Parkinson's Disease, Hypertension, Dementia, Insomnia, Alzheimer's Disease

Concept Map
Name
Institution
Date
Patient information
Name: W.R
Age 81
Gender: Female
Allergies: Cabbage
Code status: Full code
Diet Regular
Diagnosis: Parkinson’s disease, Hypertension, Dementia, Insomnia, Alzheimer’s disease
Medications: Atenolo50mg by mouth once a day for hyper tension, Carbidopa/levodopa 25-100mg by mouth one a day for Parkinson’s Trazadone 100 mg by mouth at bed time for Insomnia, Eliquis 2.5 mg by mouth twice a day for DVT prophylaxis.
Concept map




 Extended Concept Map:
 Nursing Diagnosis # 1: Impaired physical mobility related to stiffness and muscle weakness.
Outcome: Reducing the risk of injury and uncoordinated muscle to maintain maximum mobility
Nursing Interventions:
Screening for mobility to determine use of physical activity tools to improve mobility.
Rationale for each intervention:
Assessing existing mobility is necessary to determine muscle damage
Evaluation of effectiveness of nursing interventions:
Improved balancing and muscle strength
Evaluation
Patients with Parkinson’s have impaired physical mobility because of motor weakness and muscle rigidity (Schenkman et al., 2012). Hence, it is crucial to improve functional mobility and maintain independence, and where possible the daily exercise help in improving coordination and dexterity. Functional abilities of the arms and legs are affected, and advising the patient to practice walking improves balance to ensure that W.R can function independently.
Nursing diagnosis # 2: Sleep pattern disturbance related to excessive day time sleepiness.
Outcome: Create appropriate sleep patterns without changing the patient’s appearance
Nursing Interventions:
Improving the environment and identifying factors worsening sleep patterns
Rationale for each intervention:
Improving response to the environment and sleep patterns
Helps to maintain regular sleep and meal times
Evaluation of effectiveness of nursing interventions:
Improved sleeping patterns, after identifying how different sources of sleep problems interact.

Evaluation
Conducting sleep-wake history and assessing the immediate environment helps to identify habits that interfere with sleep patterns (Bjørnarå, Dietrichs, & Toft, 2014). The patient’s medications, Parkinson’s disease, hypertension, dementia, insomnia Alzheimer’s interact to affect the sleep patterns. The patient faces difficulties sleeping at night and improving relaxation is effective to reduce disturbance sleep patterns. Additionally, monitoring the frequency of naps helps to determine the patient’s sleep patters. Hence, the interventions reduce irregular sleep patterns to improve relaxation and health outcomes.
Nursing diagnosis 3: Ineffective self-health management
Outcome: Improved ability in performing the daily duties
Nursing intervention:
Assessing cultural and family patterns that influence readiness for change
Rationale for each intervention:
Responding to the patient allows the nurses to better understand the patient’s livesEvaluation of effectiveness of nursing i...