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Parkinson’S Disease

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Parkinson’S Disease

  1. 1. Parkinson’s Disease and Related Issues Avril Allgood
  2. 2. Outline <ul><li>Introduction: video </li></ul><ul><li>Article 1: “The Symptom Experience of Patients with Parkinson’s Disease ” </li></ul><ul><li>Article 2: “Nursing Staff Perspectives on Oral Care for Neuroscience Patients” </li></ul><ul><li>Article 3: “A Perspective on the End of Life: Hospice Care” </li></ul><ul><li>Conclusion </li></ul><ul><li>References </li></ul>
  3. 3. Parkinson’s Disease http://www.youtube.com/watch?v=RT08uf6sSeg
  4. 4. Article #1 <ul><li>“ The Symptom Experience of Patients with Parkinson’s Disease” by Jane H. Backer </li></ul>
  5. 5. “ The Symptom Experience of Patients with Parkinson’s Disease” <ul><li>Symptom Characteristics </li></ul><ul><li>Intensity </li></ul><ul><li>Duration </li></ul><ul><li>Frequency </li></ul><ul><li>distress </li></ul><ul><li>Common Symptoms </li></ul><ul><li>Sleep disturbance </li></ul><ul><li>Off time </li></ul><ul><li>Freezing gait </li></ul><ul><li>Unilateral hand tremor </li></ul><ul><li>Bradykinesia </li></ul><ul><li>Voice softening </li></ul><ul><li>Difficulty concentrating </li></ul><ul><li>Drooling </li></ul><ul><li>Rigidity </li></ul><ul><li>Postural instability </li></ul><ul><li>Dyskinesia </li></ul><ul><li>Difficulty swallowing </li></ul><ul><li>Bilateral hand tremor </li></ul>
  6. 6. “ The Symptom Experience of Patients with Parkinson’s Disease” <ul><li>Most Disturbing Symptoms </li></ul><ul><li>Off time </li></ul><ul><li>Freezing gait </li></ul><ul><li>Postural instability </li></ul><ul><li>Sleep disturbance </li></ul><ul><li>Difficulty swallowing </li></ul><ul><li>Level of Distress Impact: </li></ul><ul><li>Intensity </li></ul><ul><li>Frequency </li></ul><ul><li>Duration </li></ul>
  7. 7. Article #2 <ul><li>“ Nursing Staff Perspectives on Oral Care for </li></ul><ul><li>Neuroscience Patients” by Jennifer L. Cohn & </li></ul><ul><li>Janet S. Fulton </li></ul>
  8. 8. “ Nursing Staff Perspectives on Oral Care for Neuroscience Patients” <ul><li>Causes of Mucosal </li></ul><ul><li>Breakdown: </li></ul><ul><li>Xerostomia </li></ul><ul><li>Oxygen therapy </li></ul><ul><li>Suctioning </li></ul>
  9. 9. “ Nursing Staff Perspectives on Oral Care for Neuroscience Patients” <ul><li>Medications with </li></ul><ul><li>Xerostomic Effects: </li></ul><ul><li>Antihypertensives </li></ul><ul><li>Antilipidemics </li></ul><ul><li>Antihistamines </li></ul><ul><li>Antidepressants </li></ul><ul><li>Steroids </li></ul><ul><li>Diuretics </li></ul><ul><li>Effects of Poor Oral Health: </li></ul><ul><li>Infection </li></ul><ul><li>Inflammation </li></ul><ul><li>Plaque buildup </li></ul><ul><li>Decreased debris clearance </li></ul><ul><li>Pain </li></ul><ul><li>Airway obstruction </li></ul><ul><li>Aspiration pneumonia </li></ul>
  10. 10. Article #3 <ul><li>“ A Perspective on the End of Life: Hospice Care” by Thomas J. Simms </li></ul>http://www.youtube.com/watch?v=-USUUFPWoCA
  11. 11. “ A Perspective on the End of Life: Hospice Care” <ul><li>Hospice Services: </li></ul><ul><li>Physician care </li></ul><ul><li>Nursing services </li></ul><ul><li>Personal care </li></ul><ul><li>Social worker support </li></ul><ul><li>Caregiver support & training </li></ul><ul><li>Symptom management </li></ul><ul><li>Durable medical equipment </li></ul><ul><li>Physical, speech, occupational, and nutritional consultation </li></ul><ul><li>Respite care </li></ul><ul><li>Bereavement support </li></ul><ul><li>Volunteer services </li></ul>
  12. 12. “ A Perspective on the End of Life: Hospice Care” <ul><li>Levels of Hospice Care </li></ul><ul><li>Home care </li></ul><ul><ul><li>Provided either in a home or facility </li></ul></ul><ul><li>Inpatient Care </li></ul><ul><li>Continuous care </li></ul><ul><li>Respite </li></ul><ul><ul><li>Provides up to 5 days of caregiver relief in an approved facility </li></ul></ul>
  13. 13. “ A Perspective on the End of Life: Hospice Care” <ul><li>Factors related to avoidance of hospice care: </li></ul><ul><li>Unwilling to contemplate death </li></ul><ul><li>Lack of knowledge about the benefits </li></ul><ul><li>False belief that accepting hospice equals accepting defeat </li></ul>
  14. 14. Conclusion
  15. 15. References <ul><li>Backer, J. H. (2006). The symptom experience of patients with Parkinson’s disease. Journal of Neuroscience Nursing, 38 (1), 51-57. </li></ul><ul><li>Cohn, J. L., & Fulton, J. S., (2006). Nursing staff perspectives on oral care for neuroscience patients. Journal of Neuroscience Nursing, 38 (1), 22-30. </li></ul><ul><li>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 </li></ul>

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