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Chapter 3: Problem 56

The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to: A. Periodically lie prone without a neck pillow B. Sleep only in dorsal recumbent position C. Rest in supine position with his head elevated D. Sleep on either side but keep his back straight

Short Answer

Expert verified
A) Periodically lie prone without a neck pillow B) Sleep only in the dorsal recumbent position C) Rest in the supine position with the head elevated D) Sleep on either side but keep the back straight Answer: A) Periodically lie prone without a neck pillow Explanation: Periodically lying prone without a neck pillow allows the client to keep their back straight and the weight evenly distributed, which can help prevent spinal flexion associated with Parkinson's disease. The other options do not provide the same level of support and effectiveness in preventing spinal curvature.

Step by step solution

01

Option A Assessment

Periodically lying prone without a neck pillow can help stretch the back muscles and alleviate any strain on the spine. This position allows the client to have their back straight and weight evenly distributed. So, this is a good option for preventing spinal flexion.
02

Option B Assessment

Sleeping only in the dorsal recumbent position, which means lying on the back with the knees bent, may not be the best option for preventing spinal flexion. In this position, the back is not completely straight, and the weight is not evenly distributed. This option is not ideal for preventing spinal curvature.
03

Option C Assessment

Resting in the supine position with the head elevated might not be the most effective for preventing spinal flexion. In this position, although the back is straight, the elevation of the head can still cause some stress on the spine. This option is not the most effective for preventing spinal curvature.
04

Option D Assessment

Sleeping on either side but keeping the back straight is not the best option for preventing spinal flexion. Lying on the side can still cause uneven distribution of weight, and it may be hard for the client to maintain a fully straight back while sleeping in this position. This option is not the most effective for preventing spinal curvature.
05

Correct Answer and Explanation

Based on the assessments of each option, the correct answer is A. Periodically lie prone without a neck pillow. This position allows the client to keep their back straight and the weight evenly distributed, helping to prevent spinal flexion associated with Parkinson's disease.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Spinal Flexion Prevention
Managing spinal flexion is crucial for individuals with Parkinson's Disease. The disease often leads to so-called "camptocormia," or an abnormal forward bending of the spine, which can exacerbate mobility issues and discomfort.

To effectively prevent spinal flexion, the recommended practice is to periodically lie prone without a neck pillow. This position helps in a couple of ways:

  • It straightens the spine, allowing for a natural alignment which prevents unnecessary curvature.
  • It reduces strain on the back by distributing weight evenly across the body, avoiding pressure points that can lead to curvature.


On the other hand, other positions such as lying on the back with elevated knees or head can lead to imbalanced weight distribution, which is not conducive to maintaining spinal integrity.
Patient Education
Education is a cornerstone of effectively managing Parkinson's Disease. When a patient is fully informed about the condition and its management strategies, it empowers them to take control of their health.

Key aspects of patient education should include:

  • Understanding Parkinson's Disease symptoms and their progression, especially those impacting posture and movement.
  • Instruction on exercises and routines that can strengthen the back muscles and improve flexibility.
  • Advice on lifestyle modifications, including optimal sleeping positions like lying prone to prevent spinal flexion.
  • Information on the importance of consistent follow-ups with healthcare providers to monitor disease progression.


This education should be ongoing and adapt to the changing needs of the patient as the disease progresses. It should also involve family members and caregivers to ensure a supportive environment.
Nursing Interventions
Nurses play a pivotal role in the management of Parkinson's Disease, offering support through specialized interventions that target specific symptoms such as spinal flexion.

Effective nursing interventions may include:

  • Demonstrating and encouraging patients to practice lying prone without neck support to reduce spinal curvature.
  • Developing personalized exercise programs that include stretching and strengthening exercises for back muscles.
  • Providing practical strategies to handle daily activities while maintaining proper posture.
  • Assessing and providing feedback on patient's postures and adjustments needed to avoid complications.


These interventions ensure that patients receive comprehensive care, guiding them through both the physical and educational aspects necessary to combat spinal changes associated with Parkinson's Disease.

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Most popular questions from this chapter

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When performing a newborn assessment, the nurse measures the circumference of the neonate's head and chest. Which assessment finding is expected in the normal newborn? A. The head and chest circumference are the same. B. The head is \(2 \mathrm{~cm}\) larger than the chest. C. The head is \(3 \mathrm{~cm}\) smaller than the chest. D. The head is \(4 \mathrm{~cm}\) larger than the chest.
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