hchoices parkinson's disease - amazon s3
TRANSCRIPT
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1Optimal wellness through technology, education and social engagement
Optimal wellness through technology, educationand social engagement
hChoices.com
Parkinson’s Disease
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2Optimal wellness through technology, education and social engagement
What is Parkinson's Disease?
§ A brain disorder which gets worse over time and affects your movement and coordination
§ Nerve cells, in the brain, break down and no longer make enough dopamine
§ Dopamine is a chemical which helps muscles move smoothly and follow your commands
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Facts and Figures
§ Affects over 1 million people in the US
§ 50,000 - 60,000 new cases diagnosed each year
§ 1 in 200 will get Parkinson's Disease during their lifetime
§ 1/3 of Parkinson's Disease sufferers eventually show signs of dementia
§ More common in men than in women
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Main Symptoms of Parkinson's Disease
§ Shaking when at rest
§ Slowness of movement
§ Stiffness/rigidity of the arms, legs or trunk
§ Problem with balance and falls
§ Postural instability
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Secondary Symptoms§ Small, cramped handwriting
§ Reduced arm swing on the affected side
§ Slight foot drag creating a shuffled walk
§ Freezing - phenomenon of being stuck in place when attempting to walk
§ Loss of facial expression
§ Low voice volume or muffled speech
§ Tendency to fall backwards
§ Decrease ability in automatic reflexes such as blinking and swallowing
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Other Symptoms of Parkinson's Disease
§ Depression
§ Anxiety- beyond the normal response to stress
§ Hallucinations, psychosis
§ Sleep disturbances
§ Constipation
§ Pain
§ Increase in dandruff or oily skin
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Conditions That Mimic
Essential Tremor (ET)– Common amongst the elderly population– Affects both hands, often involves head tremor and a shaky
quality to the voice
Normal Pressure Hydrocephalus (NPH)– Fluid inside the brain – Results in difficulty in walking, slowed thinking, and loss of
bladder control
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How is Parkinson's Disease Diagnosed?
§ No lab tests currently available to diagnose Parkinson's
§ Physician typically will:– Discuss your medical history– Conduct thorough neurological exam– May check your sense of smell– Perform tests to rule out other conditions
• Abnormal thyroid • Liver damage• Stroke• Brain tumor
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Stages of Parkinson's Disease
§ Stage one: – Patient usually experiences mild symptoms which may inconvenience
the day-to-day tasks – Typically experience tremors or shaking in one of the limbs– Friends and family can usually detect changes poor posture, loss of
balance, and abnormal facial expressions
§ Stage two:– Bilateral symptoms: affect both limbs & sides of the body– Encounter problems walking or maintaining balance– Inability to complete normal physical tasks
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Stages of Parkinson's Disease§ Stage three:
– Severe symptoms including the inability to walk straight or to stand– Noticeable slowing of physical movements
§ Stage four: – Walking is often limited– Unable to complete day-to-day task– Shakiness may lessen or disappear
§ Stage five: – Individual is usually unable to take care of himself– May not be able to stand or walk– Usually requires constant one-on-one nursing care
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Emotional Affects of Parkinson's Disease
§ Devastating
§ Denial
§ Discouragement
§ Role Conflict
§ Identity Change
§ Adaptation
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Parkinson's Disease Treatment Options
§ Goal is to control symptoms
§ Medications are typically used to increase level of dopamine in the brain
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Lifestyle Changes
§ Good nutrition
§ Exercise
§ Regular rest periods
§ Avoid stress
§ Physical therapy, speech therapy, and occupational therapy
§ Safety devices
§ Special eating utensils