Professional Documents
Culture Documents
Concept Map PD
Concept Map PD
Parkinson Disease
Assessment
Risk Factors (Signs & Symptoms) Complications
Gentic Stooping posture Aspiration
Pesticides/chemicals Slow shuffling gait (Bradykinesia)
Pill rolling
Fall with injury
Environmental Fall asleep while driving – risk for MVC
Dysphagia
>40 years Dysphasia Nutritional deficit
Decreased estrogen Drooling
Drinking well water Muscle rigidity
Tremors
Depression
Echolalia
Mask like face
Nursing DX Hypophonia Health Promotion
Impaired mobility Rapid Mood Swings Family support and coping
Risk for aspiration Orthostatic Hypotension Keep room or house free of clutter
Impaired cognition
Risk for falls Sleep disturbances Focus on patient’s strengths
Impaired coping Teach exercises to strengthen muscles
Constipation Interventions/Safety Teach use of cane or walker if indicated
Altered level of functioning Drug therapy as ordered Facilitate independence
Fall precautions Restrict caffeine
PT/OT as ordered
Speech consult – swallowing and speech
Psychosocial support
Meds
Diagnostics Allow patient extra time for interventions
Levodopa
CT/ MRI Bowel and bladder regimen
Atropine
PT/OT Assessments Dietary consult – blended foods, supplements, high protein Artane for muscle rigidity
CSF for decreased dopamine levels Assessment every 4 hours and prn for depression, anxiety, Sinemet
PTET or SPECT scans to r/o other health and sleeplessness Cogentin
issues Monitor for pressure ulcers Requip
Pain medication as ordered Mirapex
Deep brain stimulation Mao inhibitors
Surgery – thalamotomy
Drug holiday for patients on long term therapy when drug
tolerance is reached