NUR635 Topic 7 DQ 2

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School

Grand Canyon University *

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Course

635

Subject

Medicine

Date

Apr 3, 2024

Type

docx

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2

Uploaded by ColonelBuffalo2351 on coursehero.com

Roughly one million Americans are impacted by Parkinson's disease, an idiopathic, progressive, neurological illness, as stated by the U.S. Department of Health and Human Services (2023). The article goes on to say that bradykinesia, tremors, and a shuffling gait are symptoms of dopamine depletion, which is an irreversible condition that ultimately causes a person to lose their ability to walk and function mentally. Patients may have minor symptoms and maintain decision-making capacity in the early stages. Patients may express their wishes on future medical treatment by making a living will, even if they know their sickness will worsen over time. A living will gives the patient the power to grant or withhold medical treatment in the event that they are unable to communicate their wishes or comprehend choices about their care. As I've said before, especially with Native Americans or Jehovah's Witnesses, a patient's cultural background and spiritual beliefs significantly influence their choices on end-of-life care. But, as Taylor (2023) points out, end-of-life care is a "person-centered" experience. The author states that one of the primary advantages of person-centered care is its ability to address the psychological, social, and practical requirements of the patient. This will enable them to continue to have a good quality of life and have faith in your care service, even as their dementia progresses. Medical professionals cannot presume that patients adhere to religious or ethnic norms on end-of-life choices just because they are patients of such groups. Before beginning to talk about end-of-life care, it would be helpful to find out what the patient believes spiritually and culturally. Alternative and complementary medicine is a strong belief system for certain patients, and they may even request certain rituals. The onset of severe symptoms in Parkinson's disease may be delayed for years, if not a decade. With the right medical care, people with Parkinson's may live independently and with a high level of wellness for a long time. As an example, physical activity may enhance dopamine release, which in turn alleviates both the motor and psychosocial manifestations of
Parkinson's disease (Xu et al., 2019). As the patient's motor skills improve, their level of independence will rise. A rise in dopamine and enhanced autonomy may also result from taking drugs like Sinemet. References: Taylor, J. (2023, November 28).  What is Person-Centered Care and Why is it Important? Access. https://www.theaccessgroup.com/en-gb/blog/hsc-person-centred-care/ #:~:text=Person%2Dcentred%20care%20is%20important,confidence%20to%20live %20more%20independently U.S. Department of Health and Human Services. (2023, January 30).  Parkinson’s Disease: Challenges, Progress, and Promise . National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/current-research/focus-disorders/parkinsons-disease- research/parkinsons-disease-challenges-progress-and-promise Xu, X., Fu, Z., & Le, W. (2019). Exercise and Parkinson’s Disease.  International Review of Neurobiology ,  147 , 45–74. https://doi.org/10.1016/bs.irn.2019.06.003
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