Medical Condition Known as Lou Research Paper

Pages: 6 (2142 words)  ·  Bibliography Sources: 6  ·  File: .docx  ·  Topic: Anatomy

SAMPLE EXCERPT . . .

The quick shift in pressure, through use of a face mask, or mouthpiece or a tracheotomy tube, "…produces a high expiratory flow rate from the lungs, simulating a cough" (ALSA). What happens when there is "poor cough reflex"? That can lead to pooling of secretions in the lungs as well as in the back of the throat, the ALSA continues. When there are these secretions this situation can lead to the upper airway obstruction "…and/or respiratory infections, such as pneumonia" (ALSA).

How much does a person expect to have to spend to purchase a Bi-PAP machine? According to www.focusonals.com, the Bi-PAP was actually developed in the 1990s from the C-PAP ("continuous positive airway pressure") and it can cost between $2,000 and $3,000. Medicare may pay for a substantial portion of the device and some medical insurance companies will cover this device, focusonals.com explains.

The NeuRx Diaphragm Pacing System (DPS) was approved in 2011 by the U.S. Food and Drug Administration and it is designed to "supplement breathing efforts and help preserve diaphragm muscle function" (MDA/ALS Newsmagazine) (Madsen, 2011). It may serve as a way to delay the need for "invasive tracheotomy ventilation," and help people who still have muscle use of their diaphragm. The DPS does not require deep surgery, only "minimally invasive laparoscopic surgery, in which electrodes are…implanted in the diaphragm…and the device then activates the diaphragm muscle" (Madsen). Not only does the DPS help to supplement the ability to breathe, it delays the shrinkage of the actual diaphragm and indeed reduces the need for "invasive ventilation" (Madsen).Download full Download Microsoft Word File
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TOPIC: Research Paper on Medical Condition Known as Lou Assignment

The cost runs upwards of $20,000, according to Michelle Pfiumm writing in the ALS Therapy Development Institute. Pfiumm goes on to suggest that the NeuRx DPS has not been "sufficiently demonstrated through clinical studies to slow respiratory decline," or even, for that matter, help improve the quality of life for the ALS patient. Are insurance companies going to be willing to shell out $20,000 for a device that is relative new on the market and hasn't truly proven to be of great help vis-a-vis the patient's need to sleep. Speaking of cost, to purchase a DynaVox eye-activated computer system a person must spend nearly $12,000, albeit there is evidence that this system helps users to "…access their communication device using their eyes" (DynaVox). "With a simple blink or by dwelling on the desired area of the screen," the ALS patient can learn to communicate once his or her motor neurons no longer kick muscles into gear.

In conclusion, the person with ALS has a choice to make: a) to use machines to help keep live flowing while there is the inevitable deterioration of the body; or b) or to let the disease run its course and accept the demise and deterioration of the body without the stress of the sound, the expense, and the other aspects of technology in this regard. For my part, I have seen the stress created by machines that are only effective temporarily and I suggest that accepting the inevitable from ALS is a better way to go.

Works Cited

ALS Association (ALSA). (2008). Respiratory Care. Retrieved November 7, 2012, from http://web.alsa.org.

DynaVox Technologies. (2011). DynaVox EyeMax Accessory for DynaVox Vmax.

Retrieved November 7, 2012, from http://www.spectronicsinoz.com.

Focus on ALS. (2009). BiPAP. Retrieved November 7, 2012, from http://www.focusonals.com/bipap.htm.

Madsen, Amy. (2011). NeuRx Diaphragm Pacing System Approved for ALS. MDA/ALS

Newsmagazine. Retrieved November 7, 2012, from http://alsn.mda.org.

National Institute of Neurological Disorders and Stroke. (2009). Retrieved November 7, 2012,

From http://www.ninds.nih.gov/disorders/amyotrophiclateralsclerosis/detail_ALS.htm.

National Register of Personal Trainers (NRPT). (2010). Expand your knowledge / Muscle

Anatomy / Voluntary Muscles. Retrieved November 7, 2012, from http://www.nrpt.co.uk.

Pfiumm, Michelle. (2011). DPS Sleep. ALSTDI (ALS Therapy Development Institute).

Retrieved November 7, 2012, from http://blogs.als.net/post/2011/12/06/DPS-sleep.aspx. [END OF PREVIEW] . . . READ MORE

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