Etiology/ Pathophysiology
Clinical Manifestations/ Complication
Collaborative Care
Nursing Management
Patient Education
100
What body system does Parkinson's Disease Effect?
Neurologic
100
What is the most common symptoms of PD (also called the Triad of PD)
Tremors, Rigidity, and Bradykinesia
100
What is the confirmation test of PD?
Positive response to antiparkinsonian drugs
100
what is a sign or symptom for PD
Fatigue, tremors, Dysphagia, insomnia, Blank fascies, constipation, epression, slow speech etc.
100
What should patients with Parkinson’s disease do to alleviate constipation? *Name at least two
Simple exercise, eat fiber and drink adequate amount of water
200
What is another term for Parkinson's disease. *Hint: it is characterized by similar symptoms of PD
Parkinsonism
200
What is the first sign of PD?
Tremors
200
What class of drug increases dopamine levels in the basal ganglia.
Dopaminergics
200
An overdose of lovadopa can be the cause of _____ while waking ?
akinesic “freezing” while walking
200
Give one example for patients with Parkinson’s to prevent them from fall?
Move slowly when changing positions, don’t make a sharp turns
300
What balance is disrupted in PD?
Dopamine and Acetylcholine
300
What is another manifestation that rigidity in muscle contraction causes in Parkinson patients? *Hint: involves ADLs
Slowness of movement: it inhibits the alternating of contraction and relaxation in opposing muscle groups (biceps and triceps)
300
What surgical procedure delivers specific currents to the targeted brain location? *Hint: it acts like a pacemaker
DBS (Deep brain stimulators)
300
What is the best way to limit the consequences of decreased mobility, such as contractures, and constipation?
Exercise
300
To increase their motor function what type of exercise should they do?
Patents might try walking, dancing and stretching
400
Why is Dopamine important in daily functional tasks?
A neurotransmitter essential for normal functioning of the motor system (including posture, support, and voluntary motion)
400
What are three non-motor complications of Parkinson's Disease?
Depression, anxiety, fatigue, pain, constipation, and short term memory impairment
400
What interdisciplinary team member is response for helping the patient with ambulation and ROM?
Physical Therapist
400
Give one of the major overall goals when planning care for a patient with PD?
Maximize neurological functioning; Maintaining their independence in ADL for as long as possible; Optimizing Psychosocial well being
400
What mental/cognitive signs should the patient be aware to look out for?
Depression/Dementia
500
In Parkinson's Disease, neurons of the brain area known as the _______ (Latin for "black substance") are primarily affected.
Substansia nigra
500
What complication can develop when dysphagia becomes worse?
Aspiration Pneumonia
500
What are two things that patients with Parkinson disease are to limit intake of?
Protein and Vitamin B6
500
As a nurse what three types of therapist may be needed to seek advise from when providing the best care for your patient?
Occupational; Physical; and Speech
500
What is one important fact that patient's should know about the effect of medication use?
1) They may experience increased dopamine levels 2) Effects may take several weeks of use before improvement of symptoms are seen
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