Marianjoy Library

Online Nursing Journal Club

June, 2014

Welcome to the online Nursing Journal Club! The articles for this month will count for 1.5 continuing education credits. Attached are the articles in PDF format. These articles will be available through June 30. Discussion Via Google Docs/Drive

Reading Assignment:

Article #1
Caring for patients with Parkinson disease.
Bridget R. Roberts.

Nursing. 2010 July; 40 (7): 58-64.
Available Full-Text only from the Marianjoy network.

A COMPLEX NEUROGENERATIVE disorder, Parkinson disease (PD) affects millions worldwide. An estimated 500,000 Americans have PD, which strikes about 50% more men than women. The true incidence of PD is probably underestimated because it's often misdiagnosed in the early stages, when signs and symptoms may be mild and mistaken for normal age-related changes.1Considered a type of movement disorder, primary or idiopathic PD is a chronic and progressive condition characterized by tremor, rigidity, bradykinesia, and postural instability. It's caused by impairment or loss of neurons producing dopamine, a monoamine neurotransmitter necessary for normal movement. Parkinsonism is the name for disorders with a different etiology that produce signs and symptoms similar to PD.In most cases, the cause of PD is unknown, but factors such as genetics, vascular damage, infection, and environmental exposures may be implicated. Signs and symptoms typically begin during the fifth decade of life, but PD sometimes strikes much younger people. Although not a terminal illness, PD can lead to life-threatening complications such as choking, pneumonia and other infections, and falls.As the population ages, you'll see more patients with PD. This article discusses the pathophysiology, assessment points, and nursing care for patients with this common disorder.PD symptoms result from the impairment or destruction of 60% to 80% of dopamine-producing neurons in the substantia nigra, a section of the basal ganglia. This creates deficits in the inhibitory neurotransmitter dopamine and excesses of the excitatory neurotransmitter acetylcholine at the synapse. (See Dopamine deficits disrupt motor function.) These neurotransmitters must be balanced to maintain muscle tone and allow normal movement. Research indicates that patients with PD may also fail to produce enough norepinephrine, which may be responsible for some nonmotor movement symptoms of PD such as fatigue.1–3Diagnosis.

Article #2

Current trends in the medical management of Parkinson's disease: implications for nursing practice.

Magennis, Brian; Lynch, Tim; Corry, Margarita

British Journal of Neuroscience Nursing (BR J NEUROSCI NURS), 2014 Apr-May; 10 (2): 67-74. (37 ref)

Available Full-Text only from the Marianjoy network.


To successfully educate and advocate on behalf of people with Parkinson's disease and their family members and caregivers, nurses and other health professionals need a working knowledge of current trends in the medical management of Parkinson's. The goal of treatment is to gain control over the symptoms of the disease and promote the best possible quality of life for patients and their families. This paper provides an overview of current approaches to the medical management of Parkinson's. It explores the challenges encountered when treating people with young-onset Parkinson's and those who experience medication side effects, in particular the increasingly recognised impulsive/compulsive behavioural disorders associated with some classes of medication. The key role of the nurse in symptom monitoring and promoting compliance with medication regimens is emphasised.

The purpose of the online Nursing Journal Club is to facilitate the use of evidence-based practice in providing excellent nursing care.


  • Identify at least two common side effects of Parkinson's disease medications
  • Identify at least three common symptoms of Parkinson's disease

Contact Person: Cindy Bright, E-mail   Phone: 630.909.8027                 
Provide your e-mail address

  • you may use either your personal or Marianjoy e-mail address
  • Article will be e-mailed to you
  • Google Docs/Drive will be used for discussion

For further information or any questions, please contact Cindy Bright

Sign Up: SIGN-UP by Apri 30 to receive article on May 1.

Available Credits: 1.5 Contact Hours

Instructions for receiving the credits:

There are 3 parts to earning CE credit for these articles. All components must be completed between June 1 and June 30, 2014:

  1. After reading the articles, there is a short post-test on the Learning Link. To get to the Learning Link module, open and login to Learning Link, click View course catalog, select All courses, and then enter PRCH4022 to find the June 2014 journal module. You must complete the post-test on or before June 30 and score at least 80% correct to earn CE credit.
  2. An evaluation of this learning opportunity is required to obtain the CE credit. A link to the evaluation will be found at the end of the post-test.
  3. As part of the requirements to earn the CE credit, you must participate in a discussion about the article. This discussion will take place via Google Docs/Drive. A Nursing Journal Club designee will generate the discussion. You must respond / participate in the discussion at least 1 time by June 30 to be compliant.

To add some extra excitement to our Journal Club, we will be offering another $25 gift card in a raffle drawing for members that earn CE credit over the months of October, November, and December/January. Raffle will take place at the end of December/January. Be sure to participate so your name will be included in the drawing. As an additional perk, if a participant encourages another Journal Club member to join in the discussion (and the referred member states the referring member’s name in their discussion), we will add the referring member’s name an additional time in the drawing. Remember that both members must earn their CE credit for the month for the referring member to be entered an additional time in the drawing.

The winner will be notified by e-mail and the gift card will be sent to them within 2 weeks after the close of the month.

Instructions to access the Google Docs/Drive Web page for Discussion and to post comments:
  • Click on Google Docs/Drive or the following Link/URL:
  • Ignore the message to upgrade to a modern browser, such as Google Chrome and click on Dismiss (this message may appear on the top)
  • Click on the Comments button (top Right hand) to add your comment
  • Please sign your full name after each comment
  • After typing your comments, click on Comments one more time; you will be able to see your comments
  • For a reply to a specific comment, you may use the Reply button; the comment will appear next to that specific comment, or you may generate your own comment

It should take you approximately 1.5 hours to read the articles, take the quiz and complete the evaluation. 

As a member of the Nursing Journal Club, you will automatically receive subsequent articles on the first of each month. If you would like to cancel your membership at any time, please contact Cindy Bright via e-mail or contact her at 630.909.8027. We will send out a flyer announcing the next article approximately 2 weeks prior to sending it out.

We are excited that you are interested in this new opportunity. We welcome any comments or suggestions you may have.

Marianjoy Rehabilitation Hospital- Professional Practice Committee, (OH-387, 9/28/2013) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

As required by the American Nurses Credentialing Center’s Accreditation Program, we would like to make you aware of all potential conflicts of interest(s). This educational activity’s planners and presenters have indicated that they have no bias or conflict of interest. Marianjoy Rehabilitation Hospital has not received any commercial support for this program. There will not be any endorsement of products or discussion of off-lable use.

The Marianjoy Online Nursing Journal Club is a joint effort between the Nursing Department, the Medical Library, and the Research Department








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