Nursing Care Plan for Parkinson's
Parkinson's disease is a progressive neurological disorder that affects movement and motor functioning. It is caused by a decrease in certain nerve cells of the brain, resulting in an imbalance of dopamine. Symptoms of Parkinson's include tremors, slowed movement, muscle rigidity and postural instability.
Assessment:
The purpose of the assessment is to gather information about the patient’s health history, medications, and physical abilities. The assessment includes a review of symptoms, physical exam, cognitive abilities and psychological concerns. The patient’s caregiver can also provide additional insights. Based on this information, the nurse can develop a care plan tailored to the individual’s needs.
Nursing Diagnosis:
Based on the assessment, the nurse may diagnose deficits in activities of daily living (ADLs) and mobility. These deficits can result from reduced strength, impaired coordination and balance, difficulty initiating movements, and/or psychological issues such as depression or anxiety. The nurse may also diagnose altered sleep-wake patterns, poor nutrition, and communication deficits.
Outcomes:
The patient’s outcomes should include maintaining safety, improved performance of ADLs, increased strength and mobility, better sleep-wake patterns, improved nutrition and communication ability. The patient should also feel supported and cared for, while having realistic expectations and goals.
Interventions:
Interventions may include assisting with ADLs, providing pain relief, helping with range of motion exercises, providing education and support, and introducing assistive devices and techniques. Medications can also be used to manage pain and other symptoms. Psychological interventions are usually necessary to address issues such as depression, anxiety, and low self-esteem.
Rationales:
Interventions need to have rationales in order to be effective. Each intervention should address the nursing diagnosis and help the patient to achieve the set outcomes. For instance, helping the patient with range of motion exercises can help to improve strength, mobility and coordination. Providing educational and psychological support can help the patient to feel supported and understand their condition better.
Evaluation:
The patient’s progress should be closely monitored and evaluated throughout the care plan. The nurse should observe for changes in mood, behavior, activity level and ADLs. Other indicators of progress include improved cognition, communication, and motor skills. Patient feedback can also provide insight into the care plan.
Conclusion:
A nursing care plan tailored to the individual’s needs is essential to providing effective care for patients with Parkinson’s Disease. It should include interventions that address deficits in activities of daily living and mobility, while helping the patient to achieve safety, improved performance of ADLs, increased strength and mobility, better sleep patterns, improved nutrition, and communication ability. The patient should also feel supported and cared for, with realistic expectations and goals.
FAQs:
- What is a nursing care plan for Parkinson’s? - It is a plan tailored to the individual’s needs that includes interventions to address deficits in activities of daily living and mobility, increase strength and mobility, improve sleep patterns, provide nutrition, improve communication and offer emotional support.
- What is the purpose of the assessment? - The purpose of the assessment is to gather information about the patient’s health history, medications, and physical abilities. This can help the nurse develop a care plan tailored to the individual’s needs.
- What are common nursing diagnoses? - Common nursing diagnoses include deficits in activities of daily living and mobility, altered sleep-wake patterns, poor nutrition, and communication deficits.
- How is the patient's progress monitored? - The nurse should observe for changes in mood, behavior, activity level and ADLs. Other indicators of progress include improved cognition, communication and motor skills. Patient feedback can also provide insight into the care plan.
- What is the goal of the care plan? - The goal of the care plan is to improve the patient’s safety, ADLs, strength and mobility, sleep-wake patterns, nutrition and communication ability. It should also provide emotional support and create realistic expectations and goals.
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