The PARticulars of Parkinson ’ s Disease
description
Transcript of The PARticulars of Parkinson ’ s Disease
![Page 1: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/1.jpg)
The PARticulars of Parkinson’s
DiseasePresented by:
Cheryl A. Siefert, MNMExecutive Director
![Page 2: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/2.jpg)
Shaking Palsy
James Parkinson described “Shaking Palsy” in 1817
![Page 3: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/3.jpg)
Parkinson’s DiseaseProgressive neurodegenerative disease
Degeneration of dopamine neurons
![Page 4: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/4.jpg)
Dopamine
Ensures smooth muscle movement70% is lost before first outward symptom
appears
![Page 5: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/5.jpg)
Facts - Who Knew?2nd most common neurodegenerative disorder to
Alzheimer’s
Affects approximately 1.5 million Americans17,000 live Colorado
Onset between 40 and 70 years Most common within the 60’s
5-10% of patients are under the age of 40
Slightly higher incidence in men
Non-discriminatory: Found in any race or ethnic group.
![Page 6: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/6.jpg)
No Known CauseExploring
Aging Environmental toxins:PesticidesRural livingWell water
Viral Infections
![Page 7: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/7.jpg)
Reduced Life Expectancy
Mean survival after onset ~ 20 yearsLonger if dementia isn’t present
Longer with L-dopa use
![Page 8: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/8.jpg)
Common Causes of Death
Pulmonary infection
Aspiration
Urinary tract infection
Pulmonary embolism
Complications of falls and fractures
![Page 9: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/9.jpg)
Onset
Resting tremorLoss of arm swing
Slowness of movement
Often unilateral with subtle features
![Page 10: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/10.jpg)
Symptoms
Tremor – trembling in hands, feet, and/or legs at restRigidity – stiffness
Bradykinesia – slow movementImpaired balance – unsteadiness (not initial symptom)
![Page 11: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/11.jpg)
![Page 12: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/12.jpg)
Secondary SignsCognitive disorders dementia depression psychosis
Motor Disorders less frequent blinking swallowing problems speech impairment
![Page 13: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/13.jpg)
More Secondary SignsLoss of sense of smell ConstipationUrinary issuesLightheadednessHeat intoleranceSkin changesInsomniaDaytime sleepinessSleep apneaDepression/Anxiety
![Page 14: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/14.jpg)
Early Treatment
To adequately control the symptoms of Parkinson’s disease while minimizing the
adverse effects of drug therapy for as long as possible
![Page 15: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/15.jpg)
Treatment - Medications
Levodopa/Carbidopa – replaces dopamineDopamine agonists – stimulate dopamine receptors
COMT & MAO-B inhibitors – inhibits enzyme that breaks down dopamineAnticholinergic agents
![Page 16: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/16.jpg)
On/Off - Language of PD
Abrupt and unpredictable changes in motor state
“ON” = medications are working to < PD symptoms
“OFF” = symptomatic benefits have been lost
![Page 17: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/17.jpg)
Complication of Meds Dyskinesia: abnormal,
involuntary writhing type movements, wiggly and
twisty
Increase over time
Disabling and difficult to control
Levodopa
![Page 18: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/18.jpg)
Complimentary Therapies
SpeechMusicYogaExerciseMassageAccupuncture
![Page 19: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/19.jpg)
Exercise
Improves mood, energy level, and sleepImproves gait, grip strength, and motor
coordination
![Page 20: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/20.jpg)
Diet & Nutrition
A well-balanced diet (can help prevent constipation)
Meals rich in protein may reduce absorption of levodopa
![Page 21: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/21.jpg)
Wisdom
“As we await the discoveries, we have the human spirit”
![Page 22: The PARticulars of Parkinson ’ s Disease](https://reader035.fdocuments.us/reader035/viewer/2022062305/56816463550346895dd64312/html5/thumbnails/22.jpg)
PAR provides programs and services intended to enhance the quality of life for individuals with Parkinson's disease and their
families:
In-home visits from the Case Assessment TeamNo-cost loans of needed medical equipment
Participation in support groups and weekly exercise classes Information & Referral Helpline
Newsletter/E-newsEducational Seminars
Lending Library & Educational Literature
www.ParkinsonRockies.org