Parkinson's Disease: Overview, Assessment, and Management PDF
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Cape Fear Community College
Cortney Maffett
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Summary
This document is a presentation or lecture about Parkinson's Disease. It covers different aspects, including assessment, symptoms, stages, management, treatment, and patient/caregiver education. The presentation details the different aspects of Parkinson's disease through a variety of images and text.
Full Transcript
Unit 2: Mobility & Health Parkinson’s Disease Cortney Maffett, MSN, FNP-BC Parkinson’s Disease (PD) Progressive, degenerative neurological disease Most common among adult men Neurotransmitter imbalance PD - Assessment Health History Physical Assessment Focus on neuro...
Unit 2: Mobility & Health Parkinson’s Disease Cortney Maffett, MSN, FNP-BC Parkinson’s Disease (PD) Progressive, degenerative neurological disease Most common among adult men Neurotransmitter imbalance PD - Assessment Health History Physical Assessment Focus on neuro Labs/Diagnostics Psychosocial Assessment Knowledge Deficits PD - S/S Four Cardinal Motor Symptoms: Nonintentional tremor Bradykinesia Muscle rigidity Postural instability Non-Motor Symptoms: Orthostatic hypotension Drooling/dysphagia Constipation Nocturia Confusion/dementia Heat intolerance Anxiety/Depression Headache PD - Stages Stage Symptoms Stage 1: Initial Stage Unilateral limb movement Minimal weakness Hand/arm trembling Stage 2: Mild Stage Bilateral limb involvement Masklike face Slow, shuffling gait Stage 3: Moderate Disease Postural instability Increased gait disturbances Stage 4: Severe Disability Akinesia Rigidity Stage 5 Complete ADL Dependance Dysphagia Cognitive changes PD – Management Pharmacological Symptom management Rehabilitation Promote mobility & elevate mood Exercise regimen/PT Yoga/Tai Chi Sleep Patterns Nutrition Speech Pathologist Surgical Stereotactic Pallidotomy Deep Brain Stimulation PD - Medications Dopamine Agonists Levodopa-Carbidopa Catechol O-methyltransferase Inhibitors Monoamine Oxidase Inhibitor – Type B (MAOI-Bs) Anticholinergics Antiviral Medical Marijuana Long-Term Medication Use “On-Off” phenomenon Toxicity & Tolerance Increase or reduce drug dose Change medications Alter frequency of administration Take a drug holiday PD – Patient & Caregiver Education Medication education Psychosocial changes r/t impaired mobility and cognition Self-Management Preventative measures Health care resources Financial issues Social and state agencies Support groups Legal counsel Thanks !
