Nursing Problem Report (Doc)
Added on -2020-07-22
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NURSING1
Table of ContentsIntroduction......................................................................................................................................3Primary admission..................................................................................................................3Pathophysiology.....................................................................................................................3Nursing problem..............................................................................................................................4Nursing management.......................................................................................................................5Nursing problem 1: Lack of proper care with treatment is one of the nursing issues...........5Nursing problem 2: Lack of physical exercise.......................................................................6Rationale to use this method...................................................................................................6Discharge planning..........................................................................................................................6Summary..........................................................................................................................................82
Introduction According to the given case scenario, Mr, Charles, Williamsone was 76 years old manwho admitted for ward care. He was diagnosed with Parkinson’s disease (PD) 10 years ago. Hisprimary career taker was her wife Elsie. Further, mother of Charles died because of pneumoniaat the age of 78 who also suffer from the PD since from 22 years. PD symptoms of Charles canbe managed with the Sinemet. At the time of assessment, Charles has a masked life and he speakin a monotonous voice. Physical exam shows that his blood pressure is normal and heart rate is76 with a regular rhythm. He can easily stand from a chair without pushing off with hands andthere is a noticeable scuffing on the right foot. Due to recent fall at home, he suffers from skintear in his right lateral lower leg. Then he was admitted to the ward for 5 days and provided aspecific nursing intervention for managing respite care successfully. The present report willcover nursing problem which can arise because of primary diagnosis. Along with this, nursinginterventions and the role of the Registered Nurse (RN) related to medication management willbe explained. Primary admission Charles was admitted to the hospital for respite care. Recently he falls at home and sufferfrom skin tear to his right lateral lower leg. Along with this, it is also identified that he startedcoughing after drinking water. He also complains regarding constipation and a lack of appetite.Further, at the time when medication effects wear off then it unable to control itself alternatesbetween states of immobility. PathophysiologyParkinson infection is for the most part connected with the progressive loss of cells in thesubstantia nigral of the mind. The capacity of this area is in charge of the creation of dopaminewhich is the compound delivery person that transmits a flag between two areas of the mind forfacilitate action. Because of insufficiency of Dopamine in nerve cell of the cerebrum than anindividual unfit to direct or control developments. It is considered as an early symptom ofParkinson diseases (Bastide, Meissner and Fisone, 2015). When the illness began spreadingdifferent zones of the mind and sensory system create and prompt reason more significantdevelopment. There is some hereditary and ecological factor that reason Parkinson sickness.There are numerous qualities are distinguished which are identified with Parkinson ailments.3
Parkinson's is seen at an early age in people with changes in qualities for parkin, PINK1,LRRK2, DJ-1, and glucocerebrosidase, among others. One of another factor is natural poisonwhich causes Parkinson infection.Manifestation support can be provided to Charles to control of sign and symptoms for aslong as possible to overcome its adverse effects (Prakash, Nadkarni and Tan, 2016). Here beloware provided way to control adverse effectsSymptomatic drug therapy It helps in providing control of motor sign of Parkinson diseases for 6 years. Along withthis deep brain stimulation that help in avoiding the destruction of brain tissue. A symptomatictreatment need to be provided such as levodopa. Treatment for non-motor symptomModafinil: For excessive daytime somnolence Polyethylene glycol: For constipationDeep brain simulation For Parkinson diseases surgical procedure can be usedIt does not involve destruction of brain tissue4
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