Case Study Parkinson’s answers
1. Sinemet is converted is converted to dopamine and provides an exogenous form of dopamine replacement.
2. Instruct Sue to bring Bruce to the physician’s office now.
3. Impaired physical mobility related to muscle rigidity and motor weakness.
4. Encourage Sue to provide a soft diet with mainly thick liquids.
5. Demonstrate how to walk with a wide-base stance.
6. Occupational therapist.
7. Provide Bruce with information about a Durable Power of Attorney for Health Care.
8. Suggest that Sue call a neighbor to witness the signature.
9. Obtain Bruce’s bowel sounds and check his abdomen for distention.
10. Discuss providing supplemental feedings between meals.
11. Allow Sue to cry and discuss her feelings.
12. Stand directly in front of Bruce when he is speaking.
13. There is a chemical imbalance in the brain, but it results in too little dopamine.
14. There is really no know specific cause for Parkinson’s disease.
15. I can review the booklet about Medicaid qualification with you.
16. Ask the director of nursing for the names and phone numbers of persons willing to serve as references for the facility.
17. You may want to visit at different times rather than following a routine visiting schedule.
18. Bring some pictures and personal items from home and decorate the room.
19. Help Bruce ambulate down the hall to the shower area.
20. Instruct the UAP to go to the nurse’s station.
21. Ensure that an informed consent for the PEG tube placement has been signed.
22. Observe the insertion site for signs of bleeding.
23. Placement in a semi-Fowler’s position helps prevent aspiration of the tube feeding.
24. Check the residual volume
25. Crush the tablets and dissolve in warm water prior to administering via PEG tube.
26. Request that a serum potassium level be obtained.
27. To be eligible for hospice care, Bruce must have less than 6 months to live.
28. The hospice staff will help keep Bruce comfortable at home until he dies.
29. Medicare Hospice Benefit will cover the cost for Medicare beneficiaries.
30. It is an order that will prevent paramedics from starting cardiopulmonary resuscitation.