Case Report for Specific Patient

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Added on 2020-10-23

Case Report for Specific Patient

Added on 2020-10-23

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Case Report forSpecific Patient

Table of ContentsINTRODUCTION...........................................................................................................................1Primary admission diagnosis...........................................................................................................1Nursing problems.............................................................................................................................2Nursing management.......................................................................................................................3Discharge Planning (500)................................................................................................................4SUMMARY (200)...........................................................................................................................5REFERENCES................................................................................................................................7

INTRODUCTIONIt is the clinical scenario of Charles Williamson, who is a 76 year old man. He has beenadmitted to the ward of respite care. 10 years ago, he was diagnosed with Parkinson’s disease.His mother also died due to Parkinson’s disease after suffering from it for 22 years. His wife,Elsie, is the primary carer of Charles. No other medical history has been noticed during primarydiagnosis. As a treatment of Parkinson’s disease, Charles is indulged in consuming Sinemet CRtablet, in every four hours during the day.The present report discuses regarding Parkinson’s disease which is considered to be non-curable. However, its symptoms on human body can be reduced through exercise andmedications. Primary admission diagnosis of Charles will be discussed in the report so as tounderstand the condition of patient in most effective manner. The report will then makecomprehensive discussion on the two nursing issues that are being faced by Charles are,possessing ineffective motor and verbal communication skills (Kelly, Eusterbrock andShumway-Cook, 2012). He has been brought to respite care so that actions regarding hisinvoluntary falling due to lack of motor movement can be assessed by the nurses. In the end, adischarge plan for Charles will also be discussed so as to ascertain treatment and medication tohim during respite care process. Primary admission diagnosisPhysical examination of Charles stated normal blood pressure, that is 120/72 without anypresence of orthostasis. A regular rhythm of heart rate was noticed with 76. Drag in the right footwas noticed with slow and rigid movements in the body. His balance also appeared to beunstable. He also experienced fall at home leading to certain cuts and bruises at right laterallower leg. Other issues faced by him includes constipation and lack of appetite (King and et.al.,2012). He generally starts to cough when he drink water. Charles is quite alert, oriented though abit anxious with noticeable tremors He has been noticed quite regular and particular for his Parkinson’s disease medication. Hetends to requires assistance with activities of daily life (ADL) when the impact of medicinesreduces. He also notices the episodes of excessive and uncontrolled movements in his hands andlegs (Kordower and et.al., 2013). Parkinson’s disease is a central nervous system disorder that can have a direct impact onmotor skills of the individual. The same is the scenario of Charles which is genetically being1

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