The Four-Step Continuum and Informatics

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The Four-Step Continuum and Informatics Sean Leonard Walden University Nursing 6051 Transforming Nursing and Healthcare August 25, 2015 Wisdom with Informatics Nursing informatics plays an important role in managing healthcare for patients with degenerative disorders of the central nervous system. Managing complex medical issues for patients with Parkinson’s disease involves applying previous knowledge or wisdom in treatment (McGonigle & Mastrian, 2012). Continuum of care approach uses previous wisdom gained in outcomes to deliver patient care through a defined period of time. Better coordination of patient care helps to produce best possible outcomes. According to Laureate Education (2010) nursing informatics is a major player in continuum of care and it consists of data, information, knowledge, and wisdom. The goal of this paper is to address Parkinson’s disease early onset symptoms, what is its relationship in the four-step continuum process, and how informatics plays a vital role in attaining wisdom on caring for this particular disease process. Disease Early Onset Symptoms In home health, I have seen a significant increase of patients diagnosed with early stages of Parkinson’s disease (PD). A five stage classification scale from Hoehn and Yahr is used to classify PD symptoms based on severity and disease progression. At stage I, the disease progression is usually slow in onset with mild tremors affecting one side of body. As time passes, symptoms will gradually progress to the latter stage V. At this advanced stage, lower extremities start to stiffen resulting in patients being unable to walk or stand unassisted making patients unable to care for themselves. . Parkinson’s disease is so debilitating that all patients will require some form of around –the-clock assistance in performing activities of daily living (ADL’s). Assistance is

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