Mrs. Downs is 55 years old when she was diagnosed with PD (Parkinson’s disease). Her initial symptoms were depression, stooped posture, loss of energy, dragging leg, difficulty walking, tremors, and a loss in her arm swing. Her physician started her on Sinemet® (levodopa-carbidopa combination). While discussing her medication history with her, you find out that she takes a B-complex multivitamin that contains B6. She also tells you that her wife has told her to take some of her phenothiazine (an antipsychotic) since she thinks it may “lift her out of her depressed mood”.
A year has passed, and when you see Mrs. Downs again her symptoms have worsened. She is feeling muscle rigidity, fixed facial expressions, slowed movement, arm numbness, and cognitive difficulty. Her physician has changed her Sinemet® to Stalevo® (levodopa-carbidop-entacopone); he has also added a dopamine agonist (such as pramipexole) and an antidepressant for her mood disorders.
question :
Describe five strategies that you can use to enhance communication with Mrs. Downs who displays cognitive difficulty. Explain in detail for each strategy.
Parkinsons patients experience cognitive impairment, it is
important that caregivers and providers should use some strategies
to enhance communication. collaborative care that supports the
patient with Parkinson's disease that empowers them to make choices
for their own care, it avoids a negative impression when their
cognitive function impaired.
Supportive service for Parkinsons patient help to deal with their
challenges. Strategies help them to make sense of control with
their life and improve self-care. It is important that caregivers
and providers should use some strategies to enhance
communication.
-Choose the time to create communication and avoid communication
with the patient when they angry, depressed and sleepy in the day
time. because they lack concentration at that time.
-Avoid distractions while making communication avoid overcrowded
with family and friends more than two people at a time.
-Communicate slowly, carefully and clearly and use short sentences,
call them with name and ensure the patient they understand the
intent of humor.
-Repeat the important information to make them clear
understanding.
-Take times to interact, use fillers and other cues to make the
understanding and process of conversation.
Mrs. Downs is 55 years old when she was diagnosed with PD (Parkinson’s disease). Her initial...
Mrs. Downs is 55 years old when she was diagnosed with PD (Parkinson’s disease). Her initial symptoms were depression, stooped posture, loss of energy, dragging leg, difficulty walking, tremors, and a loss in her arm swing. Her physician started her on Sinemet® (levodopa-carbidopa combination). While discussing her medication history with her, you find out that she takes a B-complex multivitamin that contains B6. She also tells you that her wife has told her to take some of her phenothiazine (an...
Mrs. Downs is 55 years old when she was diagnosed with PD (Parkinson’s disease). Her initial symptoms were depression, stooped posture, loss of energy, dragging leg, difficulty walking, tremors, and a loss in her arm swing. Her physician started her on Sinemet® (levodopa-carbidopa combination). While discussing her medication history with her, you find out that she takes a B-complex multivitamin that contains B6. She also tells you that her wife has told her to take some of her phenothiazine (an...
Mrs. Downs is 55 years old when she was diagnosed with PD (Parkinson’s disease). Her initial symptoms were depression, stooped posture, loss of energy, dragging leg, difficulty walking, tremors, and a loss in her arm swing. Her physician started her on Sinemet® (levodopa-carbidopa combination). While discussing her medication history with her, you find out that she takes a B-complex multivitamin that contains B6. She also tells you that her wife has told her to take some of her phenothiazine (an...
Mrs. Downs is 55 years old when she was diagnosed with PD (Parkinson’s disease). Her initial symptoms were depression, stooped posture, loss of energy, dragging leg, difficulty walking, tremors, and a loss in her arm swing. Her physician started her on Sinemet® (levodopa-carbidopa combination). While discussing her medication history with her, you find out that she takes a B-complex multivitamin that contains B6. She also tells you that her wife has told her to take some of her phenothiazine (an...
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