帕金森氏症的概述和护理

Overview & Management of Parkinson’s Disease

Provides an overview of Parkinson’s disease, including risk factors, stages, symptoms, medications and treatments. Explores the experience of aperson with Parkinson’s disease, as well as, special care considerations when hospitalized.

794 次查看
马里兰大学系统
edX
  • 完成时间大约为 5
  • 中级
  • 英语
注:因开课平台的各种因素变化,以上开课日期仅供参考

你将学到什么

What Parkinson’s disease is and how it is different from other common neurological disorders

Key motor, non-motor and neuropsychiatric symptoms of Parkinson’s disease

Medications used to manage the motor symptoms and the importance of proper dosing and timing

Other treatment options, including surgical and non-pharmacologic approaches to address motor symptoms, and other strategies to address non-motor and neuropsychiatric manifestations

Key principles of medication administration and care when the person with PD is hospitalized

A better understanding of the “lived experience” of a person with PD

课程概况

Are you a nurse, physical therapist or other healthcare professional who wants to learn more about Parkinson’s disease and how this movement disorder is managed?
Here are the key areas that will be addressed over 5 modules:

Approximately 1 million Americans and an estimated 10 million people worldwide are living with Parkinson’s disease (PD);
PD is a progressive neurodegenerative disease and while the exact cause is unknown, there are some known risk factors;
PD is characterized by a variety of motor symptoms (such as tremors, rigidity, and slowness of movement) as well as the lesser-known non-motor symptoms and neuropsychiatric symptoms;
The various classes of medications (primarily levodopa) used for the treatment of Parkinson’s disease will be discussed with an emphasis on proper dosing and timing to minimize dyskinesias and other side effects;
Other strategies to address the non-motor and neuropsychiatric manifestations are reviewed along with surgical management, such as lesioning and deep brain stimulation;
In addition to pharmacologic management, there are non-pharmacologic interventions, such as physical, speech and occupational therapies, as well as, exercise, which can play an important role in managing motor symptoms and optimizing function and quality of life;
Lastly, the key principles of care for the hospitalized patient with PD are examined, including the importance of giving medications prescribed for motor symptoms on time, which medications should be avoided and other care considerations.

课程大纲

Week 1: Overview

Describe the pathophysiology of Parkinson’s disease, noting the 3 types and related causative factors
State 3 risk factors and 2 factors that may reduce risk
Describe the 5 stages of PD and the typical timeline for development of major symptoms
Discuss the typical presentation of PD and how diagnosis is made

Week 2: Symptoms

Define “prodomal” symptom and state 2 of these early warning signs of PD
State and define 3 motor symptoms of PD as outlined in the TRAP acronym
State and define 3 non-motor symptoms of PD
State and define 2 neuropsychiatric symptoms of PD, as well as cognitive symptoms that can occur over time

Week 3: Non-pharmacologic Interventions

Discuss ole of pharmacologic interventions, including the classes of medications used to address the 3 categories of symptoms in PD
State action, side effects and dosing, diet and timing considerations associated with carbidopa/levodopa
Note a dopamine agonist used in treatment of motor symptoms of PD, its action and side effects
List 2 medications that are contraindicated in PD and why

Week 4:

Discuss the importance of non-pharmacologic interventions, such as exercise and role of physical therapy , in PD management
Describe surgical interventions for motor symptom management, such as lesioning and deep brain stimulation
Discuss psychosocial considerations, including the role of palliative and hospice are as they relate to the various stages of PD

Week 5: The Hospitalized Patient with Parkinson’s Disease

Discuss rationale for special care considerations when the person with PD is hospitalized
State 2 common clinical care issues that can occur and why such complications are common
State 2 carbidopa-levodopa related care considerations and 2 medications that are avoided in the hospital setting
List 2 nursing interventions for patients with PD and their families to optimize outcomes while in hospital

预备知识

None

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