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Neuro 2 - Exam 2 > Parkinsons - Non Motor Symptoms - 3 > Flashcards

Parkinsons - Non Motor Symptoms - 3 Flashcards

1
Q

what does research show

A

non motor symptoms can impact QOL in PD

may be as or more significant than motor symptoms in PD

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2
Q

tx that doesnt take into consideration non-motor symptoms

A

will not succeed

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3
Q

behavioral symptoms (1)

A

anxiety

depression

a-motivation

apathy

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4
Q

behavioral symptoms (2)

A

insomnia

impulsivity

obsessive compulsive

symptoms

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5
Q

cognitive symptoms (1)

A

bradyphrenia

confusion

word finding difficulty

memory loss

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6
Q

cognitive symptoms (2)

A

dementia

hallucinations

psychosis

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7
Q

other non-motor symptoms

A

dysautonomia

sensory problems

sleep disorders

weight loss

fatigue

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8
Q

dysautonomia (1)

A

chills/sweats

orthostatic hypotension

sexual dysfxn

constipation

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9
Q

dysautonomia (2)

A

urinary frequency and urgency

seborrhea

sialorrhea

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10
Q

sensory problems

A

pain

paresthesia

anosmia

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11
Q

sleep disorders

A

REM behavioral

vivid dreams

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12
Q

fatigue

A

respiratory fxn

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13
Q

pain syndromes

A

back/neck pain

limb pain

restless leg syndrome

“off” paresthesia

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14
Q

back/neck pain

A

postural changes & DJD

rigidity, dystonia, dyskinesia

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15
Q

limb pain

A

cramping

rigidity

dystonia

DJD

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16
Q

where is limb pain most common

A

in shoulder & proximal arm

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17
Q

restless leg syndrome

A

common in PD

can be unilateral

painful

relieved by activity or mvt

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18
Q

“off” paranesthesia

A

sensory changes during “off” period

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19
Q

what % of PD pts have depression

A

50% of PD pts

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20
Q

primary cause of depression

A

d/t loss of dopamine neurons

21
Q

secondary cause of depression

A

due in part to sensory deprivation from paucity of movement

22
Q

depression is a

A

significant contributor to QOL issues

23
Q

depression responds to

A

meds

SSRIs

24
Q

what % of pts have dementia

A

30-40%

25
Q

dementia risk

A

4x higher in PD pts over 3-5 yr period than normal

26
Q

how do hallucinations begin

A

by seeing “dots” then becomes “people” or “objects”

27
Q

what should we be cautious of –> hallucinations

A

use of meds to tx hallucinations

antipsychotic meds block dopamine

28
Q

hallucinations can be

A

very dangerous

increase risk of falls

risk for caregiver burn out

29
Q

psychosis

A

dopamine induced psychosis

30
Q

dopamine induced psychosis features

A

vivid dreams and nightmares

disorientation

hallucinations

delusional thought

31
Q

psychosis has an increased rate of

A

morbidity and nursing home placement

32
Q

RFs for psychosis

A

poly-pharmacy

age

dementia

visual problems

33
Q

what do we tx psychosis with

A

atypical antipsychotics

increasing cholinergic fxn to improve cognition and behavior

34
Q

sleep disorders

A

cant fall asleep

cant stay asleep

dont sleep well

35
Q

cant fall asleep

A

RLS

anxiety

motor discomfort

bladder issues

36
Q

cant stay asleep

A

depression

REM behavior D/o

bladder issues

anxiety

37
Q

dont sleep well

A

REM BD

sleep apnea

38
Q

potential issues caused by sleep d/o

A

fatigue

night time safety

motor & behavioral relaxation

caregiver burnout

39
Q

Gi/GU issues

A

constipation

urinary problems

40
Q

constipation worsens w/

A

decreased exercise and dietary changes

41
Q

constipation can affect

A

L-dopa absorption

42
Q

urinary problems –> urgency and frequency

A

frequency > urgency

43
Q

incontinence may need

A

bladder management/training

44
Q

what dos urgency increase

A

falls

45
Q

what can urinary problems have

A

dystonia of pelvic floor muscles

46
Q

what can urinary problems contribute to

A

decreased volume intake

worsening the orthostatic and constipation sxs

47
Q

seborrhea

A

lack of autonomic regulation

leads to increase sebaceous secretions (oily skin)

48
Q

what could pts develop –> seborrhea

A

seborrheic dermatitis

Neuro 2 - Exam 2 (16 decks)

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