 Now, we’ll move on to the next part… Rationale

Introduction:
So, Rationale, which is also known as Scientific Explanations, explain why the
nursing Intervention was chosen for the Nursing Care Plan. As they are
associated with the “WHY” of the NCP.

(So, included ito para i-guide ang nurse sa pag-aasociate ng pathophysiological

and psychological principles with the selected nursing intervention.)

Explanation:

1. Now, as for the first mentioned intervention for the patient with Parkinson
disease …
Encouraging liquid intake for the patient will help replenish his electrolyte
imbalance, if present. As this electrolytes (like sodium, calcium, magnesium, &
others) plays a role in muscle contraction. If there is an electrolyte loss within
muscle fibers sa ating pasyente, pwedeng ma-trigger nito ang muscle twitching
and mag cause ng discomfort.

2. The second one, kadalasan ina-advise ng health care provider ang pag-
uundergo sa speech and language therapy. This specialized services ay
kadalasan nire-require sa patient with Parkinson’s disease for them to
maintain as many communication skills as possible. They also teach
techniques that conserve energy, including non-verbal communication skills
which is very vital to make their needs known.

(Implementation: Collaborative - Speech-language Pathologists/Speech

Therapist)

3. Next one, examining the patient’s energy level will allow the nurse to
recognize the patient’s tiredness and/or shortness of breath as this signs often
make communication for the patient to be difficult or sometimes, impossible.

4. Next one, helping the patient to perform basic muscle exercises gradually
may reduce his physical stress & tension that affect blood pressure which
helps the patient achieve positive mood. Additionally, flexibility and balance of
the patient are improved through chair exercises which may encourage him to
act independently as much as he can.

5. Fifth one, encouraging the patient to participate in a low-intensity aerobic

chair exercise classes will help his muscles to relax and relieve painful muscle
spasms which may accompanied with rigidity or abnormal stiffness.

6. And for the last one, identifying the determining of patient’s immobility
allows the health care provider to identify strengths and deficits of the patient
and give priorities on them. As well as may give an information regarding
potential for recovery.

And for the evaluation, Ms. Ruel

OBJECTIVE DATA --- refer to as signs or overt data. These are information
detectable by an observer or can be measured or tested against an accepted
standard. This information may be gathered during physical examination.

SUBJECTIVE DATA --- refer to as symptoms or covert data. These are

information apparent only to the person affected & can be described or verified
only by that person. This information are gathered through interview.