83-Year-Old Gentleman Diagnosed with Parkinson’s Disease - Case Study - Nursing Assignment Help

Assignment Task

83-year-old gentleman diagnosed with Parkinson’s disease 10 years ago. 2 months ago, started to experience difficulties with transfers – particularly sit to stand and getting out of bed. Wife has been finding it difficult to cope up this situation. They are both extremely worried and feel that they may need to move into residential care but don’t want to leave their home.

Subjective assessment
Past Medical History:
-Diagnosed with Parkinson’s disease 10 years ago, following a number of falls outdoors. Recently, can independently move around the home.
-Uses two hand rails to aid balance on stairs.
-Uses an attendant pushed wheelchair for outdoors.

General Information:
-Rarely leaves the house, as no ramp access and wife cannot manage the wheelchair.
-Monitored primarily by Parkinson’s disease specialist nurse, 6 months at Sun Paradise clinic.

Objective assessment
-General Atrophy of quadriceps and gastrocnemius muscle evident.
-Able to achieve knee extension in sitting, but with difficulty
-Quads strength 4/5 on Oxford Scale Supported sitting
-Kyphotic sitting posture, with protracted and depressed shoulder girdles.
-Mask-like face and considerable pill rolling tremor.
-No other added movements noted
-Sitting in deep armchair, with low seat height – feet raised on stool to prevent ankles swelling
-Difficulty adjusting position in sitting. Unable to initiate weight transfer to alter base of support.

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