Parkinson disease (PD) is a progressive neurodegenerative disorder caused by loss of dopaminergic neurons in the substantia nigra pars compacta as well as other dopaminergic regions ...
Diagnosis is based on clinical features and response to dopaminergic therapy.
Gold standard for diagnosis is neuropathologic exam.
Generally, bradykinesia plus either tremor or rigidity must b...
Multidisciplinary rehabilitation with standard physical and occupational therapy components to improve functional outcomes
Physiotherapy to help with gait reeducation, enhance...
Increase dietary fluids and fiber for constipation.
For dysphagia, consider soft food, swallowing evaluation, and increased time for meals.
Avoid large, high-fat meals that slow digesti...
G20 Parkinson’s disease
G21.9 Secondary parkinsonism, unspecified
G31.83 Dementia with Lewy bodies
G21.11 Neuroleptic induced parkinsonism
G21.19 Other drug induced secondary parkinsonism
33...
The classic description for PD is shaky (pill-rolling tremor at rest), stiff (cogwheel rigidity), slow (bradykinesia), and stumbling (shuffling gait).
No cure—goals are to delay disease...
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Clinical features of Parkinson's disease
Reprinted with permission from Rosdahl CB. Book of Basic Nursing. 7th ed. Philadelphia, PA: Lippincott-Raven; 1999:1063, Figure 77-3
Reprinted with permission from Rosdahl CB. Book of Basic Nursing. 7th ed. Philadelphia, PA: Lipp...
The clinical features of Parkinson disease.
Timby B.K., Smith N.E. [2003]. Introductory medical'surgical nursing [8th ed. p. 626]. Philadelphia: Lippincott Williams & Wilkins
Timby B.K., Smith N.E. [2003]. Introductory medical'surgical nursing [8th ed. p. 626]. Philad...