Nursing care of patients with late-stage Parkinson's disease.
Identifieur interne : 002D68 ( Main/Exploration ); précédent : 002D67; suivant : 002D69Nursing care of patients with late-stage Parkinson's disease.
Auteurs : Susan M. Calne [Canada] ; Ajit KumarSource :
- The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses [ 0888-0395 ] ; 2003.
English descriptors
- KwdEn :
- Activities of Daily Living, Antiparkinson Agents (therapeutic use), Confusion (etiology), Depression (etiology), Disease Progression, Humans, Hypotension, Orthostatic (etiology), Memory Disorders (etiology), Nurse's Role, Parkinson Disease (complications), Parkinson Disease (nursing), Parkinson Disease (psychology), Quality of Life, Severity of Illness Index, Sleep Wake Disorders (etiology), Terminal Care (methods).
- MESH :
- chemical , therapeutic use : Antiparkinson Agents.
- complications : Parkinson Disease.
- etiology : Confusion, Depression, Hypotension, Orthostatic, Memory Disorders, Sleep Wake Disorders.
- methods : Terminal Care.
- nursing : Parkinson Disease.
- psychology : Parkinson Disease.
- Activities of Daily Living, Disease Progression, Humans, Nurse's Role, Quality of Life, Severity of Illness Index.
Abstract
Patients in the late stages of Parkinson's disease may be significantly disabled for many years, often because of their increasing inability to tolerate therapeutic doses of antiparkinson drugs. Their status and management have been overlooked in the literature. Few current healthcare professionals have cared for patients with Parkinson's disease in the prelevodopa era and do not understand how severe and protracted the illness can be without effective treatment. This article describes a practical approach to the nursing management of severely affected patients (i.e., Hoehn and Yahr Stage 4-5) who no longer derive consistent, therapeutic benefit from their drugs. Specific problems these patients face are adverse drug reactions such as postural hypotension, psychosis, and confusion, as well as difficulties with nutrition, elimination, mobility and falling, communication, sexuality, memory, and mood. Nursing interventions can help minimize the effect of these problems on the patient.
PubMed: 14593935
Affiliations:
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Le document en format XML
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Calne</name><affiliation wicri:level="1"><nlm:affiliation>Pacific Parkinson's Research Centre, Vancouver, BC, Canada. scalne@interchange.ubc.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Pacific Parkinson's Research Centre, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Kumar, Ajit" sort="Kumar, Ajit" uniqKey="Kumar A" first="Ajit" last="Kumar">Ajit Kumar</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2003">2003</date><idno type="RBID">pubmed:14593935</idno><idno type="pmid">14593935</idno><idno type="wicri:Area/PubMed/Corpus">001413</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001413</idno><idno type="wicri:Area/PubMed/Curation">001413</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001413</idno><idno type="wicri:Area/PubMed/Checkpoint">001413</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001413</idno><idno type="wicri:Area/Ncbi/Merge">000364</idno><idno type="wicri:Area/Ncbi/Curation">000364</idno><idno type="wicri:Area/Ncbi/Checkpoint">000364</idno><idno type="wicri:doubleKey">0888-0395:2003:Calne S:nursing:care:of</idno><idno type="wicri:Area/Main/Merge">003149</idno><idno type="wicri:Area/Main/Curation">002D68</idno><idno type="wicri:Area/Main/Exploration">002D68</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Nursing care of patients with late-stage Parkinson's disease.</title><author><name sortKey="Calne, Susan M" sort="Calne, Susan M" uniqKey="Calne S" first="Susan M" last="Calne">Susan M. Calne</name><affiliation wicri:level="1"><nlm:affiliation>Pacific Parkinson's Research Centre, Vancouver, BC, Canada. scalne@interchange.ubc.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Pacific Parkinson's Research Centre, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Kumar, Ajit" sort="Kumar, Ajit" uniqKey="Kumar A" first="Ajit" last="Kumar">Ajit Kumar</name></author></analytic><series><title level="j">The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses</title><idno type="ISSN">0888-0395</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Antiparkinson Agents (therapeutic use)</term><term>Confusion (etiology)</term><term>Depression (etiology)</term><term>Disease Progression</term><term>Humans</term><term>Hypotension, Orthostatic (etiology)</term><term>Memory Disorders (etiology)</term><term>Nurse's Role</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (nursing)</term><term>Parkinson Disease (psychology)</term><term>Quality of Life</term><term>Severity of Illness Index</term><term>Sleep Wake Disorders (etiology)</term><term>Terminal Care (methods)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Confusion</term><term>Depression</term><term>Hypotension, Orthostatic</term><term>Memory Disorders</term><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Terminal Care</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Disease Progression</term><term>Humans</term><term>Nurse's Role</term><term>Quality of Life</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients in the late stages of Parkinson's disease may be significantly disabled for many years, often because of their increasing inability to tolerate therapeutic doses of antiparkinson drugs. Their status and management have been overlooked in the literature. Few current healthcare professionals have cared for patients with Parkinson's disease in the prelevodopa era and do not understand how severe and protracted the illness can be without effective treatment. This article describes a practical approach to the nursing management of severely affected patients (i.e., Hoehn and Yahr Stage 4-5) who no longer derive consistent, therapeutic benefit from their drugs. Specific problems these patients face are adverse drug reactions such as postural hypotension, psychosis, and confusion, as well as difficulties with nutrition, elimination, mobility and falling, communication, sexuality, memory, and mood. Nursing interventions can help minimize the effect of these problems on the patient.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Kumar, Ajit" sort="Kumar, Ajit" uniqKey="Kumar A" first="Ajit" last="Kumar">Ajit Kumar</name></noCountry><country name="Canada"><noRegion><name sortKey="Calne, Susan M" sort="Calne, Susan M" uniqKey="Calne S" first="Susan M" last="Calne">Susan M. Calne</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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