how can i treat parkinson's disease?

Question

What types of surgery are there to treat Parkinson's disease?

Answer 1

You cant: Your doctor has many meds at your disposal.

Answer 2

Meds are effective!!: Dopamine meds are mainstay of treatment. Modern therapy recommends longer lasting, milder potency meds first: Azilect (mao-b selective inhibitor) & Dopamine agonists (requip xl/mirapex er/neupro). After they've been maximized & stronger meds ate needed to adequately manage symptoms, then sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together) are begun. Tailor rx with side effects in mind for each person.

Answer 3

No, others are used: Dopamine agonists such as pramipexole, ropinorole, and Neupro (rotigotine) patch. Azilect, entacapone, and maybe tolcapone. Dbs surgery and use of unit. So, lots of choices.

Answer 4

Sinemet (carbidopa and levodopa) and DBS: Standard treatment for the movement symptoms of parkinson's disease is a drug called sinemet (carbidopa and levodopa) (carbidopa/levodopa). In some cases, surgery for deep brain stimulation is used if it is determined that the risks of post-surgery complications are minimized after a neurological and neuropsychological exam. Pd is sometimes accompanied by endogenous depression, which is treated with an antidepressant.

Answer 5

Modernize Treatment!: Dopamine meds are mainstay of treatment. Modern therapy recommends longer lasting, milder potency meds first: Azilect (mao-b selective inhibitor) & Dopamine agonists (requip xl/mirapex er/neupro). After they've been maximized & stronger meds are needed to adequately manage symptoms, then sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together) are begun. Tailor rx with side effects in mind for each person.

Answer 6

Ignore: Keep the body moving, and the mind engaged. Any exercise to stretch is great!

Answer 7

Meals: Meals containing > 30% protein content reduce effectiveness of carbidopa/levodopa medication.

Answer 8

Ignore: The benefits of exercise with regard to gait and range of motion in people with parkinson’s disease.

Answer 9

Levodopa: Levodopa pills taken by mouth are less well absorbed if ingested with meals containing >30% protein.

Answer 10

Ignore: Not all people with Parkinson's disease shake.

Answer 11

Ignore: Keep moving, stretching and balance exercises. Take your medication and optimize all your functions.

Answer 12

Ignore: Involuntary movements are sometimes controlled by RX but needs NEOROLOGIST RX.

Answer 13

Ignore: Some environmental factors may be associated with a risk of Parkinson's including pesticides.

Answer 14

Ignore: Patients not responsive to meds can be sometimes successfully treated with deep brain stimulation.

Answer 15

It: It is important to develop and maintain a solid PD management plan.

Answer 16

Those: Those who take an active role in their care see an improvement in their Parkinson’s symptoms.

Answer 17

People: People with Parkinson’s are best served by a multi-disciplinary approach .

Answer 18

Some: Some pt's may require medical consultants in areas such as psychiatry and neurosurgery.

Answer 19

Every: Every person with Parkinson’s disease (PD) is different.

Answer 20

Treatment: Treatment of Parkinson’s should focus not just on the disease but also on the patient’s needs.

Answer 21

Treatment: Treatment of Parkinson’s should focus not just on the disease but also on the patient’s preferences.

Answer 22

A: A team approach can foster holistic care, drawing on the strengths of individual team members.

Answer 23

A: A comprehensive care approach goes beyond treating the movement and non-movement related symptoms.

Answer 24

Members: Members of a PD treatment team concentrate on all aspects of the patient’s needs.

Answer 25

Counseling,: Counseling, education and support are important functions of Treating PD.

Answer 26

Comprehensive: Comprehensive care is enhanced when the patient takes an active role in his or her care.

Answer 27

A: A combination of individual initiative and group concern can strengthen hope.

Answer 28

Treatment: Treatment should address issues related to loss and life changes.

Answer 29

The: The structure and orientation of a comprehensive care team may vary depending on available resources.

Answer 30

Treatment: Treatment members may need to be changed as the disease progresses.

Answer 31

Success: Success of treatment focused on living well with PD is active participation by the Patient!

Answer 32

Family: Family and loved ones, are the most critical members of the PD treatment team.

Answer 33

Team: Team members may include physician assistants, nurses, social workers, and multiple therapists.

Answer 34

Speech: Speech therapists can help with PD.

Answer 35

Creative: Creative therapists in art, music and recreation also play an important role in treatment.

Answer 36

Spiritual: Spiritual counselors, psychologists or neuropsychologists may help with treatment.

Answer 37

A: A patient’s social network and community can provide additional resources to support the Tx team.

Answer 38

Communities: Communities may offer support groups, exercise groups or senior centers that could be part of the tx.

Answer 39

A: A patient and his or her family can assemble their own treatment team.

Answer 40

It: It may help to prioritize concerns and begin with a specialist who addresses those issues.

Answer 41

For: For support and questions, call the toll-free PDF helpline at (800) 457-6676.

Answer 42

Most: Most clinicians are an important resource for counseling, education and long-term management.

Answer 43

Social: Social workers and counselors focus on the psychosocial and behavioral aspects of disease.

Answer 44

Speech: Speech and swallowing pathologists can help the patient with voice problems.

Answer 45

Occupational: Occupational therapists help a person with Parkinson’s manage chores at home, at work or community.

Answer 46

Phys: Phys Ther. address issues such as strength, endurance, movement, flexibility, gait, balance, & falls.

Answer 47

Tx: Tx can help with everyday activities such as getting in and out of chairs, beds and cars.

Answer 48

A: A speech therapist manages all aspects of communication, including nonverbal communication.

Answer 49

Lee: Lee Silverman technique, is a form of speech therapy designed specifically for PD patients.

Answer 50

Swallowing: Swallowing problems can occur, especially in advanced disease.

Answer 51

A: A swallowing specialist can evaluate and treat swallowing issues/problems.

Answer 52

Dieticians: Dieticians can help with unwanted weight loss or weight gain, constipation, vitamin deficiencies,etc.

Answer 53

Dieticians: Dieticians can recommend dietary changes to reduce swallowing problems.

Answer 54

A: A neuropsychologist evaluates cognitive skills by employing tests to identify strengths and weakness.

Answer 55

Psychologist: Psychologist can treat based on enhancing cognitive strengths and working with weaknesses.

Answer 56

Recreational: Recreational therapy can also help a person enhance his or her hobbies and improve quality of life.

Answer 57

Spiritual: Spiritual and community leaders who are available through community programs are often overlooked.

Answer 58

Individuals: Individuals in all stages of Parkinson’s disease will benefit from a comprehensive evaluation.

Answer 59

Earlier,: Earlier, focus is not on movement problems and disability as it is on maintaining health & wellness.

Answer 60

Early: Early stages is when patient-centered self-management can be introduced, not just late stages.

Answer 61

Management: Management is about hope, setting goals and establishing control.

Answer 62

Awareness: Awareness and education are critical to self management.

Answer 63

Education: Education includes active participation by teaching action-oriented problem-solving techniques.

Answer 64

After: After several years of living with Parkinson’s, challenges to quality of life may increase.

Answer 65

Movement,: Movement, mood, communication and socialization may worsen in advanced stages.

Answer 66

Late: Late stages may need to include a specialist in gait and balance therapy, and fall prevention.

Answer 67

In: In late stages Therapists in speech and communication may be needed.

Answer 68

Experts/therapists: Experts/therapists in swallowing may be needed in late stage disease.

Answer 69

The: The PD patient will truly know when they should not drive anymore!

Answer 70

A: A “complete-care” approach can include a reassessment of hobbies and recreational activities.

Answer 71

A: A “complete-care” approach may include adaptation to changing roles in one’s life and family.

Answer 72

In: In later stages, the focus turns to managing the condition & optimizing the quality of life.

Answer 73

Late: Late stage Tx may include bed and seating comfort, and transfers to and from furniture.

Answer 74

In: In late stage, you will want to explore and implement palliative and comfort care measures.

Answer 75

Emotional: Emotional and social support issues will become especially important in late stage Disease.

Answer 76

Assembling: Assembling a complete team of PD professionals will help you achieve the greatest poss quality life.

Answer 77

Keeping: Keeping track of your medications and taking them correctly can make a noticeable difference.

Answer 78

Working: Working with one pharmacist for all prescriptions can help people with Parkinson’s.

Answer 79

Timing: Timing devices can be crucial in helping you to avoid missed doses of your different medications.

Answer 80

Medication: Medication timing devices are available on the market.

Answer 81

Pill: Pill dispensers can help you to organize pills.

Answer 82

No: No medications actually reverse the effects of the disease.

Answer 83

There: There are many medications available to treat the symptoms of Parkinson’s.

Answer 84

It: It is common for people with PD to take a variety of medications.

Answer 85

Understanding: Understanding your medications and sticking to a schedule will provide the greatest benefit.

Answer 86

Deep: Deep brain stimulation (DBS) was developed in the 1990s and is now a standard treatment.

Answer 87

Worldwide,: Worldwide, about 30,000 people have had deep brain stimulation.

Answer 88

During: During deep brain stimulation surgery,electrodes are inserted into the targeted brain area using MRI.

Answer 89

In: In DBS, a device called an impulse generator or IPG is implanted under the collarbone.

Answer 90

An: An Impulse Generator can provide an electrical impulse to a part of the brain involved in motor Fx.

Answer 91

Not: Not everyone with Parkinson's has dementia, so talk normally to them. They will understand.

Answer 92

It's: It's okay to know that people with Parkinson may have tremors and need assistance with feeding.

Answer 93

Some: Some people with Parkinsons also has dementia, and need coaching to do things right.

Answer 94

Patients: Patients with Parkinsons may need assistance just to get up from bed or a chair.

Answer 95

Patients: Patients with Parkinson's may find walking difficult if the sidewalk is uneven, or at a beach.

Answer 96

Sometimes: Sometimes patients with Parkinson's look expressionless because of it's effects on facial muscles.

Answer 97

Dopamine: Dopamine tends to help reduce the symptoms of parkinsonism.

Answer 98

Sometimes: Sometimes patients with Parkinson's Disease are also clinically depressed about their condition.

Answer 99

Ignore: GREATER THE AMOUNT OF EXERCISE AND ACTIVITY, THE LESS INTENSE SYMPTOMS BECOME.

Answer 100

As: As PD advances, blood pressure may drop a lot when standing, even though BP can be high lying down.

Answer 101

Ignore: Keeping moving with exercise, yoga or tai chi is very important for good health.

Answer 102

Ignore: Lift Lab, has created a spoon that allows people Parkinson disease to eat without spilling.

Answer 103

Ignore: All PTS get swallow problems in late disease.watch for aspiration of food. Missing a pill is a kill.

Answer 104

Ignore: Medical management with a team approcah to physical and occupational therapy. Parkinson support .

Answer 105

Ignore: May benefit from weighted hand cuffs,forks, spoon and knifes.

Answer 106

Regular: Regular exercise and staying active may help with your symptoms.

Answer 107

Ignore: Daytime drooling is a sign of swallowing dysfunction in PD & increases the risk of silent aspiration.

Answer 108

Ignore: Sinemet (carbidopa and levodopa) CR 3 times a day with food, exercise , vitaminE,avoid panic and anxiety,treat depression.

Answer 109

EXERCISE: EXERCISE REGULARLY , BE FALL SAVVY ,SLEEP WELL , DIET ( LOW FAT ,SUGAR & ALCOHOL ) , PHYSIOTHERAPY.

Answer 110

Ignore: There's a correlation between Parkinson's and depression. Dopamine is also associated with mood!

Answer 111

Treating: Treating patients with Parkinson's disease costs the U.S. around $25 billion a year.

Answer 112

Parkinson's: Parkinson's Disease is twice as likely to affect men than women.

Answer 113

Doctor-: Doctor—please tell me the name of a good organization I can contact about my Parkinson's disease

Answer 114

Ignore: You can ask your doctor if it's a problem having low Dopamine and feeling stiff.

Answer 115

Ignore: Are there other conditions that can mimic parkinson s disease?

Answer 116

Ask: Ask your doctor to explain why having PARKINSONISM does not mean you have PARKINSON'S DISEASE.

Answer 117

Ignore: Shaking may get worse if you don't treat it. Tell your Dr. of any tremors or shakes.

Answer 118

Ask: Ask your doctor for a specialist referral and ask others who live with Parkinson’s disease for names.

Answer 119

Ask: Ask the Doctor is you should be driving.

Answer 120

Ignore: Eat lot of veg.take pills on time.never skip doses. Falls/pneumonia will be big issues in late stage.

Answer 121

Ignore: Ask your doctor if you will benefit from a surgical procedure.

Answer 122

Ignore: Pregunte a su médico : ¿qué tipo de actividad física puede realizar?

Answer 123

No Definitive Test: Although pd can run in families, we still do not have a definitive test. You can see the neurologist that your mother sees and get an opinion. Some new scanning techniques (dat scans) can be helpful in certain circumstances. But, no one can administer a test that will give you a concrete answer. Pd is made on what we call a clinical diagnosis, but you need to see a movement disorder specialist.

how can i treat parkinson's disease?

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