Wednesday, May 17, 2017

Doctor Remy Hadly-Lauren Murphy's Case Study Review

     Doctor Remy Hadly is a character from the show House.  She was 35 years old when she was diagnosed with Huntington's disease.  Her occupations were mainly all work oriented. Her hobbies were exercising and gardening. Several of her roles were being a physician and a friend. Long term goals for her is to maintain independence at work as long as she can, work on ADL's for eating, documenting, and memory skills.  HD is fatal, and due to secondary causes will eventually result in death anywhere from 15-30 years after diagnosis.

    She had a brief period of drug use in 2009.  She has anxiety which was diagnosed in 2006. Her mother died from Huntington's as well did her brother.  Her brother had a planned suicide death.  She was tested positive, and her symptoms began with shakiness and dropping things.  HD effected her balance. She lives in a one story home by herself and has 2 stairs entering her house.

     Challenges-feeding and drinking coffee without spilling it.  She would like to not spill things and work on her coordination.  Tremors make documentation at work difficult.  Her priority was to continue to be a physician as long as she can.

     Be careful with exercise due to fatigue, although exercise is a wonderful way to deal with HD if not overdone. Some assertive technology devices we may use are: weighted utensils, cups with lids, and a speaking tool for documentation.

     Lauren Murphy did an excellent job planning and explaining the intervention, goals, occupations, roles and HD in general!  She was well prepared and willing to answer any questions we asked her.  I enjoyed her presentation and learning more about Huntington's Disease.

     

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