Parkinsons Disease Clinical Reasoning Case Study


Prepare your students for licensure and real-world practice with this salient scenario that contextualizes the importance of nutrition, nursing care and priority setting with a patient with Parkinsons Disease.

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Case Study  Scenario:

Lillian “Lilly” Jones is a 76-year-old female with a history of hypertension, gastroesophageal reflux disease (GERD) and Parkinson’s disease. Ms. Jones was hospitalized three months ago due to a urinary tract infection and dehydration. She is now a resident of Sunnyside Health Care Center, a local long-term care facility because her Parkinson’s disease has progressed and her son, Jack, is no longer able to care for her at home.

Lilly has lost ten pounds (4.5 kg) in the past month. She is 5 feet-6 inches (167.6 cm) weighs 110 pounds (49.9 kg) and has a BMI of 17.8. After one week of residing at Sunnyside, Jack visits and is saddened when he finds his mother in her room alone.

Jack approaches the nursing station and states, “My mother is so thin and losing weight and sits just staring into space. I thought having her here was going to help her get better!”

Key Components:

1. Develop Critical Thinking

  • By applying and using knowledge most important to practice

2. Develop Clinical Reasoning

  • By recognizing relevant clinical data to identify the nursing priority

3. Develop Clinical Judgment

  • Outcome when student interprets, notices, and responds appropriately

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