What is the pathogenesis of parkinsons disease

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Reference no: EM133479939

Assignment:

Mr. Jean Dufresne, a 79-year-old retiree, was diagnosed with Parkinson's disease 3 years ago after experiencing months of progressive tremors, rigidity, and bradykinesia. he has been taking L-dopa with carbidopa (sinemet) since then, and his symptoms has been improving until recently. when his daughter was visiting, she noticed that he has lost considerable weight over the past month, and his speech had become slower and difficult to understand.

subjective Data

  • he reports increasing difficulty with speech and swallowing
  • dietary intake has decreased
  • he reports being constipated for 2 weeks.

objective data

  • body weight has decreased by 5 kg in 1 month
  • gait has developed a mild shuffling and propulsive quality
  • "pill rolling" motion and tremor are observed in both hands at rest.
  • "cogwheel rigidity" is encountered during passive range of motion exercises.

Questions

  1. What is the pathogenesis of Parkinson's disease?
  2. what is the likely explanation for the progression of Mr. Dufresne's condition?
  3. what teaching plan should be developed for Mr. Dufresne?
  4. Priority decision: what are the priority nursing interventions for Mr. Dufresne?
  5. What are the priority nursing diagnoses based on the assessment data presented for Mr. Dufresne?

Reference no: EM133479939

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