Which interventions are included in the plan of care for a patient with Parkinsons disease
Parkinson’s Disease Nursing Care Plans Diagnosis and InterventionsParkinson’s Disease NCLEX Review and Nursing Care Plans Show
Parkinson’s Disease (PD) is a common neurodegenerative disease characterized by changes in movement and posture. It is a progressive illness with symptoms starting from barely noticeable to obvious signs and symptoms. Tremors, rigidity, and bradykinesia are the triad of symptoms of Parkinson’s disease. Parkinson’s disease has a prevalence rate of 0.5-1% in the 65-69 years old population. Its occurrence rises as the age progresses and its incidence is second to Alzheimer’s disease. Signs and Symptoms of Parkinson’s Disease
Causes of Parkinson’s DiseaseParkinson’s disease is an idiopathic illness, which means that its cause is unknown. The signs and symptoms it present are caused by the loss of nerve cells in the part of the brain called substantia nigra. This part of the brain is responsible for the production of dopamine, a neurotransmitter that links the brain and nervous system to coordinate body movements. Loss of dopamine results in uncoordinated body movements, thereby producing the signs and symptoms of the disease. Though the exact cause of Parkinson’s disease is still unknown, there are possible explanations that may be responsible for the condition, such as:
The following are the associated risk factors in developing Parkinson’s disease:
Complications of Parkinson’s Disease
There is no specific diagnostic procedure to diagnose PD. However, the following are helpful to come up with the diagnosis:
Treatment of Parkinson’s DiseaseCurrently, Parkinson’s disease has no cure. However, treatments are extremely helpful in managing its signs and symptoms.
Nursing Diagnosis for Parkinson’s DiseaseNursing Care Plan for Parkinson’s Disease 1Ineffective Airway Clearance related to Parkinson’s disease as evidenced by shortness of breath, SpO2 level of 89%, cough, use of accessory muscles, increased mucus production, difficulty to expectorate phlegm Desired Outcome: The patient will be able to maintain airway patency and improved airway clearance as evidenced by being able to expectorate phlegm effectively, respiratory rates between 12 to 20 breaths per minutes, oxygen saturation within target range (usually above 94%), and verbalize ease of breathing.
Nursing Care Plan for Parkinson’s Disease 2Impaired physical mobility related to disease process of Parkinson’s disease as evidenced by bradykinesia, cognitive impairment, inability to bear weight, rigidity, tremors, generalized weakness, inability to do activities of daily living (ADLs) as normal, and verbalization of overwhelming tiredness Desired Outcome: The patient will be able to perform activities of daily living within the limits of the disease.
Nursing Care Plan for Parkinson’s Disease 3Nursing Diagnosis: Fatigue related to disease process of Parkinson’s disease as evidenced by generalized weakness, tremors, muscular rigidity, and verbalization of overwhelming tiredness Desired Outcome: The patient will demonstration active participation in necessary and desired activities and demonstrate increase in activity levels.
Nursing Care Plan for Parkinson’s Disease 4Disturbed Thought Process Nursing Diagnosis: Disturbed Thought Process related to psychological causes, parkinsonian medications, chronic illness, and depression, secondary to Parkinson’s disease as evidenced by memory impairment, distractibility, inability to perform activities, abnormal lab studies, and insomnia. Desired Outcomes:
Nursing Care Plan for Parkinson’s Disease 5Impaired Verbal Communication Nursing Diagnosis: Impaired Verbal Communication related to the rigidity of facial muscles, lack of stimuli, decreased circulation to the brain, and psychological barriers secondary to Parkinson’s disease as evidenced by stuttering, inability to name words, inability to identify objects, inappropriate verbalization, and facial muscle rigidity. Desired Outcomes:
Nursing Care Plan for Parkinson’s Disease 6Deficient Knowledge Nursing Diagnosis: Deficient Knowledge related to lack of knowledge about Parkinson’s disease, difficulty understanding the disease process, lack of coping skills, and cognitive impairment secondary to Parkinson’s disease as evidenced by verbalization of questions and incorrect information from the patient and family, presence of preventable complications, and inappropriate behavior. Desired Outcomes:
More Parkinson’s Disease Nursing Diagnosis
Nursing ReferencesNursing References Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Disclaimer:Please follow your facilities guidelines and policies and procedures. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. What are three nursing interventions when treating someone Parkinson's disease?Administer oxygen as ordered. Monitor oxygen saturation by pulse oximetry. Provide supplemental oxygen to benefit patient. Assess patient for pallor or cyanosis in nail beds and/or around the mouth.
What is the treatment plan for Parkinson's disease?Most people with Parkinson's disease eventually need a medication called levodopa. Levodopa is absorbed by the nerve cells in your brain and turned into the chemical dopamine, which is used to transmit messages between the parts of the brain and nerves that control movement.
What is the most effective treatment for Parkinson's?Almost all patients with Parkinson's disease eventually need to take medication to help with their motor symptoms. Several classes of medications are available and can be viewed here. Carbidopa/Levodopa remains the most effective symptomatic therapy and is available in many strengths and formulations.
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