Friday, March 9, 2012

Parkinson's Disease Nursing Care Plan - Diagnosis Interventions

Parkinson's disease is a common disorder that arises due to some imperfection that amends the normal functioning of the central nervous system. The disease results in the loss of the neurons or nerve cells that contain dopamine in the substantia niera, the part of the brain that controls movement.

Parkinson's disease (Paralysis agitans) as described by James Parkinson in 1817 is characterized by degeneration of central nervous tissues, affecting the motor skills of a person, thereby impairing his (rarely her) movements and speech.

The causes of the disease have not been proven, the following factors increase the risk of Parkinson's;
  • Age
  • Male
  • Genetic link to a sufferer
  • Stress
  • Head trauma
  • Environmental exposure to pesticides
  • Rural living
  • High fat diet
There are also three factors that have been associated with a decreased risk of Parkinson's, these are cigarette smoking, anti-oxidants being present in diet and having measles early in life.

Parkinson's Disease Nursing Care Plan - Diagnosis Interventions

Parkinson's Disease Nursing Care Plan

1. Nursing Diagnosis Impaired physical mobility related to the stiffness and muscle weakness.

Goal: The client is able to perform physical activity according to ability.

Expected results: the client can participate in training programs, joint contractures did not occur, increased muscle strength and the client indicates an act to increase the mobility

Nursing Interventions for Parkinson's Disease :
  1. examine existing mobility and observation of an increase in damage
  2. do an exercise program increases muscle strength.
  3. encourage hangan bath and massage the muscle
  4. help clients perform ROM exercises, self-care according to tolerance
  5. collaboration physiotherapists for physical exercise

2. Nursing Diagnosis Self care deficit related to neuromuscular weakness, decline in strength, loss of muscle control / coordination.

Goal: self-care clients are met

Expected results: the client can indicate a change of life for the needs of taking care of themselves, clients are able to do self-care activities in accordance with the level of ability, and identify personal / community that can help.

Nursing Interventions for Parkinson's Disease :
  1. assess the ability and the rate of decline and the scale of 0-4 to perform ADL
  2. avoid what not to do the client and help if needed.
  3. collaborative provision of laxatives and consult a doctor of occupational therapy
  4. teach and support the client during the client's activities
  5. environmental modifications

3. Nursing Diagnosis Impaired Verbal Communication related to the decline in speech and facial muscle stiffness

characterized by:
  • Subjective Data: client / family says the difficulty in talking
  • Objective data: the words are difficult to understand, face rigid.
Goal: maximize the ability to communicate.

Nursing Interventions for Parkinson's Disease:
  1. Keep the complications of treatment.
  2. Refer to speech therapy.
  3. Teach clients to use facial exercises and breathing methods to correct the words, volume, and intonation.
  4. Breath deeply before speaking to increase the volume and number of words in sentences of each breath.
  5. Practice speaking in short sentences, reading aloud in front of the glass or into a voice recorder (tape recorder) to monitor progress.

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