Parkinsons Concept Map PDF

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Summary

Concept map...

Description

Causes of Disease -

The “WHY” Concept Map

Concept: Mobility

Loss of dopamine production Risk factors: Older adult, male gender, genetics, environmental exposure, head injury

Exemplar: Parkinson’s Disease

Assessment & Expected Findings -

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Function of ADL’s, emotional response, home care needs, falls risk Flat affect/mask-like expression Hand tremors Stooped posture Shuffling gait Loss of normal arm swing while walking Difficulty initiating movement Orthostatic hypotension Dysphagia Psychiatric changes Rule-out diagnosis PET scan, MRI, ultrasound, SPECT’s True diagnosis postmortem

Interventions -

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Safety interventions Maintaining/promoting independent ADL’s Bowel program Small, frequent meals Setting achievable goals Encourage socialization Carbidopa-levodopa trial (if there are signs of improvement, diagnosis is confirmed) Deep brain stimulation (4year uncontrolled hx) Medication: dopaminergic agents, anticholinergic agents, Entacopone)

Education -

Maintaining mobility Planned programs of activity Support groups and supportive services for patient and family Maintaining safety in the home Proper shoe wear Daily programs of exercise Walking techniques Physical therapy Assistive devices in the home Bowel program...