NSG 325 Module 3Case study #1Parkinson’s DiseaseA 54- year old male patient who works as a welder, is married and has two adult children and one college aged child has recently beendiagnosed with PD.1. What assessments does the nurse need to make to aid the prescriber in determining the needed therapy for this patient?a. Ability to perform ADLsi. Tremor, Muscle Weakness, Rigidity, Ataxic Gait2. The patient is prescribed selegiline, Why is it important to assess the patient’s mood and teach the patient to use the same pharmacy for all prescriptions?a. Important b/c a lot of adverse effects can change their mood drastically, and their mood can be a precipitating factor to whether or not they will comply with treatment.b. Use the same pharmacy b/c they have the PT’s records, and they won’t change the drug brand on the person, which could cause severe adverse effects. Comfortable with the pharmacist. They are consistent in their dosage amounts. The pharmacist also knows what other meds you’re taking.3. What teaching should the nurse provide about the possible adverse effects of selegiline?a. This drug can cause hallucinations, confusion, dizziness, fainting, insomnia, urges (sexual, gambling), vivid dreams,and nausea.b. Teach about slow position changes, teach about taking more than prescribed could place PT at HTN crisis and severe adverse effects.4. The patient’s’ symptoms progress, and his medication regimen is changed to cabidopa/levadopa (Sinemet). The patient asks why this combination drug has been prescribed. He has heard that levodopa (L-Dopa) is usually prescribed before the combination drug. What information can the nurse provide?a. Because the symptoms have progressed the doctors want to make sure that the correct amount of levodopa reaches the CNS because carbidopa blocks the destruction of levodopa thus enhancing the effects.5. The patient is admitted to a medical unit for a 10-day “drug holiday” because of significant adverse effects. It is anticipated that the patient will have a severe return of symptoms, includingrigidity and postural instability. What are probable nursing issues and what interventions will the nurse employ to address these problems.a. He could be at risk for skin breakdown r/t rigidity and postural instability thus making the nurse have to check onhim more often.b. Nurse will implement flexion and extension exercises.6. List two possible nursing diagnoses for this patient.Imbalanced Nutrition: less than body requires r/t rigidity, and postural instability. Chronic Sorrow r/t loss of physical
View Full Document
Unlocking...