The role of the nurse in the treatment of the patient with Parkinson\u27s disease

Parkinsonova bolezen je napredujoča bolezen možganov, ki nastane zaradi postopnega propadanja nekaterih živčnih celic v možganih. Te skrbijo za normalno gibanje telesa in njihova okvara posledično vpliva na način in kakovost življenja pacienta. Parkinsonova bolezen zahteva dobro in celostno obravnavo, ki vključuje sodelovanje mnogih strokovnjakov. Bistvenega pomena je specializirana medicinska sestra, ki spremlja pacienta in njegovo družino vsa obdobja bolezni, od postavitve diagnoze in začetne faze bolezni, do njene pozne faze. Namen diplomskega dela je bil ugotoviti posebnosti zdravstvene nege pacienta s Parkinsonovo boleznijo in s pomočjo študije primera raziskati vlogo medicinske sestre v obravnavi pacienta. V teoretičnem delu je opisana Parkinsonova bolezen, epidemiologija in etiologija, klinična slika ter načini zdravljenja. V nadaljevanju je predstavljen vpliv bolezni na kakovost življenja in vloga medicinske sestre pri obravnavi pacienta v vseh fazah bolezni. Podlaga za empirični del diplomskega dela je bila študija primera pacienta po konceptualnem modelu Virginije Henderson in procesni metodi dela. Informacije o pacientovem zdravstvenem stanju smo pridobili s pomočjo intervjuja pacienta in članov zdravstvenega tima. Pri obravnavi smo uporabili tudi negovalno dokumentacijo pacienta. Na osnovi zbranih podatkov smo predstavili možne aktualne in potencialne negovalne diagnoze ter izdelali načrt zdravstvene nege.Parkinson\u27s disease is a degenerative disorder of nervous system. This occurs when some neurons in brain start to collapse and consequently they don’t work properly. This leaves consequences on patients normal movement and influences his quality of life. Parkinson’s disease requires strong and integrated treatment, which also includes cooperation of many specialists. A clinical nurse specialist has an important meaning because she leads patient and his family through all stages of disease. This also includes setting up diagnosis and observing disease development until the late phase. The main purpose of my diploma work was to find out details of nursing care when Parkinson\u27s disease is present. With the help of case study I also had opportunity to look into everyday nursing procedure of patient with Parkinson`s disease. In theoretical part I describe Parkinson’s disease, its epidemiology and etiology, clinical symptoms and methods of treatment. Later on I present how this disease influences an individual’s quality of life. I also describe nurse role and treatment at all stages of disease. Basic for empirical part was to work on case study with one of the patient. Patient was discussed with the conceptual model of Virginia Henderson and the processed work method. We provided information about patient state of health with interview of the patientwe carried on a conversation with nursing team, relatives and we used patient health documentation. When all the data were collected we presented possible nursing diagnoses and developed a plan of nursing care