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The nurse is caring for a client with parkinson disease. which is a priority nursing concern

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3) Difficulty swallowing

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Rationale: Difficulty swallowing (dysphagia) is a manifestation of both neurologic disorders. With Parkinson disease there is a progressive loss of spontaneity of movement, including swallowing, related to degeneration of the dopamine-producing neurons in the substantia nigra of the midbrain. With myasthenia gravis there is a decreased number of acetylcholine (Ach) receptor sites at the neuromuscular junction, which interferes with muscle contraction, impairing muscles involved in chewing, swallowing, speaking, and breathing. A cogwheel gait is associated with Parkinson disease, not myasthenia gravis. Impaired cognition is associated with Parkinson disease, not myasthenia gravis. Nonintention tremors are associated with Parkinson disease, not myasthenia gravis. The nonintention tremors associated with Parkinson disease result from the loss of the inhibitory influence of dopamine in the basal ganglia, which interferes with the feedback circuit within the cerebral cortex.

What is a nurse's goal when treating Parkinson's disease?

The nursing goals for patients with Parkinson's Disease include improving functional mobility, maintaining independence in performing ADLs, achieving optimal bowel elimination, attaining and maintaining acceptable nutritional status, achieving effective communication, and developing positive coping mechanisms.

What are important safety considerations for a patient with Parkinson disease?

Parkinson Disease: Home Safety.
Keep walkways open and free of clutter..
Move phone and electrical cords out of the way..
Remove throw rugs to prevent trips..
Get a cordless or speakerphone. ... .
Make sure rooms are well lit. ... .
If “freezing” at doorways is a problem, consider placing lines of tape on the floor between rooms..

What is the first symptom seen in the majority of clients with Parkinson's disease?

Slowing of movement This is perhaps the most important early symptom of Parkinson's disease.

What is the main problem with Parkinson's disease?

Parkinson's disease is a brain disorder that causes unintended or uncontrollable movements, such as shaking, stiffness, and difficulty with balance and coordination. Symptoms usually begin gradually and worsen over time. As the disease progresses, people may have difficulty walking and talking.

nurse caring client parkinson disease priority nursing concern Bradykinesia

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