The nurse is caring for a patient with Parkinson's disease. Which of the following is an appropriate intervention for safe ambulation for this patient?
• Parkinson's disease (PD) is a neurological disorder that primarily affects the motor system and is caused by a deficiency of dopamine. Features of PD are bradykinesia, resting tremor, and muscle rigidity. Some patients also develop a stooped posture, altered gait, dystonia, fatigue, muscle cramps, drooling, sexual dysfunction, a masklike facial expression, dysphagia, and speech problems. Symptoms usually begin with a resting tremor and grow progressively worse over time.
• Patients with Parkinson's may develop symptoms of bradykinesia (slow movement), akinesia (no movement), cogwheel rigidity, and postural instability, all leading to increased risk of falls.
• Ambulation aids should be used as appropriate, such as
• Non-skid socks or sneakers should always be worn to prevent slips.
• Walking side-by-side with a hand on the back does not provide balance.
• Walking down the hall with hands along the wall does not provide physical support and the patient remains at risk for falls.
• Pushing the wheelchair will increase the risk of injury to the patient.