Kim, you wrote: I am a registered nurse >pursuing my masters in nursing and eventually have a desire to be a >Geriatric Nurse Practitioner. I presently work in a nursing home and deal >with parkinsons with my residents on a daily basis. I am always looking >for new ways to make lives more fulfilling and keep self care at it's >maximum level. I look forward to all the insight you can offer. Thanks, >Kim Fuller ([log in to unmask]) Perhaps this will be of use to you and others Sincerely Joy Graham (With thanks to Bev Steward) HOSPITALISATION FORM AS A PERSON WITH PARKINSON'S DISEASE I HAVE PROBLEMS WITH THE ITEMS CHECKED BELOW Full Name:....................................................................... ............................................... Doctor:......................................................Neurologist:... ............................................ MEDICATION o 1. I need my Parkinson's medication administered EXACTLY on schedule. o 2. Without medication I will become rigid and disoriented. o 3. Response to medication may affect physical therapy timing. AMBULATION o 4. I have difficulty with balance. o 5. I may freeze and fall. o 6. I require help getting motion started and walking. ELIMINATION (underline specifics) o 7. I have urinary problems: either hesitancy, frequency, inability to wait, or incontinence. o 8. I suffer from constipation, need a special diet or other treatment. Impaction is a significant danger. COORDINATION o 9. I cannot open food containers easily. o 10. I cannot always repeat a former action. o 11. I may not have the strength to push a call button. o 12. I have slow responses. o 13. I have trouble turning over in bed. COMMUNICATION o 14. I have low voice volume. o 15. I have difficulty enunciating. o 16. My face shows little or no emotion ("mask" of Parkinson's). o 17. I have difficulty with writing EATING AND SWALLOWING o 18. I choke on food and require a special diet. o 19. I am a very slow eater. SLEEPING o 20. I have trouble getting to sleep. o 21. I sleep fitfully. o 22. I have anxiety sweats ON-OFF PROBLEMS o 24. I am often unable to do things which I could do earlier. Adapted by the Parkinson's Association of WA from a list by Beverly Steward (Central Ohio Parkinson Society Newsletter), to help make your stay in hospital as satisfactory as possible. It is important to explain to the nurses some significant facts about the way PD affects you. Ask to have this sheet put in your file at the nurses' station. You might also consider having a close family member get a limited power of attorney to represent you, and if you have a Durable Power of Attorney, be sure the doctor and hospital have copies.