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Friday, June 8, 2012

Impaired Physical Mobility of Parkinson's Disease

Parkinson's disease (also known as Parkinson disease, Parkinson's, idiopathic parkinsonism, primary parkinsonism, PD, or paralysis agitans) is a degenerative disorder of the central nervous system. The motor symptoms of Parkinson's disease result from the death of dopamine-generating cells in the substantia nigra, a region of the midbrain; the cause of this cell death is unknown. Early in the course of the disease, the most obvious symptoms are movement-related; these include shaking, rigidity, slowness of movement and difficulty with walking and gait. Later, cognitive and behavioural problems may arise, with dementia commonly occurring in the advanced stages of the disease. Other symptoms include sensory, sleep and emotional problems. PD is more common in the elderly, with most cases occurring after the age of 50.


Nursing Diagnosis for Parkinson's Disease : Impaired physical mobility related to bradykinesia, muscle rigidity and tremors

characterized by:
Subjective data: the client said it was difficult to do activities
Objective data: tremors while on the move

Outcome: improve the mobility

Nursing Interventions for Parkinson's Disease :
  • Help clients make daily exercise such as walking, cycling, swimming, or gardening.
  • Encourage clients to stretch and exercise as directed postural therapist.
  • Bathe with warm water and the clients do sorting to help muscle relaxation.
  • Instruct the client to rest on a regular basis in order to avoid weakness and frustration.
  • Teach for postural exercise and walking techniques to reduce the stiffness when walking and the possibility of learning continues.
  • Instruct the client to walk with your legs open.
  • Create a client's hand with awareness raising, lifting the feet when walking, use the shoes for walking, and walking with step length.
  • Tell the client to walk to the rhythm of music to help improve the sensory.

Evaluation: client sessions of physical therapy, facial exercise 10 minutes 2 times a day.

Source : http://nanda-list.blogspot.com/2011/12/3-nursing-diagnosis-for-parkinsons.html