Medical Surgical Parkinson’s Disease PD #2

Question

The nurse and rehabilitation disciplines are collaborating on the care for a client with Parkinson’s disease. Which collaborative goal is the most appropriate for the client with Parkinson’s disease?

Answers

  1. To stop progression of the disease.
    • Rationale:

      This answer is not correct because stopping the progression of Parkinson’s is unrealistic. However, there are studies that show high intensity exercise programs may potentially delay the progression due to improved blood flow to the brain.

  2. To cure the disease.
    • Rationale:

      This answer is not correct because there is no cure for PD at this time. However, medications can help effectively control symptoms..

  3. To establish palliative care.
    • Rationale:

      This answer is not correct because establishing palliative care is not appropriate at this time and does not reflect a collaborative effort in maintaining body function. Palliative measures may be provided for clients with this disease process for end of life care.

  4. To maintain optimal body function.
    • Rationale:

      This answer is correct because the primary goal is to maintain optimal body function for all disciplines involved in the care of the client. Joint flexibility, muscle strength, understanding and taking medications correctly, and maintaining independence as much as possible in a safe environment is important.

Overview

Parkinson’s disease (PD) is a neurological disorder that affects the central nervous system which affects muscle movement including weakness stiffness, balance issues and tremors. Maintaining optimal body function is an important part of human function in general and will allow for participation in activities of daily living.

Explanation

Learning Outcomes

Parkinson’s disease (PD) is a neurological disorder that affects the central nervous system. Neurons (nerve cells) are damaged due to the decreased level of dopamine in the brain. This causes various movement problems, including weakness, stiffness, balance issues, tremors, and slow movement (bradykinesia). Maintaining optimal bodily function is essential for the client with PD. Impaired functional mobility poses a greater risk of falls and loss of independence for the client. The goal for a client with PD is to be able to ambulate effectively to engage in their surroundings in a suitable amount of time. This is done through medication treatment, exercise, occupational therapy and a healthy diet for the Parkinson’s client.

Test Taking Tip

Understanding the pathophysiology and symptoms of PD will assist the student to critically think about their needs for maintaining optimal body function.

Video Rationale