Disease Process Table 3 -
NUR 427 Example 3

Example of Disease Process Table 3 for the NUR 427 Course...

Parkinson’s Disease - Signs and Symptoms: Resting tremor, rigidity, bradykinesia, difficulty swallowing, postural instability

Conventional therapy: Goal of therapy is to provide control of signs and symptoms for as long as possible while minimizing adverse effects. Levadopa coupled with a PDI (decarboxylase inhibitor) is the standard of symptomatic treatment for Parkinson disease (Shagam 2008).

Complimentary therapy: Deep brain stimulation (DBS) The DBS surgical procedure involves implanting 4small wire electrodes or leads into the thalamus, globus pallidus (Gpi) or subthalamic nucleus (STN) (Shagam 2008).

Community resource: The National Parkinson Foundation. National Parkison’s Foundation. (2010). National Parkinson’s Foundation. Retrieved from http://www.parkiinson.org

Meningitis

Signs and Symptoms: Severe headache, neck stiffness, photophobia, drowsiness, abnormal responses, impaired consciousness

Conventional therapy: Immediate parenteral Benzyl Penicillin, early transfer to an ICU, control of raised intracranial pressure, correction of electrolyte imbalance (Peate 2004).

Complimentary therapy: Short term and long term rehabilitation for patients that experience disabilities such as cerebral palsy, epilepsy, hydrocephalus, or sensorineural deafness

Community resource: Meningitis Research Foundation, www.meningitis.org

Shingles

Signs and Symptoms: Erythema and the vescicles develop into unilateral dermatomal distribution, vescicular rash, burning, stabbing, deep aching pain to site, disruptions in sleep and mood, crusting of vescicles develop in 3-7 days, and itchiness

Conventional therapy: Acyclovir, valacyclovir, and famciclovir. Started within 72 hours of first vesicle appearance, they shorten healing time and lessen the severity and duration of pain. Early initiation of therapy also reduces the incidence, severity, and duration of PHN (Severson 2000).

Complimentary therapy: Oral tramadol, 50-100 mg every four to six hours, plus acetaminophen may be helpful for pain control. About 10-15 percent of zoster patients experience PHN, pain that continues after the zoster rash heals and may last for months or even years. This figure rises to at least 50 percent of patients older than 60 years. Patients may experience burning, aching, electric shocklike pains, tingling, itching, and numbness. Tricyclic antidepressants, such as...[continues]

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