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, effortless reference, this publication covers all elements of successfully handling sufferers with Parkinson's ailment, with discussions of indicators, reasons, sufferer evaluate, and residential care suggestion .Nurses, physicians, and linked healthcare professions from rehabilitation experts to social employees will locate this a great resource of data at the many points of care of Parkinson's affliction patients." --Doody's This booklet serves as a realistic compendium at the administration matters relating to Parkinson's ailment (PD). As a short, trouble-free reference, the e-book covers all elements of successfully dealing with PD, with discussions of indicators, explanations of PD, sufferer assessment, and residential care suggestion. very easily equipped in bullet-point, encyclopedic structure, Parkinson's ailment is the excellent, one-stop reference for healthiness pros treating sufferers with PD. 4 key sections: difficulties provides instructions on addressing issues that take place throughout the ailment procedure, together with nervousness, hallucinations, melancholy, imaginative and prescient difficulties, and extra assessment discusses the various sufferer reviews required through the period of the disorder, reminiscent of genetic trying out, mind imaging, speech and swallowing review, and extra therapy provides either pharmacological and non-pharmacological remedy techniques for sufferers with PD Appendices contain supplemental studying, drugs instruments and evaluate scales, ranking 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 only reference they can not do with no.
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Sleep with the head of the bed elevated about 6 –8 inches. Use compression /support hose (Jobst®) stockings during the day. Elevate legs periodically during the day. Increase fluids (at least 8 glasses of water per day). Increase salt and caffeine in the diet. 38 Section I Problems Q Q Eat five small meals a day because blood pressure is lowered after a large meal. Avoid hot showers or excessive heat. Pharmacological Management Q Q Q Q Q Adjust all medications to decrease orthostatic hypotension.
Levodopa/carbidopa From “The Role of Atypical Antipsychotics in the Treatment of Movement Disorders,” by H. H. Fernandez & J. H. Friedman, 1999. CNS Drugs, 11(6), 467–483. 26 Section I Problems Q Clozapine (Clozaril®) has the potential to cause a severe drop in the white blood cell (WBC) count in 1%–2% of individuals. The Food and Drug Administration requires weekly blood counts for six months. These are then decreased to every other week for six months and monthly thereafter. LEG SWELLING Swelling of the legs can occur due to a variety of reasons including poor drainage from veins or lymphatic vessels, excessive fluid accumulation from heart failure, venous thrombosis, kidney problems, and certain medications.
The feeling of fatigue is hard to describe and even more difficult to measure. Many symptoms of PD can cause a feeling of weariness and make it difficult for an individual to finish an activity. Fatigue can be related to slowness of movement, muscle stiffness, fluctuations in mobility, depression, and sleep disturbance. Fatigue related to PD is difficult to treat and only occasionally responds to anti-Parkinson medications. Fatigue may be related to other health conditions including anemia, heart disease, low blood pressure, and diabetes, to name a few.