Community Health Nursing Case Review

Parkinson’s disease is a disorder that affects the nerve cells, in a part of the brain that controls the movement of muscles. Symptoms of this debilitating disease include trembling of hands, arms, legs, jaw and face, stiffness of arms, legs and trunk, slowness of movement, poor balance and coordination. As symptoms get progressively worse, people may experience depression, sleep problems, swallowing and speaking problems. Till now there is no cure for this disease.

Viewpoint of Client- This client lived her entire life very actively. Because of her disease and its worsening effects, unfortunately she was moved to a nursing home. Patient Autonomy, defined as the right of patients to make decisions about their medical care without their health care provider trying to influence the decision, allows for health care providers to educate the patient but does not allow the health care provider to make the decision for the patient. The patient Self- Determination Act of 1990 requires that all patients admitted to any health agency be asked if they have written advance directives. This client is incapable of making her own decisions, so she appointed her family to make decisions. According to the American Medical Association, the patients have the right to receive information from the physicians and to discuss the benefits and risks, the patient have the right to make decisions regarding the health care, the patient have the right to courtesy, respect, dignity, responsiveness, and timely attention to health needs, the patient have the right to confidentiality, the right to continuity of health care, and the basic right to have adequate health care, the right to have an advance directive, and the patient have the right to refuse.

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Mayo Clinic Staff. (2010, November 05). Parkinson's Disease. Retrieved from http://www.mayoclinic.com/health/parkinsons-disease/DS00295

Silva, M, & Ludwick, R. (1999). Ethics: Interstate Nursing Practice and Regulation: Ethical Issues for the 21st Century. The Online Journal of Issues in Nursing, 4(2), Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume41999/No2Sep1999/InterstateNursingPracticeandRegulation.aspx

Henaan, A. (2011, January 10). Code of Conduct. Retrieved from http://www.realnurse.net/about/principles.shtml

Berman, A, Snyder, S, Kozier, B, & Erb, G. (2008). Fundamentals of Nursing. New Jersey: Pearson Education.

Pozgar, G, Santucci, N, & Pinella, J. (2010). Legal and Ethical Issues for Health Care Professionals. Sudbury, MA: Jones and Barlett Publications.