Nursing Care Plan for Parkinson's Disease

Parkinson's disease (also known as Parkinson disease, Parkinson's, idiopathic parkinsonism, primary parkinsonism, PD, or paralysis agitans) is a degenerative disorder of the central nervous system. It results from the death of dopamine-containing cells in the substantia nigra, a region of the midbrain; the cause of cell-death is unknown. Early in the course of the disease, the most obvious symptoms are movement-related, including shaking, rigidity, slowness of movement and difficulty with walking and gait. Later, cognitive and behavioural problems may arise, with dementia commonly occurring in the advanced stages of the disease. Other symptoms include sensory, sleep and emotional problems. PD is more common in the elderly with most cases occurring after the age of 50.wikipedia



Nursing Care Plan for Parkinson's Disease

Nursing Assessment for Parkinson's Disease

1. Assess cranial nerves, cerebral function (coordination) and motor function.
2. Observation of gait and while doing the activity.
3. Assess the history of symptoms and their effects on body functions.
4. Assess the clarity and speed of speech.
5. Assess signs of depression.

Nursing Diagnosis for Parkinson's Disease

Impaired physical mobility related to bradykinesia, tremor and muscle regiditas

Characterized by:

Subjective data: client said it was hard to activities,
Objective data: tremor during the move.

Objective: Improve mobility

Nursing Intervention for Parkinson's Disease

• Help clients daily exercise such as walking, cycling, swimming, or gardening.


• Encourage clients to stretch and exercise as directed postural therapist.


• Client Bathe with warm water and do the sorting to help muscle relaxation.


• Instruct clients to regular breaks in order to avoid weakness and frustration.


• Teach for postural exercise and walking techniques to reduce the stiffness when walking and the possibility of learning continued.


• Instruct the client to walk with open legs.


• Create a client raised his hand with consciousness, lift the foot when walking, use the shoes for walking, and walking with step length.


• Tell the client to walk to the rhythm of music to help improve the sensory.