![]() ![]() Parkinson’s disease: nursing diagnosis and nursing care plan Surgical treatment (deep brain stimulation).Physical, occupational and speech and language therapy.Use thickeners with liquids, as appropriate.Use adaptive silverware and cups with lids.Encourage high-fiber soft diet, increase fluids.Avoid high-protein foods with levodopa/carbidopa.Inform clients that effects of levodopa/carbidopa diminish over time.Utilize a rolling walker or cane when walkingĬlient education and lifestyle modifications.Wear supportive and sturdy low-heeled shoes.To prevent falls in individuals with Parkinson’s, it is recommended to: Recommended protective measures for fall-prevention Also used: dopamine agonists, MAO-B inhibitors, COMT inhibitors.Goal: increase dopamine levels or mimic dopamine effect in the brain.Management of Parkinson’s needs to be tailored to the individual symptoms the client experiences, disease severity, age, and lifestyle. There is no cure for Parkinson’s disease, so treatment aims to alleviate symptoms and improve quality of life. What is the treatment for Parkinson’s disease? Note: The progression of Parkinson’s disease is highly individual, and not every affected person will go through every stage. Stage 5: around-the-clock nursing care needed.Stage 4: noticeable incapacitation, assistance required for daily living.Stage 3: loss of balance, slowness of movement, falls.Stage 2: bilateral symptoms, but intact balance.Stage 1: mild symptoms only on one side of the body.The Hoen-and-Yahr scale is a common way to describe Parkinson’s disease progression and severity: What are the stages of Parkinson’s disease? Disease progress is highly individual and the goal of nursing care is to improve clients’ quality of life over the course of the disease and their life as much as possible. It may slightly reduce affected individuals’ life expectancy due to complications like falls or pneumonia. Parkinson’s disease is not directly life-threatening. The management and care of clients with Parkinson’s disease should be tailored to their unique set of symptoms and challenges. ![]() It’s important as a nurse to remember that symptoms can vary widely among individuals and may progress at different rates. Sensory changes (reduced sense of smell, pain, and altered vision).Autonomic dysfunction (constipation, urinary problems, sexual dysfunction, low blood pressure upon standing, and excessive sweating).Cognitive changes (mild cognitive impairment to potentially dementia later on).Mental health issues (depression, anxiety, apathy).Reduced facial expressions (hypomimia), a stooped posture, decreased arm swing while walking, and changes in speech and handwriting.Tremor: often starts in a single hand, most noticeable at rest.Parkinson’s disease is typically characterized by a combination of motor and non-motor symptoms. What are the signs of Parkinson’s disease? Risk factors associated with Parkinson’s disease include age, exposure to toxins and pesticides, head trauma, genetics, and a history of depression, anxiety, cognitive impairment, insomnia, and sleep disturbances. ![]() The exact cause of Parkinson’s disease is unknown, but likely to involve genetic as well as environmental factors. There is no specific test for PD, and there is no cure. PD negatively impacts how a person moves, feels, thinks, sleeps, and speaks. This results in imbalanced dopamine and acetylcholine levels and decreased ability to control movement. It occurs when the brain cells that make dopamine, a neurotransmitter that coordinates movement, stop working or die. Parkinson’s disease (PD) is a chronic, progressive neurodegenerative disorder. Licensed Practical Nurse (LPN) Students. ![]()
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