Seminar presentation on PARKINSONS DISEASE it is helpful to B.Sc. nursing as well as GNM students in subject of Medical Surgical Nursing

1. SUBMITTED TO SUBMITTED BY
GANGA POTAI DIKSHA SINGH
ASSISTANT PROFESSOR BSC N 3RD YEAR
VIVEKANANDA COLLEGE VIVEKANANDA COLLEGE
OF NURSING OF NURSING

3.  Parkinson’s disease is a chronic neurological
disease associated with substantial morbidity,
increased mortality and high economic burden.
 Men are one and half times more timely to have
Parkinson's than women.
 Disease first described as the “shaking palsy” by
James Parkinson in 1817.

4.  Parkinsonism is a syndrome with numerous
cause of which Parkinson disease is the most
common
 Parkinson’s disease is a long term
degenerative disorder of the CNS that
mainly affects the motor system
 Parkinson’s happens when nerve cells in the
brain don’t produce of a brain chemical
called dopamine

5. ETIOLOGY
Genes
Environm
ental
triggers

6. RISK
FACTORS
Ages
Gender
Genetic factors

7. Due to etiological factors
Destruction of dopamine producing neurons within basal ganglia
Reduces the amount of available dopamine
Increase in acetylcholine
Excitatory activity of acetylcholine is inadequately balanced
Difficulty in controlling and initiating voluntary movements

12. • History collection
• Physical examination
• No lab test or imaging studies to confirm the
diagnosis
• Imaging test
• MRI
• CT scan
• PET
 Dopamine transporter imaging

13.  Non pharmacological
Support and education
Exercise
Cardiovascular fitness
 Pharmacological
L-dopa
MOA beta inhibitors
Dopamine agonist
COMT inhibitors

15. ASSESSMENT
 Obtain history of symptoms
 Assess cranial nerves function
 Assess speech for clarity and space
 Assess sign of depression
 Assess family support and access to social
service