iHuman patient Darrell Johnson

Prework

A 64 year-old male who is being directly admitted to the hospital from the

neurologist’s office for worsening symptoms of Parkinson’s disease.

1. What are your primary concerns for this patient and what assessments

and interventions would be associated with your concerns? Why?

For this patient I would assess neurological status, assess his ability to swallow and

chew, muscle weakness and respiratory status.

Memory lost because increase in tremors, safety, risk for falls, issues with

swallowing.

Interventions:

• monitor for constipation

• Instruct patient to raise the head of the bed and make position changes

slowly.

• Teach patient to dangle legs a few minutes before standing.

• Avoid dehydration and maintain adequate dietary salt.

• Refer patient to physical therapist

He is at risk for aspiration, use thickener if appropriate, fall risk assessment tools

initiated (non-slid sucks, call light within reach), inform case management to

make sure he is safe at home.