A patient with Parkinson's Disease has slow movements that affects their swallowing, facial expressions, and ability to coordinate movements As the nurse you will document the patient has:
Explanation & Rationale
Rationale: A. Freezing episodes can occur in Parkinson’s disease, often described as the patient suddenly being unable to initiate movement, but this term is not used to describe the overall slowness of movement that affects swallowing, facial expression, and general coordination. Freezing is episodic, not a global slowing of movement. B. Pill-rolling refers to the classic resting tremor seen in Parkinson’s disease, where the patient appears to roll a small object between their thumb and forefinger. This tremor does not explain slow movement or reduced facial expression. C. Akinesia refers to an absence of movement or difficulty initiating movement. While related to Parkinson’s symptoms, it does not describe the slowed execution of movement that affects multiple functions, such as swallowing and facial expression. D. Bradykinesia is the hallmark motor feature of Parkinson’s disease. It refers to the generalized slowness of voluntary movements, including decreased facial expression (hypomimia), slow swallowing, reduced arm swing, difficulty initiating movement, and decreased coordination. It significantly impairs daily functioning and is one of the primary diagnostic criteria for Parkinson’s disease.