Question

Greatest physical and psychosocial challenges with Parkinsons. How to overcome those challenges.

Answer 1

Answer - Patient with Parkinson disease suffering from cognitive impairments as well as psychiatric disturbance such as depression, psychosis, poor impulse control, insomnia ( difficulties in sleeping). He having poor body balance, muscle rigidity with jerky movement, risk of fall, drooling, difficulty in swollowing etc problems are seen.

Overcome tools are such as following -

- Maintain safety first, assist with ambulatory services and provide assistive devices or promote safty measures.

- Teach the patient to rock back or forth to intiate movement.

- Teach them to wear low heels shoes and to lift feet during walking or avoid Prolonged sitting.

- Teach them to live in proper posture, use firm mattress with prone position without pillow.

- Also teach the client to hold hand behind the back which active spine and neck in good position.

- Assist the patient to provide physical therapy.

- Provide or administration of the medicines as prescribed by the physicians or regularly follow up.

- Daily intake fluid intake at least 2000 ml per day.

- Intake food which is high in calories, protein, high fiber food, soft diet with small amount and frequent feeding.

Thank you,