A patient with Parkinson's disease has difficulty tying shoes. What nursing intervention would be most helpful?
a. Explain to the patient that as the disease progresses, there will be many things that will require assistance.
b. Tie the shoes for the patient.
c. Reteach the patient to tie shoes.
d. Have a family member purchase shoes with Velcro fasteners.
ANS: D
Providing Velcro fasteners allows the patient to remain independent as long as possible. Reteaching is not appropriate: The patient has not forgotten how to tie his shoes; he is unable because of motor difficulties. Doing it for the patient takes away his independence.
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