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10/31/2021 1

Parkinson’s
Disease

Presented By:
Puja Gupta
Roll No. 133012
B.Sc. Nursing 3rd Year,
7th batch
10/31/202 2
1
Introduction (2/1)

Definition:
Parkinson’s Disease (PD) is a slowly
progressive neurologic movement
disorder that eventually leads to
disability.

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Introduction (2/2)

 Parkinson’s Disease is second most


common neurodegenerative disorder.
 It is more common in Elderly.

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Epidemiology

 Prevalence is about 0.3% of


population 40 years plus, 7.5 million
people worldwide.
 More common in men than women.

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Causes (1/2)
 The exact cause of Parkinson’s
disease is idiopathic.
 Scientists’ says that
 It is probably due to a combination of
both Genetic and Environmental
factors.
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Causes (2/2)

 Risk factors:
 Age

 Gender

 Family History

 Race and Ethnicity


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Pathophysiology

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Clinical Manifestations

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Hypokinesia

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Mask like appearance

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Cognitive Impairment

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Constipation

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Small Handwriting

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Complications

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Complications

1. Swallowing problems

2. Impact on emotions

3. Depression is extremely common in


patient’s with Parkinson’s

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Diagnostic Investigations

1. Medical History

2. Neurological Exam

3. Drug challenge test ( A Levodopa


challenge test)

4. Test for depression and dementia


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Management

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Summary: Mcqs (3/1)

1. Parkinson’s disease is
a. Progressive disorder

b. Non-progressive disorder

c. Musculoskeletal disorder

d. Cardiovascular disorder
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Mcqs (3/2)

2. Cause of Parkinson’s disease is


a. Genetic factors

b. Environmental factors

c. Both a and b

d. None of the above


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Mcqs (3/3)
3. The clinical features of Parkinson’s disease
are all of the following except

a. Unintentional Tremor

b. Muscle rigidity

c. Bradykinesia

d. Vision problems
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Assignment

 Write Nursing management of patient


having Parkinson’s Disease with
nursing assessment, diagnosis and
intervention? (5 marks)

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References (4/1)

1) Timalsina Rekha, Comprehensive


Textbook of Geriatric Nursing 2nd
edition. Samikshya Publication,
Ghattekulo, Rautahadevi Marga,
Kathmandu. Page no. 194-197

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References (4/2)

2) Brunner and Suddarth’s, Textbook of


Medical-Surgical Nursing, South Asian
Edition, Volume 1.Wolters Kluwer(India)
Pvt. Ltd., New Delhi. Page No.1805-1811

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References (4/3)
3) Helika Shrestha, Polina Paudyal, Sarita
Giri. A textbook of Medical Surgical
Nursing 1 and 2, Fourth edition, Heritage
publishers and distributors Pvt. Ltd.
Bhotahity, Kathmandu, Nepal. 2076 B.S.
Page no. 681 to 686.

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References (4/4)

4) https://www.google.com/search?q=si
gn+and+symptoms+of+parkinsons+
disease
. (Retrieved on 22nd April 2021)

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