Assessment case study-parkinson disease

Assignment Help Case Study
Reference no: EM131444360 , Length: word count:1600

Assessment Case Study-Parkinson's disease

Discuss 2 care priorities with this patient.

Case scenario: Diana Harrison is a 64 year old female newly diagnosed Parkinson's patient who you have been asked to visit.

Multiple factors influence the care of patients with chronic conditions. As a Primary Heath Care nurse, it is important that care given is prioritised based on clinical and patient needs. Prioritisation of the patient needs for care is integral to daily nursing practice. This requires integrating and collaborating different aspects of patient needs in order to maximise care activities and the effectiveness of nursing interventions.

This case study is designed to demonstrate the integration of various principles of managing care of patients with chronic conditions. Students will be expected to analyse the case scenario, identify the care needs and from the list of identified needs discuss two COMPLEX care priorities. Please refer to the subject outline and marking rubric when answering this question.

The history you have been provided is as follows:

Diana is an active semi-retired part time as a relief high school science teacher. She is married to Oliver with three adult children, all of whom live out of home and have done so for a period of time-Vanessa 35 years old-3 children under 10, Adam 33 years old-new born baby and Anton 30 years old-1 year old. Each of the adult children is located interstate and has young family as indicated. Diana had previously participated in many outdoor activities with her husband and her hobbies include bushwalking, cryptic crosswords and gardening.

Shortly after returning to relief work after the Christmas period Diana noticed that the fingers on her right hand began to shake with a very slight tremor and her gait became very unsteady. The tremor in her hand seemed to be worse when she sat down at night and in bed when she was resting. Leading up to and over the Christmas period Diana began to notice that she was very fatigued and increasingly forgetful. This was becoming more noticeable and problematic as the tremor did not subside and Diana felt she was becoming clumsier. Diana spoke with her husband and they concluded it was probably due to a very busy and stressful time over the recent Christmas period with all her adult children and grandchildren staying for the week between Christmas and New Year's. Diana nevertheless made an appointment with her GP for the following week to discuss her 'odd' symptoms with her GP.

During her first week back at work in late January Diana felt so fatigued that she was concerned she would 'go to sleep in class!' and the tremor in her right hand persisted. Diana was watching TV after a busy day at work and when she went to stand up she found herself falling back onto the couch and she felt as if the 'world was spinning', both her hands felt numb and she could not stop shaking. Diana became extremely emotional and could not speak properly. Diana's husband called an ambulance as he was concerned perhaps she was having a stroke. Diana was seen by a medical officer, admitted and referred to a neurologist for assessment.

Diana spent three weeks in hospital and a provisional diagnosis of Parkinson's disease was made. To rule out any other neurological conditions a series of investigations was conducted including an MRI and PET scan was conducted. Both imaging investigations returned a normal result. Following this and based on the neurological physical exam and symptom history a firm diagnosis of Idiopathic Parkinson's disease was made.

Diana was discharged into the care of her husband with two months of sick leave from her job. Diana found that once the provisional diagnosis was made previous symptoms that she had concluded were due to stress or fatigue began to make sense.

Symptoms experienced

  • Fatigue for 12/12 -Diana was increasingly fatigued at work struggling to make it through the day
  • Bradykinesia 6/12-She would find that setting up her science classroom she would drop things and her hands felt 'stiff'
  • Tremor 6/12-Increasing tremor in her left hand that she noticed mainly at rest
  • Emotional outbursts 12/12 intermittently-Diana would become overly emotional at forgetting things or dropping items at work and at home
  • Unsteady gait 6/12-Tripping and stumbling with no obvious cause

Discharge Summary

Diana Harrison is a 64 year old female

Admitted via A&E with a history of:

  • Pronounced tremor in left hand-patient describes worse when sitting
  • Global bradykinesia-shaking and slow response to requests
  • C/O increasing fatigue and 'sleepy' episodes during the day when working
  • Feeling 'blue' and sad on and off for the past 12 months

Medical history

  • High cholesterol-Lipitor

Surgical history

  • 1 caesarean birth 1980
  • Tonsillectomy as a child

Other

  • Fit and healthy, works as relief high school science teacher
  • Admitted 14/01/2016
  • Neurological, muscloskeletal, cardiovascular assessment
  • Excluded neuro pathology-CT and PET scan clear

Provisional diagnosis: Parkinson's disease

Discharged 03/02/2016

  • Primary diagnosis of Parkinson's disease

Medications

  • Lipitor 25mg mane
  • Dopamine releaser-Amatadine HCL-5 mg daily
  • Dopamine agonists-Carbergoline- 0.25mg BD
  • Dopamine replacement- Levodopa 10mg TDS
  • MAO-B inhibitors-Selegiline -25mg patch changed daily
  • Maxolon for nausea 10mg prior to meals

Reference no: EM131444360

What do you think googles rationale was for starting books

What do you think Google's rationale was for starting its Google Books library Project? Of all the issues discussed in this case, which issue is the most disconcerting to you.

Implementing change in HR management - habitus case study

Implementing Change in HR Management coursework - Habitus case study. Type a brief email to Habitus outlining the current presenting problems as you see them to be included i

Enter the opening balances to the general ledger

Please note that GST free items are bank fees, salaries and wages, interest expense, superannuation and fines - you can check with your lecturer for others - Modify the char

What are the pros and cons of nasas decision

What are the pros and cons of NASA's decision to interpret a positive signal on any one of the experiments as evidence enough to prove that they have detected life on Mars?

Prepare a project charter for the given case study

A project charter is an important project planning tool. Generally, it sets the ground rules for the project. Prepare a project charter for the case study, Excellence on a Glo

Develop requirements that provides a high-level description

Using the case study provided, students will prepare and deliver an analysis which is divided into five parts, or stages. Each stage is to be completed and submitted via the

Describe the content of a traditional expatriate package

Describe the content of a 'traditional' expatriate package, and the reasons of the company to provide such benefits! What limitations do you see in this contract when it com

Explanation of all relevant ob concepts and theories

For this assignment, you will read and analyze Case Study: Reach for the Stars-Developing Salespeople, Achieving Organizational Success. Identification and explanation of all

Reviews

len1444360

3/30/2017 12:27:24 AM

Australian student, Discuss 2 care priorities with this patient. preferably one physical one psychological how can impact on her. 1600 words. The language is sophisticated, with integrated professional language and terminology, and suits the purpose for which the essay is intended. Content is organised, and there is a logical progression of ideas that promotes flow of thought. A critical and considered case is presented, that is well-constructed and balanced. The planned care has been justified and rationale provided. There is clear evidence of the use of the clinical reasoning cycle in interpretation, analysis and application. There is evidence of both depth and breadth of high quality reading. The content is pertinent to the topic. High quality evidence and examples are presented. Credible and relevant references are used. Accurate use of APA referencing style in all instances. A range of in-text citations has been used.

Write a Review

 
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd