Parkinson's Disease

Question 1

Parkinson’s disease is characterized by:

Answer 1

Bradykinesia
Rigidity
Tremor at rest
Gait changes

Question 2

Parkinson’s s/s

Answer 2

Gradual

Question 3

TRAP

Answer 3

Tremor
Rigidity
Akinesia
Postural instability

Question 4

Beginning stages

Answer 4

Mild tremor; slight limp decreased arm swing

Question 5

Later stages

Answer 5

shuffling; propulsive gait with arm flexed

Question 6

May experience what speech abnormality?

Answer 6

Hypokinetic Dysarthria

Question 7

First sign of parkinson’s?

Answer 7

Tremor @ rest

Question 8

Tremors are aggravated by

Answer 8

Emo Stress

increased concentration

Question 9

Type of tremor:

Answer 9

pill tremor (with fingers)

Question 10

Rigidity

Answer 10

Cogwheel rigidity (jerk quality)

Question 11

Rigidity elicits the following:

Answer 11

soreness
tired; achy
pain in head; upper body; spine/legs

Question 12

Absence or loss of control of voluntary muscle movements

Answer 12

Akinesia

Question 13

Slowness of movement

Particularly evident in the loss of automatic movements

Answer 13

Bradykinesia

Question 14

Akinesia & Bradykinesia manifestations

Answer 14

Stooped posture
Masked face
Drooling
Festination (shuffling gait)

Question 15

Appearance of PD

Answer 15

Blank facial expression
Slow, slurred speach
Forward lift posture
Short, shuffling

Question 16

Nonmotor symptoms

Answer 16

Depression, anxiety, apathy
Fatigue
Pain
Urinary retention and constipation
Erectile dysfunction
Memory changes

Question 17

Complications

Answer 17

Motor symptoms
Weakness
Neurologic problems
Neuropsychiatric problems
Dementia

Question 18

Treatment:

Answer 18

No cure for PD

Drug therapy

Question 19

Antiparkinsonian drugs either

Answer 19

Enhance or release supply of DA (dopaminergic)

Block the effects of overactive cholinergic neurons in the striatum (anticholinergic)

Question 20

Nutrition Therapy

Answer 20

Easy to chew/swallow
Adequate fiber/fruit
6 small meals

Question 21

Focus teaching & nursing care

Answer 21

Maintaining good health
Encouraging independence
Avoiding complications, such as contractures and falls

Question 22

Paradoxic intoxication

Answer 22

where meds so opposite of what they are supposed to do

Question 23

Nursing implementation

Answer 23

Walk to promote independence
Consciously thinking about stepping over an imaginary object on the floor
Walk to a beat, such as with music
One step back and two steps forward

Question 24

Independence examples

Answer 24

Get out of a chair by using arms and placing the back legs on small blocks
Remove rugs and excess furniture 
Simplify clothing from buttons and hooks
Use elevated toilet seats
Use an ottoman to elevate legs

Question 25

Limit what for nutrition

Answer 25

protein in evening meals

Question 26

Health history: asking bout what?

Answer 26

Exposure to metals

Meds; major tranquilizers; methlydopa

Question 27

what kind of sheets?

Answer 27

silk