presented by Sarah Murray
This course will provide introductory education on Parkinson’s disease for nurses and other health care professionals who work in acute and/or rehabilitation settings. The course will describe the symptoms of the disease and the side effects of the medications commonly prescribed to this patient population. Understanding these concepts can assist the clinical team in preventing complications and promoting faster healing and rehabilitation. This course will be presented in three chapters. Chapter One provides an overview of the current state of the science regarding Parkinson’s disease. The second chapter describes important implications the disease has for patients during their hospital stays. The third chapter describes the long-term outcomes for people with Parkinson’s disease. Understanding the typical course of the disease stages as well as how to educate and provide resources can improve long-term outcomes and also prepare people with Parkinson’s disease for future hospitalizations.
Dr. Sarah J. Murray started her career as an Army combat medic in 1993, then went on to become a registered nurse, graduating from Northwestern State University, LA, in 1998. Since that time, she has earned an MSN in Adult Health Nursing from the University of Texas at San Antonio, Texas, in the Clinical Nurse Specialist role with a focus on traumatic brain injury (2010), and a PhD in Nursing with a focus in community reintegration of military veterans from The University of Hawaii at Manoa (2018). Dr. Murray is board-certified in the CNS role (ACNS-BC). Dr. Murray’s clinical nursing experience includes intensive care, burn, research, medical–surgical, geriatric, rehabilitation, wellness, and nutrition in the roles of staff nurse, head nurse, nurse researcher, nursing educator, and clinical nurse specialist. She has taught at the undergraduate level and graduate level (MSN,) at The University of Hawaii at Manoa and Hawaii Pacific University. Dr. Murray has presented internationally and has been published in national journals. Dr. Murray currently is living overseas with her active duty Army husband of 25 years. She consults on military research in various settings.
This chapter will promote the understanding of the basic epidemiology, pathophysiology, treatments, and medications of Parkinson’s disease. In addition, this chapter will discuss the stages and typical progression of Parkinson’s disease, and the impact it has on the individual and the family or caregivers. Also, this chapter will discuss the motor and non-motor symptoms that frequently impact those living with Parkinson’s disease.
This chapter will discuss the important data that should be gathered regarding the patient’s Parkinson’s disease during the admission assessment. These data will include details that will help the clinical team plan the care for the patient. The importance of medication management and the timing of physical therapy and meals to best support the patient’s recovery are explored. Surgical options for some with Parkinson’s disease are also presented.
This chapter will help improve the nurse’s ability to understand, identify, and explain to patients and families the stages of Parkinson’s disease. These stages follow a somewhat predictable pattern. Therefore, the health care team can prepare these patients for the disease trajectory and provide helpful guidance for the future with education and information on available community resources.