Post on 11-Jun-2015
description
Parkinson’s Disease and
Related Issues
Avril Allgood
Outline
I. Introduction: video
II. Article 1: “The Symptom Experience of Patients with Parkinson’s Disease”
III. Article 2: “Nursing Staff Perspectives on Oral Care for Neuroscience Patients”
IV. Article 3: “A Perspective on the End of Life: Hospice Care”
V. Conclusion
VI. References
Parkinson’s Disease
http://www.youtube.com/watch?v=RT08uf6sSeg
Article #1
“The Symptom Experience of Patients with Parkinson’s Disease” by Jane H. Backer
“The Symptom Experience of Patients with Parkinson’s Disease”
Symptom Characteristics• Intensity• Duration• Frequency• distress
Common Symptoms• Sleep disturbance• Off time• Freezing gait• Unilateral hand tremor• Bradykinesia• Voice softening• Difficulty concentrating• Drooling• Rigidity• Postural instability• Dyskinesia• Difficulty swallowing• Bilateral hand tremor
“The Symptom Experience of Patients with Parkinson’s Disease”
Most Disturbing Symptoms• Off time• Freezing gait• Postural instability• Sleep disturbance• Difficulty swallowing
Level of Distress Impact:• Intensity• Frequency• Duration
Article #2
“Nursing Staff Perspectives on Oral Care for
Neuroscience Patients” by Jennifer L. Cohn &
Janet S. Fulton
“Nursing Staff Perspectives on Oral Care for Neuroscience Patients”
Causes of Mucosal
Breakdown:
• Xerostomia
• Oxygen therapy
• Suctioning
“Nursing Staff Perspectives on Oral Care for Neuroscience Patients”
Medications with
Xerostomic Effects:
• Antihypertensives• Antilipidemics• Antihistamines• Antidepressants• Steroids• Diuretics
Effects of Poor Oral Health:
• Infection• Inflammation• Plaque buildup• Decreased debris clearance• Pain• Airway obstruction• Aspiration pneumonia
Article #3
“A Perspective on the End of Life: Hospice Care” by Thomas J. Simms
http://www.youtube.com/watch?v=-USUUFPWoCA
“A Perspective on the End of Life: Hospice Care”
Hospice Services:
• Physician care• Nursing services• Personal care• Social worker support• Caregiver support & training• Symptom management
• Durable medical equipment
• Physical, speech, occupational, and nutritional consultation
• Respite care• Bereavement support• Volunteer services
“A Perspective on the End of Life: Hospice Care”
Levels of Hospice Care
• Home care– Provided either in a home or facility
• Inpatient Care
• Continuous care
• Respite– Provides up to 5 days of caregiver relief in an approved
facility
“A Perspective on the End of Life: Hospice Care”
Factors related to avoidance of hospice care:
• Unwilling to contemplate death
• Lack of knowledge about the benefits
• False belief that accepting hospice equals accepting defeat
References
Backer, J. H. (2006). The symptom experience of patients with
Parkinson’s disease. Journal of Neuroscience Nursing, 38(1),
51-57.
Cohn, J. L., & Fulton, J. S., (2006). Nursing staff perspectives on
oral care for neuroscience patients. Journal of Neuroscience
Nursing, 38(1), 22-30.
Simms, T. J. (2007). A perspective on the end of life: Hospice care.
Topics in Advanced Practice Nursing, 7(1). Retrieved October
10, 2008, from http://www.medscape.com/viewarticle/549702