University:
West Coast University
Course:
NURS 122 | Introduction to Medical Surgical Nursing
Academic year:

2022
Views:

158

Pages:

1
Author:

Prince Sampson

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Parkinsons DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ 7 Alterations in Health (Diagnosis) Parkinsons disease Pathophysiology Related to Client Problem Health Promotion and Disease Prevention low levels of dopamine resulting from destruction of pigmented neuronal cells in the basal ganglia no smoking,caffeine use the spice tumeric ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Fatigue, decreased manual dexterity, stooped posture, propulsive gait, slow speech, tremors,muscle rigidity, bradykinesia, difÞciculty chewing/swallowing Laboratory Tests Diagnostic Procedures There are no deÞnitive diagnostic procedures .Diagnosis is made based on manifestations and ruling out other diseases. The key to diagnosis is the patientÕs response to levodopa Positron emission tomography (PET) and single photon emission PATIENT-CENTERED CARE Nursing Care administer medication at prescribed times, Monitor mental and cognitive status, maintain client mobily, promote client communication Therapeutic Procedures Stereotactic pallidotomy or thalamotomy Deep brain stimulation ACTIVE LEARNING TEMPLATES Crackles result from consolidation of leukocytes and Þbrin in the lung causing an infection or by ßuid accumulation in the lungs. Decreased breath sounds may indicate alveolar collapse with little to no air exchange in the lung area being auscultated and usually results in poor ventilation. Complications Medications Dopaminergics Dopamine agents Anticholinergics Catechol O methyltransfera se (COMT) inhibitors, Monamine oxidase type B(MAO-B) inhibitors, antivirals Client Education avoid foods high in vitamin B6 because they block the effects of antiparkinsonian medications Aspiration pneumonia Altered cognition(dementi a, memory deÞcits) Interprofessional Care Speech therapist occupational therapist physical therapist and social service/case management THERAPEUTIC PROCEDURE A11