Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Impaired physical After 1-3 days of  Instruct patient with techniques  Rocking from side to side helps to After 1-3 days of
“He was mobility related nursing intervention, that initiate movement. start the leg movement. nursing intervention,
diagnosed with to Parkinson’s the patient will  Instruct patient to get out of the  Parkinson disease causes rigidity the patient’s
Parkinson’s disease as improve and chair by moving to edge of the tremors, bradykinesia and may functional mobility
Disease 2 evidenced by maintain functional seat, placing hands on arm result in difficulty getting out of a was improved
months ago” tremor and mobility as long as supports, bending forward, and chair.
shuffling gate possible within then rocking to a standing
Objective: limitations of disease position.
 Tremblin process  Teach the patient to concentrate  A special walking technique must
g of arms on walking erect and use a wide- be learned to offset the shuffling
and hands based gait. gait and the tendency to lean
 Can walk  If client is mostly immobile, forward.
but slowly encourage him or her to attend a  Chair exercises have been shown
 Shuffling low-intensity aerobic chair to increase flexibility and balance
gait exercise class that includes
stretching and strengthening chair
exercises.
 Instruct patient to raise the head
of the bed and make position  These measures reduce
changes slowly. Teach patient to orthostatic hypotension.
dangle legs a few minutes before
standing. Avoid dehydration and
maintain adequate dietary salt.
 Provide warm baths and  Helps relax muscles and relieve
massages. painful muscle spasms that
 Administer anti parkinsonian accompany rigidity.
drugs as prescribed by the
physician (Levadopa and
carbidopa)

JAY CAMILLE S. BUHANGIN BSN-3