By Dr. Hubert Fernandez MD, Dr. Paul Tuite MD, Cathi Thomas RN MS, Narayan Kissoon BS, Dr. Laura Ruekert PharmD RPh, Milagros, PharmD Fernandez
"As a short, straightforward reference, this publication covers all features of successfully dealing with sufferers with Parkinson's affliction, with discussions of indicators, motives, sufferer assessment, and residential care suggestion .Nurses, physicians, and linked healthcare professions from rehabilitation experts to social staff will locate this an outstanding resource of data at the many facets of care of Parkinson's illness patients." --Doody's This e-book serves as a pragmatic compendium at the administration concerns concerning Parkinson's ailment (PD). As a brief, straight forward reference, the booklet covers all facets of successfully handling PD, with discussions of indicators, reasons of PD, sufferer assessment, and residential care suggestion. very easily geared up in bullet-point, encyclopedic structure, Parkinson's sickness is the great, one-stop reference for wellbeing and fitness execs treating sufferers with PD. 4 key sections: difficulties provides instructions on addressing problems that happen in the course of the disorder procedure, together with anxiousness, hallucinations, melancholy, imaginative and prescient difficulties, and extra review discusses the varied sufferer reviews required during the period of the affliction, akin to genetic checking out, mind imaging, speech and swallowing evaluate, and extra therapy provides either pharmacological and non-pharmacological therapy ways for sufferers with PD Appendices contain supplemental examining, drugs instruments and evaluation scales, score scales, and extra notes Nurses, medical professionals, and linked well-being care professionals--from rehabilitation experts to social workers--will locate Parkinson's disorder the single reference they can not do with out.
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Additional info for Parkinson's Disease: A Guide to Patient Care
Concern has also been raised about adverse interaction between SSRIs and the MAO-B inhibitors selegiline and rasagaline. An adverse interaction is rare. Most SSRIs at their typical dose should not have this interaction. Patients should be instructed to contact their physician or a health care provider immediately if they present with possible signs of a “serotonin syndrome” including: tachycardia, diaphoresis, myoclonic twitching, hypertension, and hyperthermia. Section I Problems 15 Adjusting Anti-PD Medications Sometimes depression is a manifestation of wearing off, when the effects of the PD medication start to decline.
Furthermore, they can lower blood pressure, which can aggravate light-headedness and precipitate fainting if the individual already has low blood pressures such as may occur with orthostatic hypotension. MICROGRAPHIA Fine motor coordination is affected by loss of hand dexterity, increased muscle tone, and tremor. Micrographia is the very small handwriting observed in Parkinson’s disease. People typically report that when writing, the words progressively get smaller and smaller. Handwriting may be illegible.
Patient and family 18 Section I Problems Q Q Q should be taught the difference between dyskinesia and tremor so that symptoms can be reported effectively. Patients and family members should be aware of the importance of maintaining a safe environment when dyskinesia is present, including ambulation safety, driving limitation, and modification of activities of daily living. Individuals with moderate to severe dyskinesia often have a significant decrease in dyskinesia following DBS surgery. Therefore, this intervention is often recommended if medication adjustment is not effective with this population.