Download Parkinson's Disease: A Guide to Patient Care by Dr. Hubert Fernandez MD, Dr. Paul Tuite MD, Cathi Thomas RN PDF

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 brief, simple reference, this publication covers all points of successfully coping with sufferers with Parkinson's ailment, with discussions of indicators, factors, sufferer overview, and residential care suggestion .Nurses, physicians, and linked healthcare professions from rehabilitation experts to social staff will locate this a good resource of data at the many points of care of Parkinson's illness patients." --Doody's This ebook serves as a realistic compendium at the administration matters with regards to Parkinson's ailment (PD). As a brief, trouble-free reference, the booklet covers all facets of successfully coping with PD, with discussions of signs, explanations of PD, sufferer assessment, and residential care suggestion. with ease geared up in bullet-point, encyclopedic structure, Parkinson's affliction is the great, one-stop reference for health and wellbeing execs treating sufferers with PD. 4 key sections: difficulties provides instructions on addressing problems that ensue through the sickness method, together with nervousness, hallucinations, melancholy, imaginative and prescient difficulties, and extra review discusses the various sufferer reviews required during the length of the affliction, similar to genetic checking out, mind imaging, speech and swallowing overview, and extra remedy provides either pharmacological and non-pharmacological therapy ways for sufferers with PD Appendices contain supplemental interpreting, drugs instruments and review scales, ranking scales, and extra notes Nurses, medical professionals, and linked healthiness care professionals--from rehabilitation experts to social workers--will locate Parkinson's affliction the only reference they can not do with no.

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Extra info for Parkinson's Disease: A Guide to Patient Care

Sample text

44 Section I Problems Psychotic symptoms may also be observed early in the disease process of individuals diagnosed with diffuse Lewy body dementia, an atypical form of parkinsonism. In PD, visual hallucinations are the most common manifestation, occurring in approximately 30%–50% of individuals. Patients describe these hallucinations as well formed, such as seeing small children or animals that appear to move. Although PD patients with hallucinations typically have intact reality testing (benign hallucinosis), at least 5% of patients experience delusions and hallucinations unaccompanied by insight.

Bigger steps may help reduce freezing. ” Visual Q Q Q Q Look through, not directly at, doorways. Step over a marked line or spot on the floor. Use a device designed for gait freezing (such as a cane with a built-in apparatus to step over). Use a laser cane or a walker that emits a laser beam to step over. Verbal Q Q Count one, two, three, four, five, out loud. March—left, right, left, right. Pharmacological Management Q Sometimes, when a patient is undermedicated, increasing the dose of PD medications may alleviate freezing.

Various devices use electric impulses to help block or mask the feeling of pain. With transcutaneous electrical nerve stimulation (TENS), a portable, battery-powered unit delivers an electric impulse through electrodes placed on the affected area. Spinal cord and peripheral nerve stimulators are implanted beneath the skin with electrodes placed near the spinal cord. A handheld unit is adjustable to allow for control of the level of stimulation. Provide referral to a pain specialist when pain is not responding to conventional therapies.

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