Saturday, March 8, 2008

Parkinson's elderly postoperative rehabilitation care

Parkinson's disease or paralysis agitans belonging to the central nervous system diseases. More fat in middle-aged and elderly people, slow the disease onset, long duration of illness. Long-term drug treatment instability, and surgical treatment is effective, but after rehabilitation is extremely important. 1, symptoms : 1. Limb tremor, muscle rigidity. 2. Movement disorders, and lack of coordination. 3. Often appear fingers "molded pill-like movements." 4. Emotionally disturbed tremor increased after the cessation of sleep. 5. Stiff facial expressions such as "face mask." 6. Some of the language barrier there, the reaction of severe mental retardation. 2, nursing : 1. Limb function rehabilitation training : As long tremor, limb movement to reduce the effective, as a rigid, after tremor decreased or disappeared, but the rigidity of limbs 1:00 difficulty coordinating movements, making life can take care of themselves and, therefore, limbs as soon as possible to strengthen the rehabilitation training. ① by a physical therapist or physician families limbs, muscle massage three times / day, for 30 minutes each time. ② Shun - size joint activities, three times / day, each for 10 minutes. ③ running training : stable condition, health care workers and the support of their families, to strengthen their physique and stamina and promote comprehensive rehabilitation. ④ cooperative training : for the purpose of the left and right arm, left leg and right upper and lower extremities turn sports training, exercise the functions of central resume training. 2. Language Recovery Training : 50% of patients with a language barrier, which led to the long duration of this highly complicated mechanism speech motor function of the recession so that the patients quality of life greatly reduced. limb function during rehabilitation training at the same time, pay attention to training. ① help patients planned for pronunciation training, from sound, vowel, and then the word, word pronunciation, gradually increased to a phrase, incremental training, in order to clear pronunciation. ② training pronunciation of the volume, pitch and speech rate, respiratory rate control and adjustment to pronounce muscle movement, and so hard to pronounce relatively uniform, and gradually establish a pattern of movement, for pronunciation. ③ encourage patients to the results of the training, and enhance confidence in the training, providing training conditions and mutual exchange of language, the development of training programs, so that patients enter the free self-reliant life.

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