You are. a home health .nurse visiting
You are. a home health .nurse visiting a pati.ent who was diagn.osed with Parkinson’s disease ab.out 5 years ago. The patient lives .at home their !spouse who is the primary caretaker. ?They live in a two story home. The patient ambulates. with st.and by assistan.ce X1 with the u.se of a gait belt. Patie.nt eats independently after. set up. The .patient’s spouse reports! that the ,patient h.as trouble with c.oughing while e.ating at times/. At home medications include: Carbidopa/levodopa .controlled release 50/250 mg twice daily Quetiapine100mg HS Clonazepam 0.25 mg PRN Q12 hours for muscle rigidity/pain What is the pathophysiology of your patient’s pertinent health history? Identify usual risk factors for this condition, prevention measures, and diagnostic tests usually done to determine if this condition exists. 2.What assessments will you focus on for your patient? What do you expect to see during the assessment of your patient based on information in your textbooks about the condition? 3What possible complications are you most concerned with for this patient? What abnormal assessment data would point to the presence of these complications? 4What will you do with the assessment data? What data would necessitate provider notification? What data would necessitate emergency action and what actions would you take? Complete the table using your patient’s at-home-medications: Generic and trade name, dosage, frequency and route Pharmacological Classification and Mechanism of action Reason (why your client takes/needs this medication Adverse reactions & contraindications Nursing Interventions (what would you see on assessment, what education needs to be provided to the patient, what assessment findings might point to a problem caused by the medication, etc.) SCIENCE HEALTH SCIENCE NURSING NURSING 460
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