Author Question: You talk with Mr. Garcia and his wife. They are friendly and seem cooperative. They are both anxious ... (Read 6 times)

jerry coleman · **on:** Aug 21, 2018

You talk with Mr. Garcia and his wife. They are friendly and seem cooperative. They are both anxious to learn what they can do to prevent another heart attack. What are examples of questions that you ask them to assess how to best help them?

What will be an ideal response?

Question 2

Describe our current understanding of the pathophysiology of Parkinson's disease.

What will be an ideal response?

josephsuarez · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

What is your normal pattern of eating?
What is your level of physical activity?
Who does most of the food shopping and cooking?
Have you ever been on a diet of any kind before?
Do you eat out, and if so, how often?
What are your serving sizes?
Do you snack often?
Do you drink alcohol, and if so, how much?
Are you taking any nutritional supplements?

Answer to Question 2

Parkinson's disease is a neurodegenerative disease that results in the loss of dopamine-producing receptors in the substantia nigra portion of the brain, a portion of the basal ganglia deep within the cerebral hemispheres beneath the cortex. The neurons within the substantia nigra typically produce the neurotransmitter dopamine; this excitatory neurotransmitter is balanced with an inhibitory neurotransmitter called GABA to maintain slow, coordinated movement, muscle tone, and posture.
In this disease, there is a progressive loss of dopamine and this causes an imbalance of communication within the brain that leads to the clinical signs and symptoms.