Parkinson’S Disease

Parkinson’s Disease and

Related Issues

Avril Allgood

Outline

I. Introduction: video

II. Article 1: “The Symptom Experience of Patients with Parkinson’s Disease”

III. Article 2: “Nursing Staff Perspectives on Oral Care for Neuroscience Patients”

IV. Article 3: “A Perspective on the End of Life: Hospice Care”

V. Conclusion

VI. References

Parkinson’s Disease

http://www.youtube.com/watch?v=RT08uf6sSeg

Article #1

“The Symptom Experience of Patients with Parkinson’s Disease” by Jane H. Backer

“The Symptom Experience of Patients with Parkinson’s Disease”

Symptom Characteristics• Intensity• Duration• Frequency• distress

Common Symptoms• Sleep disturbance• Off time• Freezing gait• Unilateral hand tremor• Bradykinesia• Voice softening• Difficulty concentrating• Drooling• Rigidity• Postural instability• Dyskinesia• Difficulty swallowing• Bilateral hand tremor

“The Symptom Experience of Patients with Parkinson’s Disease”

Most Disturbing Symptoms• Off time• Freezing gait• Postural instability• Sleep disturbance• Difficulty swallowing

Level of Distress Impact:• Intensity• Frequency• Duration

Article #2

“Nursing Staff Perspectives on Oral Care for

Neuroscience Patients” by Jennifer L. Cohn &

Janet S. Fulton

http://rds.yahoo.com/_ylt=A0WTefNH0hVJJBMAd1SJzbkF;_ylu=X3oDMTBrcWNrNWJwBHBvcwMxNzgEc2VjA3NyBHZ0aWQD/SIG=1ia49ejur/EXP=1226253255/**http%3A//images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Doral%252Bhygiene%2526ni%253D20%2526ei%253Dutf-8%2526fr%253Db1ie7%2526xargs%253D0%2526pstart%253D1%2526b%253D161%26w=210%26h=111%26imgurl=www.vermontperio.com%252Fimages%252Foralhygiene8.jpg%26rurl=http%253A%252F%252Fwww.vermontperio.com%252Fperiodontaldisease%252Foralhygiene.htm%26size=5.6kB%26name=oralhygiene8.jpg%26p=oral%2Bhygiene%26type=JPG%26oid=f601dea8d865b3a2%26no=178%26tt=13,725%26sigr=11ukf1lig%26sigi=11cvvsgtn%26sigb=13auth9fc

“Nursing Staff Perspectives on Oral Care for Neuroscience Patients”

Causes of Mucosal

Breakdown:

• Xerostomia

• Oxygen therapy

• Suctioning

http://rds.yahoo.com/_ylt=A0WTb_pZ_xVJMl0BciCJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1h7cm09il/EXP=1226264793/**http%3A//images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dxerostomia%2526fr%253Db1ie7%2526ei%253Dutf-8%2526x%253Dwrt%26w=431%26h=301%26imgurl=www.medscape.com%252Fcontent%252F1997%252F00%252F40%252F88%252F408869%252Fart-wh3097.fig3.jpg%26rurl=http%253A%252F%252Fwww.medscape.com%252Fviewarticle%252F408869_6%26size=25.1kB%26name=art-wh3097.fig3.jpg%26p=xerostomia%26type=JPG%26oid=acac39c7678c7118%26no=1%26tt=350%26sigr=11c3gv27v%26sigi=121i0c4ho%26sigb=12hrmatsm

“Nursing Staff Perspectives on Oral Care for Neuroscience Patients”

Medications with

Xerostomic Effects:

• Antihypertensives• Antilipidemics• Antihistamines• Antidepressants• Steroids• Diuretics

Effects of Poor Oral Health:

• Infection• Inflammation• Plaque buildup• Decreased debris clearance• Pain• Airway obstruction• Aspiration pneumonia

Article #3

“A Perspective on the End of Life: Hospice Care” by Thomas J. Simms

http://www.youtube.com/watch?v=-USUUFPWoCA

“A Perspective on the End of Life: Hospice Care”

Hospice Services:

• Physician care• Nursing services• Personal care• Social worker support• Caregiver support & training• Symptom management

• Durable medical equipment

• Physical, speech, occupational, and nutritional consultation

• Respite care• Bereavement support• Volunteer services


Levels of Hospice Care

• Home care– Provided either in a home or facility

• Inpatient Care

• Continuous care

• Respite– Provides up to 5 days of caregiver relief in an approved

facility


Factors related to avoidance of hospice care:

• Unwilling to contemplate death

• Lack of knowledge about the benefits

• False belief that accepting hospice equals accepting defeat

Conclusion

http://rds.yahoo.com/_ylt=A0WTefbC_SFJvXQAED6JzbkF;_ylu=X3oDMTBqY2pzbGhoBHBvcwMxMQRzZWMDc3IEdnRpZAM-/SIG=1ls9d7tfl/EXP=1227050818/**http%3A//images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fei%253DUTF-8%2526p%253Dnursing%252520home%2526fr2%253Dtab-web%2526fr%253Db1ie7%26w=377%26h=500%26imgurl=static.flickr.com%252F2066%252F2268379491_0216f6a974.jpg%26rurl=http%253A%252F%252Fwww.flickr.com%252Fphotos%252F23825932%2540N02%252F2268379491%252F%26size=69.6kB%26name=nursing%2Bhome%2Bcare%26p=nursing%2Bhome%26type=JPG%26oid=c372c0e10567c9e4%26fusr=abe_indie%26tit=nursing%2Bhome%2Bcare%26hurl=http%253A%252F%252Fwww.flickr.com%252Fphotos%252F23825932%2540N02%252F%26no=11%26tt=244,302%26sigr=11lfa39m4%26sigi=11gvfk47r%26sigb=12ro10gr0%26sigh=11a846fig

References

Backer, J. H. (2006). The symptom experience of patients with

Parkinson’s disease. Journal of Neuroscience Nursing, 38(1),

51-57.

Cohn, J. L., & Fulton, J. S., (2006). Nursing staff perspectives on

oral care for neuroscience patients. Journal of Neuroscience

Nursing, 38(1), 22-30.

Simms, T. J. (2007). A perspective on the end of life: Hospice care.

Topics in Advanced Practice Nursing, 7(1). Retrieved October

10, 2008, from http://www.medscape.com/viewarticle/549702

http://www.medscape.com/viewarticle/549702

Health & Medicine

Parkinson’S Disease