Parkinson 's Disease : Causes, Treatments, And Nursing Care

The cause of Parkinson disease, defined by Robert Hauser, who is an author of Medscape, is still unclear. Studies state that there is a combination of environmental and genetic factors for this particular disease. Approximately 10% of cases are currently genetic causes of Parkinson disease. Environmental risk factors such as use of pesticides, living in a rural environment, consumption of well water, exposure to herbicides, and proximity to industrial plants or quarries are commonly associated with the development of Parkinson disease (Hauser, 2016). In addition, according to Hauser, “genetic factors in Parkinson disease appear to be very important when the disease begins at or before age 50 years. In a study of 193 twins, overall concordance for MZ and DZ pairs was similar, but in 16 pairs of twins, in whom Parkinson disease was diagnosed at or before age 50 years, all 4 MZ pairs, but only 2 of 12 DZ pairs, was concordant.The identification of a few families with familial Parkinson disease sparked further interest in the genetics of the disease.

J.N., a 65-year-old Caucasian female with a history of anxiety and depression, presents for diagnostic testing at Saint Mary Medical Center in Hobart, Indiana to confirm or deny a diagnosis of Parkinson’s Disease, after presenting with recent onset of upper extremity tremor affecting both sides and facial masking. Patient history also includes bradykinesia, restlessness, fatigue, muscle weakness, and poor balance and coordination, all of which are common in a diagnosis of Parkinson’s Disease. J.N. was referred to the Neurology Department of Saint Mary Medical Center after a routine appointment with her Cardiologist, who noted the recent onset of additional signs and symptoms. J.N. is my mother and my inspiration for this assignment.

Parkinson’s disease is a very well-known disease. It plagues about five million people worldwide, about a million of those cases are in the United States. A person does not lower their chances of getting Parkinson’s by living in a certain part of the world. It is not more, likely to happen in one location than, another. It has to do with age and genetics (“Demographics of parkinson’s,” 2014). It is a disease of the older generation, around about one percent of people over the age of 60 years old have Parkinson’s disease (Hauser, 2014). As one ages the likelihood of a person developing goes up. About four percent of people over the age of 80 years old develop Parkinson’s disease. The percentage of people who have Parkinson’s that are younger than 40 years old, is less than 10 percent. It is more

Many may not know Parkinson’s disease is the second most common neurodegenerative disorder in the world. This disease is most seen in the elderly starting at 62 years of age although, younger individuals can still have the disease it isn’t common. Parkinson’s make it difficult for its victims to carry out everyday activities that might have once been easy for them. As the disease progresses it makes it hard for the patient to do things like walk, stand, swallow and speak. A great deal of people don’t realize how helpful therapy can be when dealing with such disease!

The National Parkinson Foundation located on the website www.parkinson.org, was designed to help people who are affected by parkinson’s disease and to be more aware of the disease through education, treatment options and expert care research. The mission of the non-profit organization states “We make life better for people with Parkinson 's through expert care and research. Everything we do helps people actively enjoy life with their friends, families, children and grandchildren until there is a tomorrow without Parkinson 's” (National Parkinson Foundation). The National Parkinson Foundation targeted audiences includes people who suffer from

Although the etiology of idiopathic Parkinson's disease (PD) is unknown, it is characterized by the loss of dopaminergic (DA) neurons in the substantia nigra pars compacta (SNpc) of ventral midbrain region [9]; [1]. Its prevalence is associated with age. Approximately 1% of the population is affected at 65–70 years of age, which increases to 4–5% in 85-year-olds [2]. Various epidemiological studies and pathological analyses have demonstrated that mean age of onset in sporadic PD, which accounts for about 95% of cases of Parkinsonism is 70 years [7]; [3]. Familial form of Parkinson’s disease is linked to genetic mutations and has prevalence rate of 4%. Familial Parkinson’s disease patients develop early-onset disease before the age of 50

Parkinson Disease (PD) is a neurodegenerative disease symptomized by tremor, muscular rigidity, and slow imprecise movements. Typically, the disease affects middle-aged and elderly individuals. PD is associated with degeneration of the basal ganglia of the brain causing a deficiency of the neurotransmission of dopamine.

Parkinson’s disease is a chronic neurodegenerative disorder characterized by degeneration and cell loss of the substantia nigra, which causes disturbances of voluntary motor control [5]. It impairs ones ability to produce movements and is commonly associated with difficulties of daily living. Parkinson’s disease (PD) affects approximately 1.5% to 2.0% of the population over the age of sixty years old [2] and “… it is estimated that 6 million individuals worldwide are currently living with PD,” [7] (pg323). Parkinson’s sufferers often experience physical distress and an altered quality of life.

This paper is limited to Parkinson’s Disease. Parkinson’s Disease was thoroughly researched and will be described in depth including: physiology, etiology, signs and symptoms, diagnostic testing, therapeutic measures, and short vs. long term effects.

Parkinson’s Disease (PD) is a nervous system disorder that affects nearly five million people world wide. Most of the effects of PD are movement based. It is more prevalent in men and the chance of developing the disease increases with age. Fifteen percent of those with Parkinson’s have been identified as having a family history of the disease. Those who are 80 or older may be one-thousand times more likely to develop PD than those under 40 (Jankovic & Tolosa, 2015). The symptoms of PD were first described in 1817 by James Parkinson. Over time, Parkinson was able to observe the disease in six different patients, seeing the similarities in their symptoms. As sciences have advanced at a rapid rate, the understanding of PD has

The most frequent neurodegenerative movement disorder today is Parkinson Disease (Barth et al., 2011), with a prevalence which increases with age – from 0.01% of people in the age group 40 to 44 years, increasing steadily to approximately 1% at age 65 and 22% at age 85 or over. Due to an aging society, increasing industrialization and environmental factors, the number of patients will grow rapidly in the forthcoming decades.

Parkinson’s disease is a progressive loss of functioning of the brain that results in stiffness, trembling and loss of fine motor control. This disease mainly affects the neurons in the particular area called the substantia nigra with a total loss of dopamine, the absence of these dopamine-producing cells causes the loss of the brain’s ability to control the body movements progressively ("Parkinson’s disease", 2016). Parkinson’s disease is very common, with about 70000 Australians as well as the average age of diagnosis is 65 years, however, upcoming generations can also be diagnosed with Parkinson’s. It is also not easy to analyze Parkinson’s as there is no laboratory test, but a neurologist can make the diagnosis of this disease ("What is Parkinson 's", 2016). John Magill has a case of Parkinson’s disease before 5 years and after having a fall at home, he was admitted to the hospital and was recognised as having a generalised tremor and decrease in mobility. This essay aims to provide the risk factors, clinical manifestation, medical managements, holistic nursing care plan and discharge plan for John Magill.

Family members, especially those aiding Parkinson’s disease patients, are emotionally and physically affected by the disease as well (it’s not just the PD patients). Both the patient and the people supporting them often suffer with depression, fatigue, or other stress related illnesses. What family members must understand is that taking care of a Parkinson’s disease patient can vary day to day. There will be times when patients may function almost normally and then other times when they are very dependent. Parkinson’s disease is unpredictable and presents new challenges for caregivers on a daily basis. Taking care of a loved one that is ill is just the half of the situation as caretakers also have to take care of their self and their families.

Parkinson’s disease is growing in the elderly population other than Alzheimer's. Parkinson’s is an incurable disease, in the journal article “Parkinson’s disease risk from ambient exposure to pesticides”, Parkinson’s is defined as “a common movement disorder associated with the degeneration of dopaminergic neurons of a substantia nigra” (Wang et al, p. 548, 2011). The national library of medicine indicated symptoms of Parkinson’s disease include “trembling of hands, arms, legs, jaw and face, stiffness of the arms, legs and trunk, slowness of movement, and poor balance and coordination (“National Library of Medicine,” 2014). Even though some may hear or even see a person with Parkinson’s disease (PD), there is a lack of knowledge about who is

“Parkinson’s is the second most common neurological disease after Alzheimer’s. It has been described as a chronic, progressive, neurological disorder, which generally not life-threatening but is incurable (Magennis & Corry, 2013). Parkinson disease has no antidote but has altered treatments. Patients require caregivers help when PD gradually starts to affects motor, cognitive and emotional functioning. Patients are hindered from fulfilling their daily needs, thus necessitating the caregiver’s assistance.