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the fundamentals of nursing chapter 1
the fundamentals of nursing chapter 1
parkinson disease research paper
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Nursing Fundamentals: Case Study Parkinson 's disease is a chronic and progressive disorder of the nervous system that affects one 's movement. Symptoms continue and may worsen over time. This disease has no standard treatment, though there are medications given and surgeries performed to treat its symptoms. Parkinson 's affects neurons in an area of the brain called the substantia nigra, one of the movement control centers in the brain. Some of the neurons that die while this disease is progressing, produces dopamine. Dopamine is a chemical that sends off messages to the part of the brain that controls one 's movement and coordination. As Parkinson 's progresses, the amount of dopamine that is to be produced in the brain, decreases, which …show more content…
Sometimes the symptoms that come with PD do not require movement. Some of the early symptoms are loss of sense of smell, constipation, REM behavior, sleep and mood disorder, and orthostatic hypotension, which means low blood pressure when standing. These nonmotor symptoms are more troublesome than the motor symptoms for some people. Many researchers believe that these nonmotor symptoms come before the motor symptoms. Other nonmotor symptoms are bladder and sexual problems, excessive saliva, weight loss or gain, depression, and skin problems. If a person has some these symptoms, it may not mean that they are developing the Parkinson 's disease. Though, these symptoms have helped scientist have a better understanding of the disease. ("Nonmotor Symptoms - Parkinson 's Disease Foundation (PDF)", …show more content…
Many of the residents tried to feed themselves, but because they were shaking so bad they, sometimes, would not eat. I was happy to see that they would try to feed themselves and that they were trying to work their muscles out to reduce the tremor, but as a caregiver I would understand their frustration and help out by feeding them. Many of them had physical therapy to also help out. The team at the nursing home made sure each resident had their medications, went to their appointments, and worked with them when possible. Seeing and caring for a loved one with Parkinson 's disease can be hard, but as their caregiver or as their family, you can find out and work with them through this disease. Understanding those with PD is going through, goes a long way. You can help them by talking to their doctors about their response after taking medications, helping them by exercising. Those who may sleeping problems can be helped by keeping them active during the day setting a bedtime
Parkinson’s disease is not a condition that is necessarily easy to be diagnosed. Therefore, the individual is advised to see a Parkinson’s specialist to receive the most accurate diagnosis and consider what the best course of treatment for the individual would be.
The story of Miss. Julianne took me to my childhood. When I was 13-14 years, my Nana was also suffering from dementia at that point. I was too young at that point to understand his situation, now in nursing I am learning about different diseases and how patients react to those particular situations, I can relate more to his pain and understand from what he was going through. As in the story Miss Julianne forgets things, as she said, “Where are my dentures?” (Lenar, K., 2016,), and she blames others, “and
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
care to the residents suffering from dementia. Banner et al (2009 as cited in Lee J.et al.2012)
Parkinson’s Disease is a progressive neurodegenerative disorder in the community resulting in significant disability. This global problem has consumed the lives of many. “Approximately 60,000 Americans are diagnosed with Parkinson's disease each year, and this number does not reflect the thousands of cases that go undetected” (Statistics on Parkinson’s, 2014). Once this unbiased disease has begun to affect the patient it is a lifelong battle. Parkinson’s disease has a tremendous impact on the patient as they battle for their independence and plead for their acceptance into their own community setting. People living with Parkinson’s disease struggle with tremors, bradykinesia and rigidity. It takes a skilled nurse to be able to care for the patient suffering with Parkinson. With education, support and exercise the patient will be able to feel some sense of hope for their future. The purpose of this paper to is educate the community about Parkinson’s disease and the impact on the patient and on the nurse caring for the patient.
Parkinson's Disease is a mysterious disease that affects the central nervous system and can be very difficult to treat and live with. It is classified as a motor system disorder but is a progressive, chronic disease resulting in
The four key symptoms of Parkinson’s disease are tremors of the hands, arms, legs, or
Parkinson disease (PD), also referred to as Parkinson’s disease and paralysis agitans, is a progressive neurodegenerative disease that is the third most common neurologic disorder of older adults. It is a debilitating disease affecting motor ability and is characterized by four cardinal symptoms: tremor rigidity, bradykinesia or kinesis (slow movement/no movement), and postural instability. Most people have primary, or idiopathic, disease. A few patients have secondary parkinsonian symptoms from conditions such as brain tumors and certain anti-psychotic drugs.
Parkinson's is an idiopathic, multifactorial neurodegenerative disease that attacks neurotransmitters in the brain called dopamine. Dopamine is concentrated in a specific area of the brain called the substantia nigra. The neurotransmitter dopamine is a chemical that regulates muscle movement and emotion. Dopamine is responsible for relaying messages between the substantia nigra and other parts of the brain to control body movement. The death of these neurotransmitters affects the central nervous system. The most common symptoms are movement related, including shaking, rigidity, slowness of movement and difficulty with posture. Behavioral problems may arise as the disease progresses. Due to the loss of dopamine, Parkinson's patients will often experience depression and some compulsive behavior. In advanced stages of the disease dementia will sometimes occur. The implications of the disease on the anatomy and physiology of the respiratory and phonatory systems significantly control speech.
I worked with Dementia and Alzheimer patients as a Certified Nursing Assistant for almost three years. Working with the elderly has been one of my greatest achievements. I assisted my residents with bathing, grooming and making them feel comfortable. I was able to create a favorable environment for my residents while working with them. I had the opportunity to see patients go from early stage to their last stage of dementia. This gave me an opportunity to want to do more for people who are in need of my care. From my experience, I learnt that nursing is not just a job; it’s a responsibility and a calling, and it requires that you derive joy in what you are doing even in the toughest moment of caring for your
Parkinson disease is their affliction. Although Parkinsonism has been around almost as long as recorded history, there is yet to be found a cause or a cure. Medications tame the symptoms and prolong life, but are incapable of reversing the disease progression.. Diagnosis relies exclusively upon clinical signs and symptoms, because almost all laboratory and radiography tests are normal in the Parkinson patient. For this reason early diagnosis is very difficult.
...ry work, medical industry work and other areas that require steady and stable hand control. The Michael J. Fox Foundation website allows for people to post comments and I was touched by the strength that these individuals have. Jo Dee Biddle, who is a caregiver and loved one of Parkinson’s patient posted “If I have learned anything about PD in 28 years, it is to take things one day at a time. If it's a good day, seize the moment. If it's not, don't apologize.” I think that this is such an inspiring way to look at daily life with Parkinson’s. This attitude and approach will make the good days with this disease be even greater and the harder days easier to cope. There is much that is unknown about this disease, but there are many foundations and research efforts that support furthering the cause of research and continuous search for early diagnosis.
716). Characteristic features of Parkinson's disease include “motor impairment (bradykinesia, rigidity, tremor, gait dysfunction, and postural instability), cognitive impairment (frontal lobe executive dysfunction), and mood disorders” (p. 716). Normally, motor performance depends on the interaction between automatic (unconscious) and volitional (cognitive) control of movement, however those with Parkinson's disease, experience an “early and preferential loss of dopamine in the caudal regions of the basal ganglia (dorsal regions in rodents), which leads to diminished automatic and increased cognitive control of movements that include frontal lobe circuitry” (p. 716). Consequently, those with Parkinson’s disease must sustain a larger cognitive load to execute either motor or cognitive tasks, such as working memory. In the past decade, increasing evidence has accrued for the role of exercise in the improvement of motor performance, which may help both the cognitive and automatic control of movement. Thus, exercise interventions can help those with Parkinson’s disease incorporate goal-based motor skill training, which then helps in engaging circuitry important in motor learning. Individuals with Parkinson's disease become cognitively engaged with the practice and acquiring of movements and skills that were formerly automatic and unconscious. In addition, aerobic exercise is also observed as important for improvement of blood flow and assistance of neuroplasticity in the elderly, which may also play a role in the improvement of behavioral function in those with Parkinson's disease. Petzinger et al. additionally states that exercise also uses goal-based training and aerobic activity which can improve “both cognitive and automatic
Parkinson's Disease has caused problems for many people in this world and plagued the elderly all over the world.Parkinson's disease still puzzles doctors and the causes are unknown. It is known that it is a non-communicable disease and may even be hereditary. Parkinson's disease is thought to be caused by external factors. Most of the cases of this disease are caused by progressive deterioration of the nerve cells, which control muscle movement. Dopamine, one of the substances used in the brain to transmit impulses, is produced in the area of deterioration.
When working and during my clinical rotation in long term care I had patients with functional limitations due to chronic illness or patients that were there to stay and live there. It was limiting to certain clinical experiences. During this rotation I got hands on experience with patients with acute conditions, infections and accidents.