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46 L Nursing2015 L Volume 45, Number 10 46 L
46 l Nursing2015 l Volume 45, Number 10 www.Nursing2015.com Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. 2.0 ANCC ALCONTACT HOURSS Amyotrophic lateral sclerosis: What nurses need to know By Tamara L. Bellomo, MSN, RN-BC, and Lucille Cichminski, MSN, RN A MOTHER OF THREE teenage children, Mrs. is one of the most common neuromuscular dis- S, 49, presented to her healthcare provider eases in the world. This rapidly progressive, fatal with bilateral leg twitching and weakness, dif- neuromuscular disease involves the degeneration ficulty swallowing, and fatigue that’s worsened and death of the upper and lower motor neu- over the past few weeks. While she was on her rons.1 This article discusses the diagnosis and daily morning walk, she tripped and fell. She treatment of ALS and how nurses can help their experienced a small laceration to her leg, patients deal with the difficult diagnosis and find prompting her visit to the healthcare facility. the resources they and their families need. Her husband said that she’d had periods of slurred speech over the past few months as Who’s affected? well. She was alert and oriented, and her vital An estimated 20,000 to 30,000 Americans are signs were all within normal limits. living with ALS, and about 5,000 new cases After an exam, her healthcare provider are diagnosed each year in the United States.2 referred her to a neurologist who ordered This disease affects people of all ethnic, socio- magnetic resonance imaging (MRI), an electro- economic, and racial backgrounds.2,3 ALS most HOTOTAKE / P myogram, and a full bloodwork panel. -
Drug Development for Amyotrophic Lateral Sclerosis Guidance for Industry
Drug Development for Amyotrophic Lateral Sclerosis Guidance for Industry August 2017 Contents I. INTRODUCTION ................................................................................................................ 1 II. BACKGROUND ................................................................................................................... 2 III. BENEFIT RISK...................................................................................................................... 5 A. General comments .................................................................................................................. 5 B. Evidence of patient and caregiver preferences ....................................................................... 5 C. Implications of patient risk/benefit preferences in ALS ......................................................... 7 1. Alternative endpoints........................................................................................................... 7 2. Placebo control arm ............................................................................................................. 8 3. Threshold for statistical significance ................................................................................... 9 4. Method of delivery ............................................................................................................ 10 5. Role of expanded access and accelerated approval ........................................................... 11 6. Patient protection and need for informed -
2020-ALS-Mission-Toolkit Web.Pdf
OUR MISSION OUR MISSION TABLE OF CONTENTS OUR MISSION Our Case for Support . iv Annual Impact . v Our Vision and Mission . vi CHAPTER 1: RESEARCH The ALS Association Research Program The ALS Association Research Program . 1–1 Research . 1–5 Our Strategic Initiatives . 1–5 Infographics Current Projects . 1–13 Accelerating the Search for a Cure . 1–14 Research By the Numbers . 1–15 Research Strategy . 1–16 Funded Research . 1–17 Scientific Focus Areas . 1–18 Advances in ALS Research . 1–20 Research Initiatives The ALS Association’s ALS Roundtable Program . 1–22 ALS Voice of The Patient Report . 1–24 ALS Focus Survey Program . 1–26 Research Staff . 1–28 CHAPTER 2: CARE SERVICES How We Work Summary . 2–1 How We Work . 2–2 Chapter Membership . 2–4 ii How We Support Clinical Care Supporting Clinical Care . 2–11 Certified Centers . 2–14 Where We Support Care . 2–15 Impact & Resources Care Services Impact . 2–20 Filling the Gap . 2–21 Education — Living with ALS: General Scope . 2–22 Education — Living with ALS: Medical Resources . 2–24 Assistive Technology — Assistive Technology in the ALS Space . 2–26 Children’s Programs and Resources . 2–28 The Jane Calmes ALS Scholarship Fund . 2–32 ALS Association Care Connection . 2–33 Care Services Staff . 2–34 CHAPTER 3: ADVOCACY Introduction To ALS Advocacy Introduction . 3–1 History of ALS Advocacy . 3–2 History of ALS Advocacy: Timeline . 3–3 Advocacy Action Advocacy Guiding Principles . 3–5 How We Advocate . 3–6 Priorities, Impact, and Coalitions ALS Guidance . 3–10 Advocacy Impact . -
A Er the Wildly Successful Ice Bucket Challenge
RESEARCH FEBRUARY/MARCH 2015 BY GINA SHAW Azer the Wildly Successful Ice Bucket Challenge ~e Ice Bucket Challenge raised big bucks on social media. Now, the ALS Association tells us where that cold, hard cash is going. As snowstorms and icy winds batter much of the country, it's hard to imagine willingly pouring a bucket of ice water over your head for any reason. But last August—when temperatures were much more forgiving—that's exactly what about 3 million people did. In an astonishing example of the power of social media, a July 31 dare from former Boston College baseball player Pete Frates, who was diagnosed with amyotrophic lateral sclerosis (ALS) in 2012, quickly went viral. The dare? Dump ice water on your head within 24 hours of being challenged or donate $100 (or whatever amount you could afford) to the ALS Association or another organization supporting ALS research. Pretty soon, the Ice Bucket Challenge meant dumping ice on your head and donating money, and everyone from your neighbor's preschooler to Bill Gates (with a custom-built ice douser), Oprah Winfrey, Jon Bon Jovi, and entire casts of Broadway shows were doing it—and posting their videos online. Even 86-year-old Ethel Kennedy took the challenge. (President Obama donated but declined the ice; actor Patrick Stewart posted a video of himself writing a check.) In La Jolla, CA, prominent ALS researcher Don Cleveland, PhD, who pioneered a novel therapy that turns off the defective genes that contribute to neurodegenerative diseases, watched the online commotion with skepticism. -
Real Or Perceived Amyotrophic Lateral Sclerosis (ALS) Objectives
10/11/2019 Nursing Care and Considerations of Patients with Amyotrophic Lateral Sclerosis (ALS) 40th Annual Neurorehabilitation Conference on Traumatic Brain Injury, Stroke and Other Neurological Disorders Saturday & Sunday, November 16 & 17, 2019 Hyatt Regency Cambridge 575 Memorial Drive • Cambridge, MA encompasshealth.com/braintreerehab Vincent M. Vacca, Jr., MSN, RN 1 Conflicts of interest – Real or Perceived • NONE 2 Amyotrophic Lateral Sclerosis (ALS) Objectives: 1. Following this presentation the learner will be able to list three signs and symptoms of motor neuron dysfunction found in ALS. 2. Following this presentation the learner will be able to explain three diagnostic tests utilized to establish diagnosis of ALS. 3. Following this presentation the learner will be able to describe three essential nursing interventions guided by best practices and care of patients with ALS. 3 1 10/11/2019 The median age of ALS onset is 55 years • ALS affects about one in every 300 people. • About 30,000 currently with 5,000 new cases per year. • ALS is sporadic in 90% of cases and show familial inheritance in the remaining 10%. • Estimates of the median survival of people with ALS vary between 27 and 64 months. • Death from ALS is primarily pulmonary. 4 ALS is the most frequent motor neuron disorder in adults • Due to degeneration of upper and lower motor neurons in spinal and bulbar myotomes. • Most studies show male predominance with a gender ratio of 3:2, but gender differences are age related. • Age of onset tends to be later in females than in males (68.4 years vs. 61.5 years). -
Amyotrophic Lateral Sclerosis (ALS)?
Amyotrophic Lateral Sclerosis U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Amyotrophic Lateral Sclerosis What is amyotrophic lateral sclerosis (ALS)? myotrophic lateral sclerosis (ALS) is a A rare neurological disease that affects nerve cells (neurons) in the brain and spinal cord that control voluntary muscle movement. Voluntary muscles produce movements like chewing, walking, breathing and talking. The disease is progressive, meaning the symptoms get worse over time. Currently, there is no cure for ALS and no effective treatment to halt, or reverse, the progression of the disease. ALS belongs to a wider group of disorders known as motor neuron diseases, which are caused by gradual deterioration (degeneration) and death of motor neurons. Motor neurons are nerve cells that extend from the brain to the spinal cord and to muscles throughout the body. These motor neurons initiate and provide vital communication links between the brain and the voluntary muscles. Messages from motor neurons in the brain (called upper motor neurons) are transmitted to motor neurons in the spinal cord and to motor nuclei of brain (called lower motor neurons) and from the spinal cord and motor nuclei of brain to a particular muscle or muscles. 1 In ALS, both the upper motor neurons and the lower motor neurons degenerate or die, and stop sending messages to the muscles. Unable to function, the muscles gradually weaken, start to twitch (called fasciculations), and waste away (atrophy). Eventually, the brain loses its ability to initiate and control voluntary movements. Early symptoms of ALS usually include muscle weakness or stiffness. Gradually all muscles under voluntary control are affected, and individuals lose their strength and the ability to speak, eat, move, and even breathe. -
UAMS Scientists Create Promising Mouse Model for Reaching Cure for ALS
UAMS News Bureau Office of Communications & Marketing 4301 West Markham # 890 Little Rock, AR 72205-7199 uamshealth.com/news News Release Feb. 14, 2017 Media Contacts: Leslie W. Taylor, 501-686-8998 Wireless phone: 501-951-7260 [email protected] Liz Caldwell, 501-686-8995 Wireless phone: 501-350-4364 [email protected] UAMS Scientists Create Promising Mouse Model for Reaching Cure for ALS LITTLE ROCK — Researchers at the University of Arkansas for Medical Sciences (UAMS) have found a new way to replicate Lou Gehrig’s disease in mice, in what they hope will bring scientists one big step closer to a cure. Mahmoud Kiaei, Ph.D., an assistant professor in the department of Pharmacology and Toxicology in the UAMS College of Medicine, published the project recently in Human Molecular Genetics, a peer-reviewed journal published by The Oxford University Press on all topics related to human molecular genetics. https://www.ncbi.nlm.nih.gov/pubmed/28040732 Lou Gehrig’s disease, also called amyotrophic lateral sclerosis (ALS), attacks the nerve cells that control muscles, called motor neurons. Patients become progressively weaker, eventually losing the ability to speak, eat, move and breathe. There is no cure and the disease is 100 percent fatal. Death sometimes occurs as fast as six months to a year after diagnosis. “Advances like this give me lots of hope and optimism that we will be able to discover a drug to treat ALS sooner,” Kiaei said. About 10 percent of ALS cases in the United States are inherited. In the mid-‘90s, after the identification of one gene associated with ALS, scientists first replicated human ALS in mice, creating a so-called “mouse model.” For many years, it remained the only mouse model available for ALS testing, but it failed to yield a drug treatment that was replicable in human clinical trials. -
ALS:The Basics
ALS: The Basics WHAT IS ALS? Amyotrophic lateral sclerosis (ALS), sometimes called Lou Gehrig’s disease after the New York Yankees baseball player whose career ended in 1939 because of the illness, is a progressive neurodegenerative condition that affects the nerve cells (motor neurons) in the brain and spinal cord that control voluntary movement. ALS most commonly occurs in people between the ages of 40 and 70, but younger and older individuals also can develop the disease. WHAT ARE THE SYMPTOMS? Weakness and loss of muscle mass (atrophy), which occur as a result of the degeneration of motor neurons, are the primary symptoms. In later stages, people may be unable to stand or walk, use their hands and arms, chew and swallow food, or speak. They ultimately may be unable to breathe without the support of a machine (mechanical ventilation). The disease is almost always fatal, usually because the muscles necessary for breathing become too weak. On average, people survive for about three to five years, but up to 10 percent will live for 10 years or more. WHAT CAUSES IT? ALS is caused by degeneration of the motor neurons, but scientists have not yet discovered why the disease occurs in some people but not others. Ninety to 95 percent of ALS cases are sporadic, meaning they occur randomly, with no clear risk factors or causes. Individuals with sporadic ALS have no family history of the disease, nor are their family members at increased risk of developing it. In the hereditary form of ALS (only 5 to 10 percent of cases), researchers have identified mutations in more than a dozen genes. -
ENCALS 2017: Book of Abstracts
Book of abstracts Organised by: European Network to Cure ALS Local Organisers: Ljubljana ALS Centre, Institute of Clinical Neurophysiology University Medical Centre Ljubljana, Slovenia Slovenian Society of Clinical Neurophysiology Editors: Ana Štublar Petra Prunk Blaž Koritnik Technical editor: Miha Cuznar Design: Brane Žalar Publisher: Slovenian Society of Clinical Neurophysiology Ljubljana, 2017 Kataložni zapis o publikaciji (CIP) pripravili v Narodni in univerzitetni knjižnici v Ljubljani COBISS.SI-ID=290258688 ISBN 978-961-94228-0-9 (pdf) - 2 - Contents Welcome Address .................................................................................................................................................... 4 Committees ............................................................................................................................................................... 5 Scientific Programme ............................................................................................................................................. 8 Poster Sessions ......................................................................................................................................................... 15 Registration and Fees ........................................................................................................................................ 33 General Information ......................................................................................................................................... -
2021 ALS Association Mission Toolkit
OUR Mission 2021 ALS Association Mission Toolkit 4/15/21 FOR INTERNAL USE ONLY “The ALS Association has been the greatest organizationALS PROOF to be affiliated with because they’ve got chapters around the country to help patients and their families. They do that through support groups and providing in-home care where people may not be able to afford the cost. And that gives a break to the loved ones, the family members that are left to take care of us when we can’t take care of ourselves. ” —John Russo Co-Chair, ALS Focus Patient and Caregiver Advisory Committee Our Mission TABLE OF CONTENTS Our Case for Support . vi Our Impact . vii Our Vision and Mission . viii Our Research The ALS Association Research Program The ALS Association Research Program . 1-1 Research . 1-4 Research Infographics Scientific Focus Areas . 1-12 Current Projects . 1-14 Accelerating the Search for A Cure . 1-15 Research By the Numbers . 1-16 Funded Research . 1-17 Advances in ALS Research . 1-18 Mission Initiatives The ALS Association’s ALS Roundtable Program . 1-20 Thank You to Our 2020 Roundtable Sponsors . 1-22 ALS Voice of The Patient Report . .4/15/21 . .FOR . .INTERNAL . .USE . ONLY 1-23 ALS Focus Survey Program . 1-25 Research Staff . 1-28 Our Care NetworkALS PROOF How We Work Summary . 2-1 How We Work . 2-2 Chapter Membership . 2-4 iv 2021 ALS Association Mission Toolkit How We Support Clinical Care Supporting Clinical Care . 2-11 Certified Centers . 2-14 Where We Support Care . 2-15 Impact & Resources Care Services Impact . -
Amyotrophic Lateral Sclerosis (ALS)
The following excerpt has been taken from the Christopher & Dana Reeve Foundation Paralysis Resource Center website. http://www.christopherreeve.org/site/c.mtKZKgMWKwG/b.4452343/k.2B93/Amyotroph ic_Lateral_Sclerosis.htm Amyotrophic Lateral Sclerosis (ALS) Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig's disease, is a progressive neurological disease affecting 30,000 Americans with about 5,000 new cases occurring in the United States each year. ALS belongs to a class of disorders known as motor neuron diseases. Motor neurons are nerve cells located in the brain, brainstem, and spinal cord that serve as controlling units and vital communication links between the nervous system and the voluntary muscles of the body. The loss of these cells causes the muscles under their control to weaken and waste away, leading to paralysis. It is usually fatal within five years of diagnosis. ALS manifests itself in different ways, depending on which muscles weaken first. Symptoms may include tripping and falling, loss of control in hands and arms, difficulty speaking, swallowing and/or breathing, persistent fatigue, and twitching and cramping. ALS strikes in mid-life. Men are about one-and-a-half times more likely to have the disease as women. Because ALS affects only motor neurons, the disease does not impair a person's mind, personality, intelligence, or memory. It does not affect a person's ability to see, smell, taste, hear, or recognize touch. Patients usually maintain control of eye muscles and bladder and bowel functions. There is no cure for ALS, nor is there a proven therapy that will prevent or reverse its course. -
Annual Report 2010 Letter from the CEO
ANNUAL REPORT 2010 Letter from the CEO Last year, my family, like many other families across the world, was impacted by a potentially life threatening medical condition. Due to amazing and rapid advances in cardiovascular research and drug development, the crisis has passed and the condition can be treated chronically. We were obviously blessed to have access to these existing life saving medications. These medications continue to reduce the risk of further incidence of cardiovascular events allowing my family to return to a normal semblance of everyday life. This is the situation we need in ALS. We need to get to a point where there is an opportunity to recover and to live. That is what I am committed to doing and what all of us at ALS TDI believe is possible. This past year began with our team publishing a paper in Nature Genetics, describing a previously unknown biological process related to disease onset and progression. In that work, we identified a monoclonal antibody which effectively altered that process in such a way that the disease slowed down in the preclinical model in ways we had not previously seen. Always with an eye on clinical translation, we looked toward our human gene expression database to confirm whether or not that pathway was, in fact, present similarly in people living with the disease. The data was undeniable, with nearly 60% of samples from PALS showing a clear up-regulation of the co-stimulatory pathway; leading us to believe that for the first time, we had found sufficient evidence to move a potential therapeutic into the clinic.