The Symptoms Of Parkinson Disease Discussion

The Symptoms Of Parkinson Disease Discussion

Please respond to the following discussion, no title page needed

Parkinson’s Disease-70-year-old male

This patient is prescribed Sinemet for his Parkinson’s disease diagnosis and arrives with a new onset of issues. He states he is having headaches and sore throat. I would also want to know the current vitals sign and if he is having any difficulty breathing. It is important to make sure he is not in any immediate respiratory distress and to inquire about the onset of symptoms.

Parkinson’s disease is a neurological disorder that progressively gets worse over time. Currently there is no cure for Parkinson’s. Management of the symptoms through medication such as Sinemet is the preferred option used by most providers. The symptoms reported by this patient are not commonly associated with disease progression. Sinemet has numerous potential side effects related to blood pressure and alterations in mental status however sore throat and headache are not among the commonly reported. The Symptoms Of Parkinson Disease Discussion

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Health promotion for someone diagnosed with Parkinson’s disease would include a regular exercise routine. Studies have shown that “physiotherapy including strength training, gait and balance training, and hydrotherapy can help improve functioning and quality of life for people with PD and other movement disorders” (World Health Organization, 2022, para. 12). Allowing caregivers periods of rest as well is very important because this disease can put a strain on both the patients and their caregivers. The Symptoms Of Parkinson Disease Discussion

It is important to assess motor skills and memory recall at each visit because these are commonly associated with worsening of the disease. Providers should ask about “increasing tremors, depression symptoms, feelings of anxiety, changes in sleep pattern, and trouble swallowing” (Goldman, 2019, p.1). These are often reported by patients and their families as a natural progression of the disease.

BEER’s criteria did a study to determine if “elderly individuals with Parkinson’s disease who take multiple potentially inappropriate medications are more likely to experience a fall compared to elderly individuals who do not take multiple potentially inappropriate medications” (Yusupov et al., 2017, para. 2)The Symptoms Of Parkinson Disease Discussion. The results showed a higher risk of falls in elderly patients in the polypharmacy category. Knowing this information, it is important to look for any injuries, ask about recent falls, and about all other medications prescribed to this patient.

References

Goldman, R. (2019, August 15). Parkinson’s progression: 6 signs to look for. Healthline. Retrieved November 28, 2022, from https://www.healthline.com/health/parkinsons/treatments/signs-your-parkinsons-disease-is-progressing#trouble-swallowing

World Health Organization. (n.d.). Parkinson disease. World Health Organization. Retrieved November 28, 2022, from https://www.who.int/news-room/fact-sheets/detail/parkinson-disease The Symptoms Of Parkinson Disease Discussion

Yusupov, E., Chen, D., & Krishnamachari, B. (2017). Medication use and falls: Applying beers criteria to medication review in parkinson’s disease. SAGE Open Medicine, 5, 205031211774367. https://doi.org/10.1177/2050312117743673

Thank you for sharing such an informative post. The 70-year-old patient with Parkinson’s disease presented with headaches and a sore throat while still taking Sinemet. I agree with you that assessing the patient and asking about the onset of the disease will help determine the cause of the headaches and sore throat. Parkinson’s disease is a brain disorder that causes difficulty with balance, coordination, and movement. Other symptoms include muscle stiffness, tremors in hands and legs, depression or other emotional changes, difficulty swallowing and speaking, and urinary problems (Armstrong & Okun, 2020). The disease has no cure, but medications, non-pharmacological therapies, and surgical treatments are used to manage and relieve some symptoms (Jankovic & Tan, 2020). For the 70-year-old male, Sinemet has been prescribed to relieve the symptoms of Parkinson’s disease, but the patient complains of headaches and a sore throat. A physical examination and collection of medical history would be the first step before diagnostic and neurological tests are done.

Recording vital signs, the onset of symptoms, their duration, and whether pain radiates to other areas would help in making a correct diagnosis of the new symptoms. As you have noted, the patient complains of symptoms not usually associated with the disease. Therefore, the symptoms can be attributed to the side effects of the medication. The drugs used to treat Parkinson’s disease contain levodopa and carbidopa, such as Simemet. These drugs may cause orthostatic hypotension and nausea as side effects (Leigh, 2019). A sore throat can be a sign of an infection other than Parkinson’s disease. Physiotherapy and occupational therapy are two health promotion activities for people with Parkinson’s disease. Physiotherapy helps in the improvement of quality of life, improve functional ability, restore respiratory functions, increase independence, correct posture, enhance balance, minimize the risk of falling, enhance daily activities, and maintain flexibility. People with Parkinson’s disease are at an increased risk of falling and would benefit from both pharmacological and non-pharmacological therapies. The Symptoms Of Parkinson Disease Discussion

References

Armstrong, M. J., & Okun, M. S. (2020). Diagnosis and treatment of Parkinson disease: a review. Jama, 323(6), 548-560.

Jankovic, J., & Tan, E. K. (2020). Parkinson’s disease: Etiopathogenesis and treatment. Journal of Neurology, Neurosurgery & Psychiatry, 91(8), 795-808.

Leigh, R. M. (2019). Parkinson’s disease. Rumi Michael Leigh. The Symptoms Of Parkinson Disease Discussion