NURS 3466 Nursing Care of the Adult 1 Neuro Case Study - 2021 | Primary Concept: Care Coordination

NURS 3466 Nursing Care of the Adult 1 Neuro Case Study Primary Concept: Care Coordination Interrelated Concepts 1. Mobility 2. Nutrition 3. Patient Education 4. Safety History of Present Problem: Clarence Landry (CL) 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, CL 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. CL is also concerned about increased drooling. Among the medications CL 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). What data from the assessment is RELEVANT and must be recognized as clinically significance by the nurse? List relevant data and include clinical significance. Relevant data from the assessment Clinical Significance (What does this mean to you as the RN) - Reports tremors These signs and symptoms listed may indicate - Feels that his gait is a little more that the patient has built a tolerance to his drug unsteady regimen. - Fatigue is slightly more noticeable - Concerned about increased drooling - Increased somnolent - Increased dyskinetic movements CL’s daughter is present today and she asks you the explain what Parkinson’s Disease (PD) is. Ask the nurse, you explain the pathophysiology of this disease to the daughter, client and his wife. - - --