Evaluation:

Nsg Diagnosis: Nsg Interventions:

Will remain free of further
Potential for complications Adaptive devices as s/sx, discomfort or
related to dx of Parkinsons recommended by therapy or MD. complications related to
disease, including poor balance, Evaluate for safe use. Ongoing Parkinsons disease through
constipation, poor coordination, assessment to ensure appropriate next 2 weeks.
drooling, tremors, dysphagia, use of safety/assistive devices
gait disturbance.

Rationale:
Administer medications as
ordered and monitor for side
Adaptive devices help
effects, effectiveness
Maintain balance when
Used correctly.
Diet as ordered. Monitor and
Exercise helps maintain report any s/sx of aspiration or
Muscle tone and ROM. dysphagia.
Encourage exercise, mobility
ROM to prevent stiffening within tolerance
of joints and/or contrac- Gentle range of motion as
tures. tolerated with daily care.

Obtain and monitor

lab/diagnostic work as ordered.
Report results to MD and follow
up as indicated.
PT, OT, ST evaluation and
treatment per orders. May d/c
when clinically appropriate.
MD needs notification
if s/sx of disease Assess/record/report to MD prn
progresses so pt may be s/sx of Parkinsons complications:
treated immediately at · Poor balance · Constipation ·
first sign to prevent any Poor coordination · Insomnia ·
further deteriation. Dysphagia · Tremors · Gait
disturbance · Incontinence ·
Muscle cramps or rigidity ·
Decline in ROM · Skin breakdown
· Mood changes · Decline in
cognitive function