Parkinson\u2019s.docx - Parkinson\u2019s Neurological movement disorder slowly progressing Affects men more often Onset as early as 30 \u2013 usually in 50s

Parkinsonu2019s.docx - Parkinsonu2019s Neurological...

This preview shows page 1 - 4 out of 7 pages.

Parkinson’s Neurological movement disorder; slowly progressing Affects men more often Onset as early as 30 – usually in 50s Signs of Parkinson’s Cardinal Signs (top 4) Tremor Rigidity (Resistant to passive movement) Bradykinesia (slowing of active movement) Abnormal posture (may have shuffling gait) **Fall precaution** Micrographic (small handwriting) Dysphonia (voice impairment/altered) Dysphagia (risk aspiration) Autonomic and Neuroendocrine effects Excessive & uncontrolled sweating Paroxysmal flushing Orthostatic hypotension Gastric/urinary retention Sexual dysfunction Psych changes – Dementia, anxiety, depression, delirium, hallucinations Complications Fixed eye gaze Falls Paranoia Hallucinations Dementia Impaired communication Infections Malnutrition Altered Sleep Skin Breakdown Depression/social isolation 1
Diagnostic tests PET Positive response to levodopa (converted to dopamine in ganglia) Pharmacologic Therapy MAO Inhibitors- Selegiline Dopaminergics (Dopamine agonists): Levodopa Apokyn pramipexole bromocriptine mesylate Diet Pt may have difficulty maintaining weight Risk of aspiration --- semi thick liquids May need supplemental – PEG Surgery Deep Brain Stimulation Pallidotomy and Thalamotomy Nursing Process –Planning the Care of the Patient with Parkinson’s Disease Mobility – improve with stretching, rom exercises, walking (upright, practice walking to band music), stationary bike, swimming **Freq resting** Warm baths & massage Communication Which of the following is not a cardinal sign of Parkinson’s? b. Dementia Rationale: The cardinal signs of Parkinson’s disease are tremor, rigidity, bradykinesia and postural instability. 2
Nursing interventions for each of the symptoms of Parkinson's disease, muscle rigidity, bradykinesia, tremors at rest and postural reflex abnormalities, are designed to increase the patient's quality of life by minimizing symptoms. Nurses are responsible for planning patient medication schedules to maximize drug effectiveness. Dietary implications include a low-

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture