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Cognitive impairment and behavioural difficulties in patients with Huntington's disease
Colin Bourne1, Carole Clayton, Ann Murch
1Huntington's Disease Service, Leicestershire Partnership NHS Trust, Derby. colin.bourne@leicspart.nhs.uk
Insights
Huntington's disease (HD) impacts physical, psychological, and cognitive functions. This review focuses on the under-discussed cognitive aspects and their link to behavior in HD patients, offering management strategies.
Area of Science:
- Neurology
- Neuroscience
- Behavioral Science
Background:
- Huntington's disease (HD) is a neurodegenerative disorder with multifaceted effects.
- Existing nursing literature predominantly addresses physical and psychological symptoms of HD.
- Cognitive symptoms in HD are often underrepresented and challenging to interpret.
Purpose of the Study:
- To explore the relationship between cognitive impairments and behavioral changes in Huntington's disease.
- To identify and propose management strategies for behaviors associated with cognitive decline in HD.
- To highlight the importance of addressing cognitive aspects in HD patient care.
Main Methods:
- Literature review of nursing articles focusing on Huntington's disease.
- Analysis of the connection between cognitive deficits and behavioral manifestations in HD patients.
- Synthesis of strategies for managing HD-related behaviors.
Main Results:
- Cognitive symptoms are a significant, yet often overlooked, component of Huntington's disease.
- A strong link exists between cognitive changes and behavioral disturbances in individuals with HD.
- Current literature provides limited guidance on managing cognitive-behavioral aspects of HD.
Conclusions:
- Understanding the cognitive-behavioral link is crucial for comprehensive Huntington's disease care.
- Effective management of behavioral symptoms in HD requires addressing underlying cognitive impairments.
- Further research and nursing focus on cognitive aspects of HD are warranted to improve patient outcomes.
Abstract:
Huntington's disease (HD) is a degenerative, neurological disorder that has physical, psychological and cognitive effects. A review of the nursing literature on HD suggests that the main focus has been on explaining and managing the physical and psychological symptoms that arise. Cognitive symptoms appear to be only briefly discussed in most articles, perhaps because they are often the most difficult to explain and understand. This article examines the link between cognition and behaviour in patients with HD and suggests strategies to manage some of these behaviours.
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