Self-care deficit of Parkinson's disease

Nursing Diagnosis for Parkinson's disease -  Self-care deficit

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.




Nursing Diagnosis for Parkinson's disease -  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 :

• assess the ability and the rate of decline and the scale of 0-4 to perform ADL
• avoid what not to do the client and help if needed.
• collaborative provision of laxatives and consult a doctor of occupational therapy
• teach and support the client during the client's activities
• environmental modifications

Source : http://careplannursing.blogspot.com/2012/03/parkinsons-disease-nursing-care-plan.html

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