Parkinson's and OT

1. Parkinson’s Disease
OT 537: Neurological Aspects of Occupational Performance

2. Parkinson’s Disease
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3. Overview
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4. The Path to Diagnosis
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5. The Path to Diagnosis
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6. 6
The Path to Diagnosis

7. Medical Treatment
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Levodopa (L-DOPA)

8. The Course of the Condition
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Early
Stage
Mid-
Stage
Late
Stage

9. Hoehn & Yahr: Staging of PD
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10. OT
Assessment/Measureme
nt Tools
O Assessment of Motor and Process Skills (AMPS)
O Canadian Occupational Performance Measure
(COPM)
O Nottingham Extended Activities of Daily Living
Assessment (NEADL)
O Fatigue Impact Scale (FIS)
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11. Top goals of intervention identified by
clients (Jain et al., 2005)
1. Maximize safety/reduce the risk of falls
2. Reduce effort and increase safety with bath transfers.
3. Reduce effort and improve efficiency during
kitchen/domestic/meal prep
4. Reduce impact of fatigue on ADLs.
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12. 5. Reduce effort during transfers (bed, chair, toilet)
6. Improve efficiency and satisfaction when eating
and drinking.
7. Increase satisfaction with leisure activities
8. Reduce effort and increase safety when dressing.
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13. Regular Exercise
 Recommended throughout the life of
disorder.
 Helps maintain and improve mobility and
strength.
 Physical exercise aids in rigidity relief,
muscle strength and flexibility, balance,
etc.
 Caution is advised to avoid sudden
movements or strenuous activities – fall
could result in serious injury.
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14. Focus of OT Intervention
 FALLS PREVENTION
 TRANSFERS
 BED MOBILITY
 EATING AND DRINKING
 SELF CARE
 FATIGUE
 WRITING
 PSYCHOSOCIAL
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15. References
Aargon, A., & Kings, J. (2010). Occupational Therapy for People with
Parkinsons. College of Occupational Therapists: London.
Davie, C. A. “A review of Parkinson’s disease”, British Medical Bulletin, 86
(2008): 109-127
Fox, Michael J. (2017).
https://www.michaeljfox.org/understanding-parkinsons/i-have-got-
what.php
Rao, Shobha A., Hoffman, Laura A., Shakil, Amer. “Parkinson’s Disease:
Diagnosis and Treatment.”, American Family Physician, 74 (2006): 2046-
2054
Zachry, A. (2016). Parkinson’s Disease. [OT 537 Powerpoint presentation].
Images from Wikipedia, Google
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