Question

CLINICAL SCENARIO:

Mr A.G. is a 76-year -old widower being seen in your outpatient clinic for a medication refill for his Parkinson’s disease. He is a retired railroad engineer who derives great pleasures from collecting railroad memorabilia and taking walks with his dog around the vicinity of his neighborhood. Mr. A.G. was diagnosed with moderate (Stage III) Parkinson’s Disease 2 years ago. He does not smoke tobacco nor drink alcohol. His PMH includes a femur fx at age 22, a cholecystectomy at age 47, and a transurethral resection of the prostate (TURP) at age 72.

Activity

1. List six things that you would assess to determine whether Mr. A.G.’s care can be managed in his home. How might Mr. A.G. PMH affects his symptoms?

Answer 1

1. Parkinsonism moderate , stage 3 ( during this stage patients will loss balance , lack co ordinated movements and they become more prone to falls and accident. So clinical visits will be difficult in this stage .)

2 . He is able to eat and dress himself ( during 3rd stage Parkinson's disease patient will be able to eat and dress themselves )

3. He has a wandering tendency

4.he is 76 yr old.

5.he is a widower , not have a companion.

6.other medical disorders.

2. His femor fix may affect his gait and reflexes more badly. TURP may lead him to a urinary incontinence ( it is a potential risk after TURP), which will aggregate with parkinsonism.