Session 14 - Parkinson's Diseases in Treatment

Question 1

name 5 visual challenges/impairments that may occur with Parkinson’s Disease.

Answer 1

1. impaired saccadic eye movements
2. impaired visual scanning
3. convergence insufficiency
4. decreased contrast sensitivity and color discrimination
5. abnormal eyelid movement: reduced spontaneous blink, blepharospasm, apraxia of lid opening

Question 2

name 4 visual complaints of individuals with PD.

Answer 2

• blurry vision
• double vision
• light sensitivity/glare sensitivity
• hallucination

Question 3

name 6 non-motor symptoms of PD.

Answer 3

• abnormalities of sensation (olfactory, vision, pain patterns)
• behavioral changes (depression, dysthymia, anxiety, apathy)
• autonomic dysfunction (orthostatic hypotension, gastrointestinal dysfunction, bowel dysfunction, urinary frequency/incontinence, sexual dysfunction, thermoregulatory dysfunction)
• sleep disturbance
• fatigue
• cognition (decreased EF, mild cognitive impairments, attention and visuo-spatial deficits, hallucinations, psychosis, dementia)

Question 4

-cognitive dysfunction: difficulty concentrating, memory problems, difficulty learning new material, difficulty problem solving, disorientation/confusion, mood changes, hallucinations, paranoia, delusions

Answer 4

PD dementia

Question 5

name 3 influences of PD symptoms.

Answer 5

• health-related quality of life
• disability progression
• nursing home placement

Question 6

name 6 environmental assessments for PD.

Answer 6

• in-home occupational performance eval.
• home falls and accident screening
• home environment assessment protocol
• safe at home checklist
• check for safety
• not just the pt’s. home but the community (work place, place of worship, library) and car

Question 7

name 8 freeze break strategies for PD.

Answer 7

• remove floor clutter and throw rugs
• widen walking paths
• visualization techniques (stepping over imaginary object)
• estimate steps to a target and count
• environmental cues (tape lines on the floor)
• walker with laser cues (u-step)
• collaborate with team for consistent cues and strategies
• educate care partner and train on techniques and strategies