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PARKINSON'S DISEASE PARKINSONS DISEASE (DIAGNOSTIC STUDY (DAT Scan,…
PARKINSON'S DISEASE PARKINSONS DISEASE
CLINICAL MANIFASTATIONS
Impaired posture and balance
Rigid muscles
Speech becomes softly and quickly
Slowed movement
Hard to write
Tremor
DEFINITION
It is a disorder of the central nervous system which affect movement
CAUSES
Environmental triggers
Presence of lewy bodies
Alpha-synocle
Genetic mutation
HEALTH EDUCATION
Advise patient to remain a mystery
Advise patient to drink coffee
Advise patient to drink tea
DIAGNOSTIC STUDY
DAT Scan
SPECT
Lab test
Patient history
CT scan
MRT
Based on patient signs and symptoms
Physical examination
PATHOPHYSIOLOGY
There is change in cell metabolisim
Which than result to vascular leakiness
Which result to change in biological activity
There is presence of protein aggregation
Dopaminergic neurons die
PHARMACOLOGY
Dopamine agonist
MAO B inhibiters
Carbidopa-Levopa infusion
Catecholineorics
Carbidopa-Levodopa
Anticholinegrics
DIET
Green leafy vegetables
Soft diet
Avoid fats
NURSING CARE PLAN
NURSES DIAGNOSIS
Impaired verbal communication
Instruct patient to make effort to speak
Monitor patient non verbal communication
Asses patient ability to speak
Ineffective coping
Identify patient expectatons
Identify patient positive qualities
Instruct patient and family regarding needs for support groups and counselling
EVALUATION
communication improves
Patient is coping well