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Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena

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Thesis TitleNursing care planning for the person with a deficiency in self-care with Parkinson's disease. Use of the patient and taxonomy agenda Nanda-I, Noc, Nic
NameMalucelli Angelica
Supervisor(s)Laffi Patrizia
Academic Year2016/17
Thesis typeNon research thesis

Abstract

In this dissertation, the theme of self-care deficiency is addressed to a person suffering from Parkinson's disease and the nurse's fundamental role in taking over the person and his family. The clinical case presented in the thesis shows the situation of a person who is no longer self-sufficient and needs help in various areas: personal hygiene, clothing and nutrition. What we wanted to highlight in this paper is the importance of taking care of in satisfying the need for self-care and body care of the assisted person by home nurses, in the therapeutic education of caregivers to succeed to take care of their own family in the best way and with regard to the latter not to feel alone and abandoned. Bibliographic research has focused on the use of several nursing reference texts, validated assessment scales for the identification of different needs and integrated tools for the initial evaluation of the illness experience. For the opening interview, she decided to interact with her caregiver daughter, since the assisted person was not always available and trustworthy from a cognitive point of view. In the first chapter, chronicity is treated by doing an excursus, in general, on various chronic diseases and which are the most affected subjects; in the second chapter, instead, Parkinson's disease is specifically treated in its chronicity, with the

physiopathology as well as its clinical manifestations, epidemiology and pharmacological treatment. In the third chapter self-care, salient features, factors that can affect body care and its measurement scales used in nursing are described as a whole. In the fourth chapter, the theoretical system of Dorothea Orem is illustrated with the theme of "self-care" in nursing literature. In the fifth chapter, however, a Parkinson's care plan is drawn up, including the patient's agenda, plus nursing priority diagnoses, respective outcomes and interventions according to NANDA-I, NOC, NIC taxonomy. Lastly, the final understanding concerns the therapeutic education of the assisted person and the family members.