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This assessment task is an individual assessment and will focus on a provided case scenario.

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This assessment task is an individual assessment and will focus on a provided case scenario. This will be provided to students by Week 4 of semester. The assessment is to examine the major issues existing within the provided scenario from a holistic perspective (physiological, psychological, spiritual and social). The discussion is to demonstrate the complexity of the client’s experience and on how the Registered Nurse is able to effectively provide care for the person and their family whilst ensuring that all care provided is of a high ethical standard word limit 1200 NRSG 259 Semest...

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This assessment task is an individual assessment and will focus on a provided case scenario. This will be provided to students by Week 4 of semester. The assessment is to examine the major issues existing within the provided scenario from a holistic perspective (physiological, psychological, spiritual and social). The discussion is to demonstrate the complexity of the client’s experience and on how the Registered Nurse is able to effectively provide care for the person and their family whilst ensuring that all care provided is of a high ethical standard word limit 1200 NRSG 259 Semester 1, 2013 Assignment Two Scenario Pippa Brown is a 73-year-old woman who lives in a granny flat attached to her daughter Susan’s home. Pippa has lived there ever since her husband, Alan, died two years ago. Pippa has Parkinson’s Disease that has been controlled with a combination of Levodopa and Entacapone. Recently however, her tremors have become increasingly unpredictable and variable. Pippa’s dyskinesia has become noticeably worse; Pippa’s doctor has prescribed Amantadine for this. Susan is married to Tom Carter and they have two children; a daughter, Jenny, aged 15, and a son, Deon, aged 17. Susan and Tom both work in the city; about 10 km from home, often getting home late from work. Jenny and Deon usually arrive home about 4.00 – 5.00 PM from school and after school activities. They check on their grandmother most afternoons. Susan thinks that Pippa may have fallen a few times recently, however Pippa does not admit to this. Pippa has some unexplained bruising on her arms and legs. Susan stated she thinks Pippa may be in pain. In addition, Pippa seems to be short of breath and has been sweating a lot. The family has noticed that Pippa has appeared confused at times and sometimes mistakes Deon for her dead husband, Alan. On occasion Pippa has forgotten to eat or to take her medications. Pippa is very independently minded and refuses assistance from either Susan or Tom to help her with her activities of daily living. Pippa says “they are doing enough by having her live with them in her cubbyhouse”. Susan has contacted the community health centre to identify what assistance is available to help both Pippa and Susan’s family to maintain Pippa’s independence at home. They do not want to place her into care and prefer to care for her with whatever help is available, so as to maintain her dignity and independence.

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Pippa Brown is an old woman with age of 73 years. She stays in a granny flat which is close to the house of her daughter, Susan. She is suffering from Parkinson's disease. This disease is a degenerative disarray of the fundamental nervous system. The Parkinson’s disease motor symptoms originate from the bereavement of cells that generat in the  This is the area in the midbrain and the reason for the death of this cell is unknown (Berney, 2002). In the beginning of this disease, nearly all of the noticeable symptoms are related to movement. These consist of trembling, inflexibility, tardiness of movement and complexity while walking and gait. Later on, problems that are cognitive and behavioral may also take place, with dementia normally happening in the later phase of the disease. Other symptoms that show up during the disease are problems related to sleep, sensory, and emotional problems. The disease is most common in the people who are elderly, and the majority of the cases come up after the age of 50 (Rodriguez-Oroz, et al., 2001). Apart from shake and sluggish movements, the person suffering from Parkinson’s disease may also encompass the problem of fixed and expressionless face (Hallett, Sabra, & Berardelli, 1983). This happens because in this disease, there is shoddier power over muscles of the face and problem originates in its movement and co-ordination (Nordqvist, 2010).

The above gives us the overview that this person will require to be more and more careful about them and will need a lot of care in the later stages. In the case of Pippa Brown, her husband Alan died two years ago. She has been provided with Levodopa and Entacapone, which has been proved effective in controlling the Parkinson's disease. But with her growing age, her tremors have become increasingly unpredictable and variable. Pippa’s voluntary movement has become worse with time and she has been prescribed Amantadine for it which is an antiparkinsonian drug. Her medical treatment is heading in the right direction but the fact is that at the age of 73, she requires someone to take care of her throughout.

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