Nursing Care Plan : Nanda Nursing Diagnosis for Parkinson's Disease
Description
Parkinson's disease is a progressive neurological disorder that affects the brain centers responsible for control and set the move. Characteristics that appear in the form of bradykinesia (slowing of movement), tremor, and muscle rigidity (Smeltzer and Bare, 2002).
Pathophysiology
Dopamine has a high concentration in certain parts of the brain, but the concentration of dopamine in Parkinson's disease substansianigra and thinning in the corpus striatum. Depletion of dopamine in the basal ganglia associated with the presence of bradykinesia, rigidity and tremor. Parkinsonism arteriosclerosis seen more common in the elderly. This condition accompanying encephalitis, poisoning, or toxicity (manganese, carbon monoxide), hypoxia or be under the influence of drugs.
Examination of the cranial nerves
- Nerve I: olfactory function no abnormalities
- Nerves II: Decrease in visual acuity
- Nerves III, IV, and VI: While convergence blurred vision being unable to maintain muscle contractions eyeball
- Nerve V: The limitations of the facial muscles causing facial expressions clients has decreased, while talking like a face mask (often wink)
- Nerve VII: Perception of taste within normal limits
- Nerve VIII: The conductive deafness and deafness-related perceptions and the senile decline of regional blood flow
- Nerves IX and X: Found difficulty in swallowing food
- Nerve XI: None sternokleidomastoideus and trapezius muscle atrophy
- Nerve XII: Tongue symmetrical, there is no deviation on one side and no fasciculations
7 Nanda Nursing Diagnosis for Parkinson's Disease
1. Impaired Physical Mobility related to stiffness and muscle weakness
2. Self-care deficits related to neuromuscular weakness, decreased strength, loss of muscle control / coordination
3. Impaired Bowel Elimination: Constipation related to medication and decreased activity
4.Imbalanced Nutrition: Less than Body Requirements related to tremor, slowing the process of eating, difficulty chewing and swallowing
5. Impaired verbal communication related to the decrease in the volume of speech, delayed speech, inability to move facial muscles
6. Ineffective individual coping related to depression and dysfunction due to disease progression
7. Knowledge Deficit related to information resources inadequate maintenance procedures.
