Parkinson's Disease Symptoms, Treatment, Nursing Care, Pathophysiology NCLEX Review
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Published 2017-12-16
Parkinson's disease is a neuro disease that affects movement. What is happening in Parkinson’s disease to cause movement to become affected?
The dopaminergic neurons in the part of the midbrain called substantia nigra have started to die. This area is part of the basal ganglia, which is a part of the mid-brain that controls movement.
What do these dopaminergic neurons do? They release the neurotransmitter dopamine, which allow us to have accuracy with movement. Therefore, when these neurons die there is LESS dopamine available to stimulate the neurons and this leads to abnormal movements.
In addition, normally there is a balance between the neurotransmitters acetylcholine (ACh) and dopamine. Remember acetylcholine is an excitatory neurotransmitter, while dopamine is an inhibitory neurotransmitter.
Therefore, they are always balancing each other out with their stimulation of the neuron. However, with the decrease of dopamine there is more acetylcholine, which leads to an increase in cholinergic activity.
Parkinson's Disease Nursing Care includes: safety, psychosocial, digestion/nutrition health, and medication education and side effect monitoring interventions. As the nurse it is very important to teach the patient how to deal with tremors, freeze up, using assistive devices, diet restriction (no protein or vitamin B6 with Levodopa/Carbidopa or tyramine rich foods with MAO Inhibitors) etc. See the video for a detailed review on nursing interventions for Parkinson's disease.
Parkinson's Symptoms include: Tremors at rest (most common): hands, arms, legs (even lips and tongue) hands and finger tremors can look like "pill-rolling" and tremors will improve with movement, stiffness of extremities (arms DON’T swing with gait): akinesia: inability to move the muscles voluntarily….”freeze up” affects, shuffling of gait.
Along with cogwheel rigidity: when moving arms passively towards body they jerking or push back slightly. Bradykinesia: movements are slow, difficult swallowing (drooling), Face: expressionless, coordination issues, depression, constipation: digestion slows down, and loss of smell
Parkinson's disease treatment includes: antiparkinson's medications (Sinemet "Carbidopa/Levodopa", Anticholinergics "Benztropoine", Amantadine, Ropinirole, COMT "Entacapone", MAO Inhibitors "Rasagiline"
Parkinson's Disease NCLEX Questions: www.registerednursern.com/parkinsons-disease-nclex…
Notes: www.registerednursern.com/parkinsons-disease-nclex…
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All Comments (21)
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Hello Everyone :) Thanks for watching! Don't forget about: Quiz: www.registerednursern.com/parkinsons-disease-nclex… Notes: www.registerednursern.com/parkinsons-disease-nclex… More Neuro Videos: youtube.com/playlist?list=PLQrdx7rRsKfVPDxuXWcpmg4… Instagram: www.instagram.com/registerednursern_com/ Facebook: www.facebook.com/RegisteredNurseRNs Twitter: twitter.com/NursesRN
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Hi, Sarah! I want you to know that the nursing students in the world rely heavily on your videos because no one teaches like you do. So thank you so much! With much love from the Philippines
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i dont care how old i am, idc how old these videos are, you are the best. You explain in "English" lol and i am able to understand the concepts of all your content. God willing, this 44 y/o graduates this fall, 2021! Amen. Thank You. Many Blessings to your family.
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I should send you my payment to Northeastern University to YOU! I learn so much more from you, I am acing my exams thanks to you!
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Hello! I am a nurse of South Korea! I sincerely appreciate your service and hard working!!! A series of your videos on You tube is really helpful to me!! Thank you so much!
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Thank you so much Sara for the videos, I reviewed with you for about 5weeks before taking my Hesi exam and I had such high scores, It's amazing how much I learned in such a short time studying and watching your videos, I recommend your videos to all my friends pursuing nursing, you are exceptionally talented in simpfying and explaining materials, I never write reviews you're my first and I'm beyond grateful to post this. God bless you in all you do, you touched my life with such clarity and understanding
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It is amazing that you added information about the "freezing it". When I took NCLEX they had a SATA about what the nurse should do if a pt w/ Parkinson disease freezes up and I had NO CLUE at all that this happens to a pt w/ PD. You do not see those types of questions or even in rationales on "NCLEX Study Test Preps".
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Thank you Sarah! You helped me pass the NCLEX-PN in 85 questions. Looking forward to the next step...NCLEX-RN!!! ❤ U!!!
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You should publish a book with all your notes. I’d buy it in a second!
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God sent, truly. I feel like we should be paying our tuition to you!
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Thanks Sarah I passed the nclex test with your help and with the help of my friend, she's the reason I discovered your videos :)
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Sarah!!!!! my next exam covers cancer along with Parkinson's - Soooo wish you had some videos on cancers and Neuro/ Neuro assessments. I swear you speak my language when it comes to learning. Thanks for all you do. You need a book already!!
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could you please do a compare and contrast of similar neurological disorders like Parkinson's and Huntington's or MS, GBS, and MG???
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I personally cant thank you enough for the great job you do. I am learning so much from you.
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Great presentation,doctor"s should also learn from you. Professor Sarah.
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Thank you for your public service Sarah! I'm just someone whose friend is suffering from Parkinsons, and you're so helpful in explaining all the do's and don't's eg what not to consume which might inhibit the meds. I have to get her off the all the yoghurt drinks she's taking before her script.
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Honestly, your videos are the best when it comes to explaining anything in nursing. Definitely subscribing to your channel you make everything so much easier to understand! Thank you for posting videos covering so much in nursing. It helps me so much when I watch your videos being a student. You are life-changing in terms of educating many! Thank you, Sarah! <3
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I love that you compare & contrast normal body function versus the disorder. Super helpful, God sent!
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My class always says we should send you a thank you card. 😂
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DAMN I WILL PASS MY EXAM because of you❤️❤️❤️
