Assessment Nursing Nursing Nursing interventions rationale Evaluation

diagnosis objectives/
goals
1)Subjective Disturbed To improve  Assess patient for  Depression is common Patients
data :- Thought memory of the depressive behaviors, among PD patients, whether thought
Process:  patients. causative events, and orient it’s a reaction to the disorder process was
Patient related to patient to reality as or related to biochemical improved .
verbalized “ I chronic warranted. abnormality is uncertain.
am forgetting illness as  Use a nonjudgmental  Establishes a trusting
vary common evidenced by attitude toward the patient relationship and permits the
like ATM memory and actively listen to his patient to discuss topics that
password, my impairment. feelings and concerns. can help the patient deal with
DOB etc.” in appropriate ways.
 Identify patient’s  Assists with the
Objective medications currently identification of any misuse
data :- being taken. of drugs and side-effects that
may precipitate depressive
thought block
symptoms.
& inrelevant  Assess the patient for a  Patients who are depressed
talking is potential for suicide and and who have already
present. suicidal ideation. thought about a suicideplan
are serious and need
emergency help.
 Monitor vital signs every 4  Antidepressants and other
hours and prn. psychoactive medications
may result in cardiovascular
and cerebrovascular
insufficiency
Assessment Nursing Nursing  Nursing rationale Evaluation
diagnosis objectives/ interventions
goals
2)Subjective Impaired Patient will be  Assess the patient’s ability  Speech disorders are Patient was
data : Verbal able to have to speak, language deficit, present in most patients able to speak in
patient Communicatio effective cognitive or sensory with Parkinson’s disease, an
valbalized “ n related to speech and impairment, presence of this helps identify problem understandable
my family rigidity of understanding aphasia, dysarthria, areas and speech patterns to way possible
member some facial muscles of aphonia, dyslalia, or help establish a plan of when
time not able evidenced by communicatio apraxia. care. necessary.
to understand difficulty with n  Instruct patient to make a  This helps establish a clear
whatever I am phonation conscious effort to speak method of communication
telling to them slowly, with deliberate and speaking to the patient.
” attention to what they’re
Objective speaking. 
data :  Monitor the patient for  Indicates that feelings or
Patient face nonverbal communication, needs are being expressed
problem such as facial grimacing, when speech is impaired.
during talking, smiling, pointing, crying,
not audible and so forth; encourage
whatever the use of speech when
telling. possible.
 Helps to prevent frustration
 Attempt to anticipate the
and anxiety.
patient’s needs.
 Helps to promote speech in
 Encourage patient to
the presence of dysarthria.
control the length and rate
of phrases, over-articulate
words, and separate
syllables, emphasizing
consonants.
Assessment Nursing Nursing Nursing rationale Evaluation
diagnosis objectives/ interventions
goals
3)Subjective Impaired Patient will  Instruct patient with  Rocking from side to side Patient was
data : Physical maintain techniques that initiate helps to start the leg maintained
patients Mobility functional movement. movement. functional
verbalized “ it related to mobility as  Instruct patient to get out  Parkinson disease causes mobility and
vary difficult perceptual long as of the chair by moving to rigidity tremors, co-ordination..
for me to walk impairment as possible within edge of the seat, placing bradykinesia and may result
with out evidenced by limitations of hands on arm supports, in difficulty getting out of a
support ” balance and disease bending forward, and then chair.
coordination process. rocking to a standing
Objective deficits position.  Balance may be adversely
data :-  Teach the patient to affected because of the
patients gait concentrate on walking rigidity of the arms that
and co- erect and use a wide-based prevents them from
ordination is gait. swinging when walking
inappropriate  Teach patient to sit in normally.
chairs with backs and arm  Help with rising from a
rests; use elevated toilet sitting position and prevent
seats or sidebars in the falls.
bathroom.
 Instruct patient to raise the  These measures reduce
head of the bed and make orthostatic hypotension.
position changes slowly.
 Provide warm baths and  Helps relax muscles and
massages. relieve painful muscle
spasms that accompany
rigidity.
Assessment Nursing Nursing Nursing rationale Evaluation
diagnosis objectives/ interventions
goals
4)Subjective Imbalanced To improved  Assess the patient’s ability  To provide information Patients
data : Nutrition: Less Patients to eat. regarding factors associated nutritional
Than Body nutritional with reduced intake of status was
patients Requirements status. nutrients. improved.
verbalized “its related to  Weigh patient daily, on  Provides information about
taking me long facial rigidity the same scale and same weight loss or gain.
time for eating evidenced by time if possible.
food” inadequate  Provide an unhurried  Patients with PD may have
food intake environment during meal difficulty maintaining their
Objective time. weight as eating becomes a
data : very slow process, requiring
concentration due to a dry
Patients vary mouth from medications and
slowly difficulty chewing and
swallowing.
 Monitor weight on a
 To assess whether caloric
weekly basis.
indicates is adequate.
 Provide care for patient
 Provides for continuity of
using same personnel
care and the establishment of
whenever possible.
a trusting relationship.
 Assist patient only when
 Dependency on the nurse
necessary. Offer positive
decreases self-esteem.
feedback for independent
Encouraging desired
behavior.
behaviors promotes effective
 Encourage patient to make
coping.
choices about his care.
 Reduces helplessness and
enhances a sense of self-
esteem.