What are the priority assessment findings

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Reference no: EM133865927

Problem

L.C. is a 78-year-old man with a 3-year history of Parkinson disease (PD). He is a retired engineer, is married, and lives with his wife in a small farming community. He has four adult children who live close by. Since his last visit to the clinic 6 months ago, L.C. reports that his tremors are "about the same" as they were; however, further questioning reveals that he feels his gait is perhaps a little more unsteady, and his fatigue is slightly more noticeable. L.C. is also concerned about increased drooling. Among the medications L.C. takes are carbidopa-levodopa 25/100 mg (Sinemet) four times daily and amantadine (Symmetrel) 100 mg at breakfast and bedtime. On the previous visit the Sinemet was increased from three to four times daily. He reports that he has become very somnolent with this regimen and that his dyskinetic movements appear to be worse just after taking his carbidopa-levodopa (Sinemet)

Further Assessment:

After examining L.C., the physician decides not to hospitalize him but to decrease the dosage of the Sinemet. He tells L.C. and his wife that he feels that L.C. is likely experiencing some advancement in his disease and says that it is time for some changes in L.C.'s care. The physician looks at you and asks you to coordinate the "usual referrals."

Task

A. What are the priority assessment findings?

B. What are the priority Nursing Interventions?

C. What orders do you expect?

D. What safety interventions do you expect?

E. What education/follow up is required? Get the instant assignment help.

F. What other interprofessional team members need to be involved?

G. L.C. is reporting an increase in drooling; you are concerned about the possibility of his ability to swallow. What further assessment could you perform to determine whether L.C. is at immediate risk for aspirating?

Reference no: EM133865927

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