Parkinson's Disease: Eval and Intervention

Question 1

Evaluation for Pakinson’s disease includes

Answer 1

Interview for info on how symptoms such as rigidity, bradykinesia, tremors, and postural instability impair
areas of occupational performance.
Assessment of occupations or preferred activities that have been altered or eliminated.

Question 2

Clients with PD may experience ____ during the day; symptoms tend to increase just before the next medication dose.

Answer 2

fluctuating energy levels

Question 3

Evaluating a person with PD at only one time of day may not provide an accurate picture of ____

Answer 3

strengths and deficits.

Question 4

Best form of cuing for clients with PD

Answer 4

Single auditory cue can help the person produce quicker and smoother movements. The
rhythm of counting out loud and singing also helps clients fine-tune movements (Forwell et al.,

2008, p. 1093). Active music therapy can enhance motor skills (specifically bradykinesia), emo-
tional health, ADL performance, and quality of life

Question 5

Give two strategies for helping clients with PD fine-tune movements

Answer 5

Have them count out loud or sing

Question 6

What strategies are beneficial for clients with PD in managing freezing?

Answer 6

voiding crowds, tight spaces, and turns or
corners; reducing distractions and avoiding multitasking; eliminating clutter in pathways; and
avoiding rushing to answer the phone or door.

Question 7

Mealtime strategies for clients with P.D

Answer 7

Encourage the client to modify meals for smaller portions, remove distractions, eat more slowly,
and use adaptive equipment such as built-up or weighted utensils, cups with lids, plate guards,
and nonslip surfaces.

Question 8

Instruct the client to work on self-care activities as close to the ___ as possible and, when appropriate, with upper-extremity support on a table.

Answer 8

body

Question 9

Using proximal muscles can help stabilize

distal joints and muscles, which may reduce ____ .

Answer 9

tremors

Question 10

Using a ____ can help clients with P.D become more aware of facial expressions

Answer 10

Mirror

Question 11

When addressing communication in clients with P.D instruct the client in ___, ____, and _____ ; advise the family to phrase questions in a way that elicits

Answer 11

articulation, speech volume, and breaking up sentences

Shorter responses

Question 12

Educate the client with P.D to engage in sex after ____ and _____ and when symptoms are best ______

b. Screen for depression if passivity, lack of interest, or general apathy is a factor

Answer 12

resting and voiding bowel and bladder

controlled with medications.

Question 13

Screen for ____ in clients with P.D if passivity, lack of interest, or general apathy is a factor

Answer 13

Depression

Question 14

What modality is best to address rigidity and associated pain in clients with P.D? .
a. Use moist heat, (Cooper, 2007,
p. 477).
b. (Cooper, 2007, p.
477). Advise the client on a wearing schedule and skin integrity checks to prevent breakdown.
c. Help the client advocate for better control over the environment; family or coworkers may prefer
a cool home or work environment, but colder temperatures increase muscle stiffness

Answer 14

Moist heat.

Question 15

What type of stretching is best for clients with P.D

Answer 15

stretching, and gentle ROM.

Question 16

The masklike facial expression of people with PD

makes it imperative to

Answer 16

diligently monitor pain during all exercise and stretching

Question 17

For clients with contractures, an _____ splint or a dynamic or static progressive splint gives a low-intensity stretch against the contraction of the antagonist muscles

Answer 17

antispasticity

Question 18

A job that _____ requires minimal ____is a better fit for a person with PD over the long term.
b. Encourage clients to take rest periods and stretch.
c. Advise clients on streamlining the workload to perform difficult tasks when medication is at
optimal effect

Answer 18

sedentary

verbal communication

Question 19

Jobs to be avoided are those that require _________, and entail high stress levels.

Answer 19

extensive gross motor movements