Parkinson's disease
Give this one a try later!
,-A chronic, progressive neurodegenerative disorder characterized by
slowness in the initiation and execution of movement, increased muscle
tone (rigidity), tremor at rest, and gait disturbance
-The most common form of Parkinsonism (a syndrome characterized by
similar symptoms)
Clinical Manifestations:
-Tremor
-Rigidity
-Bradykinesia, hypokinesia, or akinesia
-Postural instability
-Depression
-Dementia
-Sleep disturbances
-Difficulty smelling
Complications:
-Dysphagia may result in malnutrition or aspiration
-General debilitation may lead to pneumonia, UTIs, and skin breakdown
-Orthostatic hypotension:
↑ risk for falls and injuries (the patient's increased fall risk increases the
need for the primary caregiver to be aware of environmental conditions
that may also contribute to falls)
Health History:
-Fatigue
-Excessive salivation
-Dysphagia
-Weight loss
-Constipation
-Incontinence
-Difficulty initiating movements, falls
-Loss of dexterity
-Diffuse pain in head, shoulders, neck, back, legs, and hips
-Insomnia
-Depression
-Mood swings
Clinical Manifestations:
-Blank faces, infrequent blinking
-Seborrhea
-Dandruff
-Ankle edema
,
, -Postural hypotension
-Tremor at rest: aggravated with anxiety; absent in sleep
-"Pill rolling"
-Poor coordination
-Cognitive impairment and dementia
-Impaired postural reflexes
-Cogwheel rigidity
-Dysarthria
-Bradykinesia
-Contractures
-Stooped posture
-Shuffling gait
Planning/Goals:
-Maximize neurologic function
-Maintain independence in activities of daily living (ADLs) for as long as
possible
-Optimize psychosocial well-being
Diagnostic Tests:
-No specific tests exist
-Diagnosis based on history and clinical features:
•Requires presence of trap
•Asymmetric onset
•Confirmation is a positive response to antiparkinsonian drugs
-Clinical diagnosis requires the presence of TRAP and asymmetric onset.
T - tremors at rest
R - cogwheel rigidity of limbs and movement
A - akinesia or bradykinesia, slowing of movements
P - postural instability, clumsy, shuffling gait
Interprofessional Care:
Give this one a try later!
,-A chronic, progressive neurodegenerative disorder characterized by
slowness in the initiation and execution of movement, increased muscle
tone (rigidity), tremor at rest, and gait disturbance
-The most common form of Parkinsonism (a syndrome characterized by
similar symptoms)
Clinical Manifestations:
-Tremor
-Rigidity
-Bradykinesia, hypokinesia, or akinesia
-Postural instability
-Depression
-Dementia
-Sleep disturbances
-Difficulty smelling
Complications:
-Dysphagia may result in malnutrition or aspiration
-General debilitation may lead to pneumonia, UTIs, and skin breakdown
-Orthostatic hypotension:
↑ risk for falls and injuries (the patient's increased fall risk increases the
need for the primary caregiver to be aware of environmental conditions
that may also contribute to falls)
Health History:
-Fatigue
-Excessive salivation
-Dysphagia
-Weight loss
-Constipation
-Incontinence
-Difficulty initiating movements, falls
-Loss of dexterity
-Diffuse pain in head, shoulders, neck, back, legs, and hips
-Insomnia
-Depression
-Mood swings
Clinical Manifestations:
-Blank faces, infrequent blinking
-Seborrhea
-Dandruff
-Ankle edema
,
, -Postural hypotension
-Tremor at rest: aggravated with anxiety; absent in sleep
-"Pill rolling"
-Poor coordination
-Cognitive impairment and dementia
-Impaired postural reflexes
-Cogwheel rigidity
-Dysarthria
-Bradykinesia
-Contractures
-Stooped posture
-Shuffling gait
Planning/Goals:
-Maximize neurologic function
-Maintain independence in activities of daily living (ADLs) for as long as
possible
-Optimize psychosocial well-being
Diagnostic Tests:
-No specific tests exist
-Diagnosis based on history and clinical features:
•Requires presence of trap
•Asymmetric onset
•Confirmation is a positive response to antiparkinsonian drugs
-Clinical diagnosis requires the presence of TRAP and asymmetric onset.
T - tremors at rest
R - cogwheel rigidity of limbs and movement
A - akinesia or bradykinesia, slowing of movements
P - postural instability, clumsy, shuffling gait
Interprofessional Care:
