Lecture Notes on Parkinson's Disease and Myasthenia Gravis

Introduction

• Professor D discusses Parkinson's disease and Myasthenia Gravis.
• Brief mention of not working during summer months for self-care and travel.
• Resources available on NexusNursingInstitute.com for students preparing for boards and nursing programs.

Parkinson's Disease

Key Concepts

• Parkinson's disease is characterized by decreased dopamine leading to musculoskeletal dysfunction.
• TRAP symptoms: Tremors, Rigidity, Akinesia, Postural instability.
• Safety is a major concern due to postural instability and falls.
• Progressive disorder—symptoms worsen over time.

Nursing Approaches

• Encourage clients to march in place to initiate movement.
• Use visual or imaginary lines to help patients initiate walking.
• Ensure patients use their muscles to maintain movement.
• Emphasize maintaining a safe environment as a priority.

Medication Management

• Carbidopa-Levodopa is prescribed; monitor for side effects like depression and suicidal ideation.
• Important to check for MAOIs use due to risk of hypertensive crisis.
• Monitor vital signs and liver function during medication switch (e.g., from Levodopa to Carbidopa-Levodopa).

Client Education and Support

• Encourage independence and provide time for patients to complete tasks.
• Avoid non-therapeutic communication.
• Discuss the importance of maintaining optimal body function.

Myasthenia Gravis

Key Concepts

• Not explicitly covered in detail, but initially mentioned as a topic.

Miscellaneous

Multiple Sclerosis

• Discussed as part of a potential mix-up with Myasthenia Gravis.
• Potential complications: falls, skin breakdown, and fatigue.
• Baclofen used to relieve muscle spasticity.
• Treatment effectiveness can be difficult to evaluate due to spontaneous remissions.

Closing Remarks

• Future videos on the topic may be available post-summer.
• Encouragement to engage with provided resources and social media for more information.