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Questions and Answers
What is the most common demographic affected by Parkinson's Disease?
Which of the following is not one of the four cardinal motor symptoms of Parkinson's Disease?
What is the primary goal of pharmacological management in Parkinson's Disease?
Which type of exercise is recommended to promote mobility and elevate mood in Parkinson's Disease patients?
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What is a potential issue with long-term medication use in treating Parkinson's Disease?
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Which of the following is not a non-motor symptom of Parkinson's Disease?
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What advanced surgical treatment options are available for Parkinson's Disease?
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Which of the following stages of Parkinson's Disease is characterized by complete dependence on activities of daily living?
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Study Notes
Parkinson’s Disease
- Progressive, degenerative neurological disease
- Most common among adult men
- Neurotransmitter imbalance
Assessment
- Health History
- Physical assessment with focus on neuro
- Labs/Diagnostic testing
- Psychosocial Assessment
- Knowledge Deficits
Signs and Symptoms
- Four Cardinal Motor Symptoms:
- Nonintentional Tremor
- Bradykinesia (slowness of movement)
- Muscle rigidity
- Postural instability
- Non-Motor Symptoms:
- Orthostatic Hypotension
- Drooling/Dysphagia
- Constipation
- Nocturia
- Confusion/Dementia
- Heat intolerance
- Anxiety/Depression
- Headache
Stages
- Stage 1: Initial Stage
- Unilateral limb movement
- Minimal weakness
- Hand/arm trembling
- Stage 2: Mild Stage
- Bilateral limb involvement
- Masklike face
- Slow, shuffling gait
- Stage 3: Moderate Disease
- Postural instability
- Increased gait disturbances
- Stage 4: Severe Disability
- Akinesia (loss of movement)
- Rigidity
- Stage 5:
- Complete ADL Dependance
- Dysphagia
- Cognitive changes
Management
- Pharmacological
- Symptom management
- Rehabilitation
- Promote mobility
- Elevate mood
- Exercise regimen/PT
- Yoga/Tai Chi
- Sleep Patterns
- Nutrition
- Speech Pathologist
- Surgical
- Stereotactic Pallidotomy
- Deep Brain Stimulation
Medications
- Dopamine Agonists
- Levodopa-Carbidopa
- Catechol O-methyltransferase Inhibitors
- Monoamine Oxidase Inhibitor – Type B (MAOI-Bs)
- Anticholinergics
- Antiviral
- Medical Marijuana
Long-Term Medication Use
- “On-Off” phenomenon
- Toxicity & Tolerance
- Increase or reduce drug dose
- Change medications
- Alter frequency of administration
- Take a drug holiday
Patient & Caregiver Education
- Medication education
- Psychosocial changes r/t impaired mobility and cognition
- Self-Management
- Preventative measures
- Health care resources
- Financial issues
- Social and state agencies
- Support groups
- Legal counsel
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Description
This quiz provides an in-depth overview of Parkinson's Disease, covering its characteristics, assessment methods, and symptoms. It highlights the four cardinal motor symptoms and how the disease progresses through various stages. Test your knowledge on this complex neurological condition.