Jayne Case Study - Diagnosed With Parkinson’s Disease - Nursing Assignment Help

Assignment Task:

Jayne is a 75-year-old retired school teacher. Widowed for 12 year and diagnosed with Parkinson’s Disease 15 years ago, she has two adult children who both live overseas. Jayne lived alone at home until 2014 when she had to enter residential care due to her increasing debility.

Medical history:

• Parkinson’s disease

• Diverticulitis

• Osteoarthritis both shoulders, right knee & left ankle

• # (R) NOF surgical repair 2010

• Anxiety 

• Depression

• Subdural haematoma 2016 resulted from a fall in her bathroom

Vital signs:

• BP 120/62

• Pulse 90

• Respirations 16

• Temperature 36.2 Celsius degrees

• O2 saturations RA 98%

• Weight 50kg

• Height 156cm

Cognitive: 

• Increased anxiety and worry 

• Increased fatigue

• Sleep disturbances present

• Visual and auditory hallucinations especially at night

• Confusion & disorientation present

Autonomic:

• Complaining of being too hot

• Constipation

• Dyspnoea

• Nausea

Sensory:

• Akathasia during the day

• Increased generalised pain at night

Question is 

Complete a nursing care plan that identifies two (2) nursing diagnoses (NANDA)(2 marks), one (1) SMART goal for each NANDA (2 marks), two (2) interventions per NANDA, including rationale for each intervention (2 marks) and one (1) evaluation strategy per NANDA (2 marks).

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