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Orv Hetil ; 157(22): 855-68, 2016 May 29.
Article in Hungarian | MEDLINE | ID: mdl-27211355

ABSTRACT

INTRODUCTION: Parkinson's disease affects more than 6,3 million people worldwide. Most patients and relatives are left alone to struggle with the symptoms associated with fluctuations in drug levels and the psychotic side effects of the anti-Parkinson's medications. Moreover, quite often even health providers may find difficult to interpret and manage the problems that have been encountered. AIM: The aims of the authors were to analyze systematically the biopsychosocial needs of Parkinson's patients, and to develop a complex, evidence-based Parkinson's-nursing-care model. METHOD: Patients' needs were assessed based on an observational study involving an old patient with Parkinson's disease for more than 28 years. The model has been specified as a multidisciplinary care framework adapted to the special characteristics of Parkinson's disease which transcends the limitations of different standard nursing models. RESULTS: The elaborated model contains a detailed description of cooperative problem solving, which is organized around individual patients along with recommendations for addressing various potential problems that might be encountered. CONCLUSIONS: Implementation of the presented model can improve the life quality of Parkinson's patients and can facilitate the life of affected families provided that these families are well aware about the potential benefits of the novel care delivery system.


Subject(s)
Activities of Daily Living , Holistic Nursing , Parkinson Disease/complications , Parkinson Disease/nursing , Patient Care Team , Problem Solving , Quality of Life , Accidental Falls/prevention & control , Aged, 80 and over , Antiparkinson Agents/administration & dosage , Antiparkinson Agents/adverse effects , Cognitive Dysfunction/drug therapy , Cognitive Dysfunction/etiology , Constipation/etiology , Constipation/prevention & control , Deglutition Disorders/etiology , Deglutition Disorders/therapy , Eating , Female , Hallucinations/etiology , Hallucinations/prevention & control , Holistic Nursing/methods , Holistic Nursing/standards , Holistic Nursing/trends , Humans , Indans/therapeutic use , Neuroprotective Agents/therapeutic use , Parkinson Disease/drug therapy , Parkinson Disease/physiopathology , Parkinson Disease/psychology , Pneumonia/etiology , Pneumonia/prevention & control , Pressure Ulcer/etiology , Pressure Ulcer/prevention & control , Psychomotor Agitation/etiology , Psychomotor Agitation/prevention & control , Skin Care , Sleep Initiation and Maintenance Disorders/etiology , Sleep Initiation and Maintenance Disorders/prevention & control , Walking
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