Question

CLINICAL SCENARIO:

Mr A.G. is a 76-year -old widower being seen in your outpatient clinic for a medication refill for his Parkinson’s disease. He is a retired railroad engineer who derives great pleasures from collecting railroad memorabilia and taking walks with his dog around the vicinity of his neighborhood. Mr. A.G. was diagnosed with moderate (Stage III) Parkinson’s Disease 2 years ago. He does not smoke tobacco nor drink alcohol. His PMH includes a femur fx at age 22, a cholecystectomy at age 47, and a transurethral resection of the prostate (TURP) at age 72.

Activity

1. List six things that you would assess to determine whether Mr. A.G.’s care can be managed in his home and explain. How might Mr. A.G. PMH affects his symptoms?

Answer 1

1) The following Category should be assessed --

1) Patient’s neurological assessment should be checked to know the patient's daily activity pattern..

2) Range of Motion should be assessed at a regular basis to know the nerve function..

3) It should be assessed that the patient maintain his daily activity or not maintained..

4) Prescribed Medication chart of the patient ( for ex- Antiparkinsonian Drugs..) should be assessed.. It is necessary for the Patient to take the prescribed medication regularly..

5) Nutritional status of the patient should be assessed.. Semisolid or liquid food should be given to promote swelling..

6) Speech therapy should be given to decrease the adverse effect of tremor on speech..

In the past medical history of Mr. A.G there was- Femur fracture, Cholecystectomy,& Transurethral resection of Prostate (TURP)..

By the incidence of femur fracture weakness of nerve may develop.. That act as a precipitating factor of Paekinson's Disease..

By TURP and Cholecystectomy there develop a kind of infection & trauma..that act as a risk factor to develop parkinson's disease in the later life..