Year With Year Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to year with year and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves year with year. A strong answer should include explanation, application, and examples.

Original Question

L.C. is a 78-year-old man with a 3-year history of Parkinson disease (PD). He is a retired engineer, is married, and lives with his wife in a small farming community. He has four adult children who live close by. Since his last visit to the clinic 6 months ago, L.C. reports that his tremors are “about the same” as they were; however, further questioning reveals that he feels his gait is perhaps a little more unsteady, and his fatigue is slightly more noticeable. L.C. is also concerned about increased drooling. Among the medications L.C. takes are carbidopa-levodopa 25/100 mg (Sinemet) four times daily and amantadine (Symmetrel) 100 mg at breakfast and bedtime. On the previous visit the Sinemet was increased from three to four times daily. He reports that he has become very somnolent with this regimen and that his dyskinetic movements appear to be worse just after taking his carbidopa-levodopa (Sinemet) Further Assessment: After examining L.C., the physician decides not to hospitalize him but to decrease the dosage of the Sinemet. He tells L.C. and his wife that he feels that L.C. is likely experiencing some advancement in his disease and says that it is time for some changes in L.C.’s care. The physician looks at you and asks you to coordinate the “usual referrals.” Questions What are the priority assessment findings? What are the priority Nursing Interventions? What orders do you expect? What safety interventions do you expect? What education/follow up is required? What other interprofessional team members need to be involved? L.C. is reporting an increase in drooling; you are concerned about the possibility of his ability to swallow. What further assessment could you perform to determine whether L.C. is at immediate risk for aspirating? Answer the following questions: Because L.C. is reporting that his gait is more unsteady, there is an increased risk for falls. Which suggestion could you offer to diminish this risk? Only use a wheelchair to get around. Stand as upright as possible and use a walker. Keep the feet close together while ambulating. Consciously think about walking over imaginary lines on the floor. You are giving instructions to L.C. and his wife about maintaining mobility safely. You determine that they understand the directions if they state that L.C. will: Use a step stool to obtain difficult-to-reach items. Schedule his PT appointments in the evening. When rising from a seat, rock back and forth to start moving. Sit on a large, soft sofa with supportive pillows

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