The nurse is treating a patient who has Parkinson’s Disease. Which of these practices would not be included in the care plan?

The nurse is treating a patient who has Parkinson’s Disease. Which of these practices would not be included in the care plan?

1. Decrease the calorie content of daily meals to avoid weight gain
2. Allow the patient extra time to respond to questions and do ADLs
3. Use thickened liquids and a soft diet
4. Encourage the patient to hold the spoon when eating

Correct Answer:  1. Decrease the calorie content of daily meals to avoid weight gain
Correct – Calorie content should be increased for patients with Parkinson’s Disease because of dysphagia (difficulty swallowing), as well as calories burned due to muscle rigidity.

2. Allow the patient extra time to respond to questions and do ADLs
Incorrect – This is a best practice when working with PD patients.

3. Use thickened liquids and a soft diet
Incorrect – This is often used to reduce the risk of aspiration

4. Encourage the patient to hold the spoon when eating
Incorrect – The patient should be encouraged to perform ADLs as independently as possible.