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what is the likely trajectory of the disease? what type of pain is peter experiencing with his disease? what are the characteristics of his pain? what elements of assessmet must be included for assessing peters constipation Peter is 68 years of age, living on a large town block in Cooran near Noosa, with his Wife Sharon (63 years-old). Together they had 3 children. Charlie their son (45-years-old) lives in Alex Beach and daughter’s; Layla (44-years- old) who lives in Hervey Bay and Tammy (32-years-old) who lives in Redlands Bay. Although Peter was born and raised in Brisbane, Sharon and Peter settled in Cooran for a quiet retirement. Peter was a carpenter by trade. Peter initially noticed a tremor in his hands and thought that meant his arthritis has progressed and it was time to retire. His son Charlie took over the family business. Peter’s love for creating and building was given a new meaning when Tammy had his only grandchild Amelia who is now 5. When Amelia was born, Peter sliced to top off his R) index finger when building a cubby house. Peter presented to his local emergency department where he received a tetanus injection and 6 stitches. On follow up with his GP Peter was diagnosed with Parkinsons. Since his diagnosis 5 years ago Peter has been receiving regular physical therapy and has completed regular strength training. In the last few weeks, Sharon has noticed that as the weather has become colder, Peter is no longer able to swing his legs out of bed. Peter states, “They are achy and sore.” He uses his arms to support his legs to get out of bed. He has started using a walking frame to move around the house, as he fears falling. He has been feeling unsteady and has stopped engaging with physiotherapy. Peter has trouble finding the right words to speak and struggles to plan, problem-solve, and organise himself. He has become very frustrated with small tasks and is abrupt when speaking with others. Sharon has noticed changes in Peter’s morning bowel habits. He used to get up at 0600hrs daily to use the bathroom; however, Peter’s sleep pattern and bowel movements are now inconsistent. Sharon has also noticed that Peter has not been eating as much. He often complains of abdominal discomfort. Sharon used to travel to visit the kids but is now scared to leave Peter alone. She has stopped visiting her friends and has stepped away from her regular volunteer position at the local school. Sharon had a stroke a few years ago and finds physical tasks very draining. Tammy visits regularly and has been helping by mowing the lawn, as Sharon is unable to, and Peter has not been able

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