Nursing Diagnosis 1.
Impaired physical mobility related to bradykinesia, muscle rigidity and tremors
characterized by:
Subjective data: the client said it was difficult to do activities
Objective data: tremors while on the move
Outcome: improve the mobility
Nursing Interventions:
- Help clients make daily exercise such as walking, cycling, swimming, or gardening.
- Encourage clients to stretch and exercise as directed postural therapist.
- Bathe with warm water and the clients do sorting to help muscle relaxation.
- Instruct the client to rest on a regular basis in order to avoid weakness and frustration.
- Teach for postural exercise and walking techniques to reduce the stiffness when walking and the possibility of learning continues.
- Instruct the client to walk with your legs open.
- Create a client's hand with awareness raising, lifting the feet when walking, use the shoes for walking, and walking with step length.
- Tell the client to walk to the rhythm of music to help improve the sensory.
Evaluation: client sessions of physical therapy, facial exercise 10 minutes 2 times a day.
Nursing Diagnosis 2.
Imbalanced Nutrition Less Than Body Requirements related to the difficulty: moving the food, chewing, and swallowing
characterized by:
Subjective data: the client said it was difficult to eat, weight loss
Objective data: thin, weighing less than 20% ideal body weight, pale conjunctiva, and mucous membranes pale.
Outcome : optimize the nutritional status
Nursing Interventions:
- Teach the client to think while swallow-shut lips and teeth together, lifting the tongue with food on it, then move the tongue back and swallowing, lifting his head to the back.
- Instruct the client to chewing and swallowing, using a second wall of the mouth.
- Tell the client to consciously control the accumulation of saliva by holding the head and swallow periodically.
- Provide a sense of security on the client, with a stable eating and using the equipment.
- Encourage eating in small portions and add a snack (snack).
- Monitor weight.
Nursing Diagnosis 3.
Impaired verbal communication related to the decline in speech and facial muscle stiffness
characterized by:
Subjective data: client / family says the difficulty in speaking
Objective data: the words difficult to understand, pelo, faces stiff.
Outcome : maximize the ability to communicate.
Nursing Interventions:
- Keep the complications of treatment.
- Refer to speech therapy.
- Teach the client and facial exercises using breathing methods to improve the words, volume, and intonation.
- Breath deeply before speaking to increase the volume and number of words in sentences every breathe.
- Practice speaking in short sentences, reading aloud in front of the glass or into a voice recorder (tape recorder) to monitor progress.