Parkinsons Flashcards
What is parkinsons?
loss of dopaminergic neurons in the substantia nigra of the basal ganglia (dopamine: helps regulate movement)
Describe some possible signs of Parkinsons?
resting tremor, bradykinesia, hypokinesia, postural instability, cog impairment
What has a greatest impact on QOL?
non motor symptoms
Describe the 3 levels of parkinsons progression
genetic mutation
non motor feature: depression, GI function, vision, smell
neuro changes; small slow movements, tremor, soft monotone
What is the goal of medication management?
symptom relief with levodopa
What are the 4 most important things to address- according to research
specificity, saliency, repetition, feedback
Describe stage 1
unilateral tremor, small writing, reduced endurance
describe stage 2 of parkinsons
B motor involvement, likely stop working/driving, ADLS with modification, difficulty with EF
describe stage 3
increase difficulty with balance, delayed reaction, difficulty with sequencing
stage 4
significant deficits in ADL and mobility
reduced speech and swallowing
describe stage 5
severe motor deficits
dep with ADl
require w/c function
When working with a patient who we think has parkinsons, what are some common assessments to choose?
parkinsons sleep scale, sleep log, COPM, PASS, EFPT, AMPS, WCPA, vision, driving
When a patient is in stage 1 what are OT interventions?
work eval, home adaptation, adaptive utensils, frequent rest breaks
When a patient is in stage 3 what are OT interventions?
enviornmental modification, raised toilet seat, chairs with armrest, removing rugs, visual cues
When a patient is in stage 2 what are OT interventions?
energy conservation, driving assessment/alternative community mobility
