Scenario You are playing the role of Omar’s male support

Parkinson’s Disease Unfolding Case Study You are providing care for Mr. Conley, 70, who was admitted to your unit following carotid endarterectomy. AM assessment: His VS are stable, IVF infusing D5.45 NS at 100ml/hr, bowel sounds have returned, and the insertion site is CDI. He is ordered Percocet for pain PO PRN and is currently pain free. His speech is slurred, soft, and slow, His face is expressionless with some drooling. He has a noticeable tremor of the right hand. His appearance is thin and frail. He is beginning a clear liquid diet this am. His past medical history includes mild hypertension, benign prostatic hypertrophy, degenerative joint disease, and Parkinson’s Disease. What are the signs and symptoms of Parkinsons Disease: 1. 2. 3. 4. 5. 6. 7. 8. You are in a huddle with the care team. What assessment data consistent with PD would you communicate? Why? The team determines the plan of care for the day is: Resume PO medications Sinemet 25mg/100mg CR PO three times daily Terazosin 2 mg PO at bedtime Celebrex 100mg PO twice daily Lexapro 10 mg PO daily OOB x 3 Ambulate as tolerated Progress diet as tolerated; assess swallowing function Consult physical therapy and speech therapy Identify and explain three (3) immediate safety priorities for the day? Formulate three (3) nursing problems and develop plan of care to address the identified safety issues. Nursing Problem: Plan of Care for Nursing Problem (include 4 interventions with rationales) 1. 2. 3. 4. Nursing Problem: Plan of Care for Nursing Problem (include 4 interventions with rationales) 1. 2. 3. 4. Nursing Problem: Plan of Care for Nursing Problem (include 4 interventions with rationales) 1. 2. 3. 4. Mrs. Conley arrives to assist with Mr. Conley’s hygiene needs. While speaking with you, she states “He hasn’t gotten his pills yet and he didn’t get them yesterday! I am so upset! When he doesn’t get his pills, this is what happens. He didn’t look like this at home.” How should you respond to Mrs. Conley? What actions can you take as his nurse?

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