treatment of Alzheimer’s disorder. The only existing drugs are those that address some of the symptoms. Likewise, there is no standard therapy
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