1. A provider is assessing a 35-year-old patient woman who complains of having tremors in bilateral hands and has been having difficulty writing. She states, “it is like I can’t get my hands to do what I want”. She states her mother had Parkinson disease and is worried she may have as well.…
She was able to establish good eye contact and looked happy and relaxed. She displayed good insight and good judgment. She was oriented times four and showed no suicidal or homicidal ideations during the session. …
Ms. M is a 27-year-old women who recently moved from her hometown Minneapolis, Minnesota to Salt Lake City, Utah for a job offer. She lives alone and works as an English teacher at the East High School in Salt Lake City since the beginning of the school year after her graduation last summer. Since it is the first time she has her own classes, it is sometimes quite stressful for her even if she likes her job. The past few years, she reported numerous neurological complaints which came and went affecting several different neurological systems. She experienced stumbling gait preceded by heat intolerance which led to a tendency to fall.…
On examination, the patient has normal strength and tone. No involuntary movements are noted. Her movements appear purposeful and normal, specifically there is no tremor or shaking and they are not slow. No fasciculations are noted. Tapping muscle tendons elicits a normal…
Phoenix Jackson is as worn down as the path she travels. She conquers many obstacles in her journey to get her grandson his medicine. The difficulties endured include racism, her old age, and poverty. The short story, “A Worn Path,” was written by Eudora Welty in 1940.…
I moved to the seat next to her and asked her name. She responded, "Selmy." Immediately after her response I noticed that she had an accent, and I asked her where she was from. She told me that she was from, "Mexico and Arizona". With an amazed looked on my face I began to ask more questions, but I realized she did not really understand.…
The answer is Parkinson’s disease. I was interested in learning more about this disease because my grandmother has been dealing with it for a couple decades now and her symptoms have recently become much more severe. While researching this subject I consulted…
Alice is presenting with immobility, due to arthritis, forgetfulness, agitation and low mood. Forgetfulness can be attributed to cognitive impairment and subsequent memory loss and is a symptom of dementia (DH, 2009). Agitation and low mood can be attributed to symptoms of anxiety and depression which are common symptoms of dementia (Hynninen, M., et al, 2012) (Seignourel, P. J., at al 2008) (O’Connor et al, 2009) and the presence of these symptoms may indicate accelerated cognitive decline and relate to poorer cognitive performance (Beaudreau, 2008). Dementia, as a health condition is a degenerative condition which leads to progressive decline in a number of areas of function such as memory, reasoning communication skills, and the capacity…
Greta is currently entering late adulthood and is suffering from dementia. She has always been a very strong and independent woman so accepting assistance and care is a difficult and abnormal process for her. Furthermore, due to her determination to maintain independence and her health, she often avoids little symptoms. This is really worrying as her health professionals have explained that her mini-strokes can turn into a life-threatening stroke if left untreated.…
Mental Status Assessment Patient B.C. is A&O x3- person, place, and time. Patient appearance meets chronological age and is dressed appropriate for age, season and place. Clothing is clean but not pressed patient’s hair is clean but is not combed. Patient’s vital signs are within normal limits for her age and she denies any pain. Patient continuously rocks back and forth and often smacks her lips and talks to herself in a soft tone of voice.…
Patient seems listless, flat, and apathetic. She told me that her mom had recently passed away and that 2 years ago she lost her husband of 47 years and that she missed him terribly. She seemed depressed and did not any positive feeling or attitudes about her past, the present, or future contributions.…
Lori and I have been friends for as long as I can remember. Our interview was more like two friends having a conversation that focused on her aging father with Parkinson’s Disease and her role as a caregiver, however we drifted off the subject a time or two reminiscing about many years ago. Lori has two children, a son, Jamie and a daughter, Baylee. She has been in a relationship with a gentleman for about ten years. Since Lori and I have remained in contact with one another throughout the years, I, more or less, knew how she would answer each question.…
The descriptive style of writing used in Joy Horowitz’s Parkinson’s Alley helps connect the reader to the individuals, their struggles and the problem that is threatening livelihoods in Visalia, California. Without the description embedded in this article, it could be very easy for the readers to get lost or lose interest. A tie is created after you learn a thing or two about “A big, friendly bear of a man” (Horowitz) who has been ultimately screwed over by his government when they decide to do nothing about the issue at hand. When you think about a stereotypical research article, especially one about pesticides, you imagine a bland, sophisticated and lengthy article to be placed in front of you. Instead, with Horowitz’s piece, you are met with an approachable piece that allows you to first, connect with the individuals and…
Patient Teaching Analysis This paper is intended to demonstrate the students’ capability to determine a learning need for a specific patient and assess that patients’ readiness to learn using the PEEK model. The selected patient is Mr. K.W., a 79 year old Caucasian male with a primary diagnosis of chronic COPD with acute exacerbation. A friend of the patient reported that K.W had been suffering shortness of breath associated with cough and wheezing for the past five days.…
Parkinson’s disease (PD) was first described by James Parkinson in his classic 1817 monograph “Essay on the Shaking Palsy”. PD is the second most prevalent neurodegenerative disorder after Alzheimer’s disease (AD). PD affects around 0.3% of population in industrialized countries and approximately 1% of the population above the age of 60 (de Rijk et al., 2000; Rajput, 1992). The mean age of onset of PD is 55. PD is mainly characterized clinically by resting tremor, rigidity and bradykinesia.…