In 2012, the National Parkinson’s Foundation presented findings from the largest study to date of clients with Parkinson’s Disease (PD) and their caregivers – The Parkinson’s Outcomes Project – A report to the community. One key finding from this landmark study is that depression and anxiety had the greatest impact on health status for clients with PD.

1. RECOGNIZE & SHARE symptoms of depression, anxiety, and grief with your
care team, family, and friends. Depression self-assessment: http://mayocl.in/16ws3tl
GET SUPPORT http://bit.ly/Z8Aq7Z http://bit.ly/Xq141T
ADJUST YOUR LIFE, ROLES & ACTIVITIES based on your
areas of strength: http://bit.ly/XpZ6P9
CHOOSE HEALTHY FOODS http://bit.ly/109aOeZ
GET INVOLVED THROUGH ADVOCACY http://bit.ly/XNgug1
http://bit.ly/12fu5iF
EXPAND YOUR CARE TEAM to include providers who understand
and treat psychosocial challenges such as depression, anxiety, and grief.
STAY ACTIVE It is important to talk to your healthcare provider prior
to starting any new routines.
• Tai Chi • Yoga • Pilates • Stretching
“Scientists showed
that the impact of
depression on health status
is almost twice that of the
motor impairments universally
associated with Parkinson’s.”
Parkinson’s Outcomes Project – 2012
FACIAL EXPRESSIONBALANCE
MOBILITY INDEPENDENCE ROLES
When reading through the
symptoms of Parkinson’s Disease,
you frequently see the words, “loss of”
Our challenge – “Depression and anxiety
have greatest impact on health status”
We should also focus on uncovering
and treating the grief and loss that
may be driving - or related to -
depression and anxiety.
The MayoClinic
defines grief as…
“…the natural reaction to loss.
Grief is both a universal and a
personal experience. Individual experiences
of grief vary and are influenced by the
nature of the loss. Some examples of loss in-
clude the death of a loved one, the ending
of an important relationship, job loss, loss
through theft or the loss of
independence through disability.”
http://www.mayoclinic.org/support-groups/grief.html
EMPOWER clients to self-assess,
share, and overcome depression,
anxiety, and grief (click the links below)
Avoidance
Confusion
Elation
Shock
Fear
Frustration
Irritation
Anxiety
Overwhelmed
Helplessness
Hostility
Flight
Struggling To
Find Meaning
Reaching Out
To Others
Telling One’s
Story
Exploring
Options
New Plan
In Place
Moving On
Kübler-Ross
Stages of Grief
ANGER
BARGAINING
ACCEPTANCE
DENIAL
DEPRESSION
Information and
Communication
Guidance and
Direction
Emotional
Support
by Dr. Elisabeth Kubler-Ross
EDUCATE clients with Parkinson’s
Disease and their caregivers about
the stages of grief
http://www.ekrfoundation.org/five-stages-of-grief/
Parkinson’s Solutions Toolkit
© 2013 Griswold International, LLC
A Griswold Home Care publication
The four main symptoms of PD are:
• As these symptoms become more pronounced, patients may
have difficulty walking, talking, or completing other important
daily tasks.
Tremor or
trembling in
the hands,
arms, legs,
jaw, and face
Stiffness of
the limbs and
trunk Slowness of
movement
Problems
with posture,
balance and
coordination
Source: National Institute of Neurological Disorders and Stroke:
http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease.htm
National Parkinson’s Foundation
The Michael J. Fox Foundation for Parkinson’s Research
American Academy of Neurology: Practice parameter: treatment
of non-motor symptoms of Parkinson’s disease. Report of the
Quality Standards Subcommittee of the American Academy of
Neurology. (2010).
http://1.usa.gov/13RI3Z9
National Institute of Neurological Disorders and Stroke –
Benefits of Tai Chi: http://1.usa.gov/Z22WJr
Elisabeth Kubler-Ross Foundation: http://bit.ly/10vYjZO
Depression -
http://bit.ly/109iWfB
What are the treatment
options for Anxiety?:
http://bit.ly/Z22JWx
Videos and webcasts:
http://bit.ly/17dh2OL
Emotions and
Parkinson’s Disease:
http://bit.ly/14EMmq2
How are Depression and
Parkinson’s Disease linked?
http://bit.ly/16oh9nq
I have Parkinson’s Disease,
it doesn’t have me #1:
http://bit.ly/16wDZLq
I have Parkinson’s Disease,
it doesn’t have me #2:
http://bit.ly/Xq3pKb
Additional Resources
brought to you by:
Uncovering the
of Parkinson’s
Disease (PD)
What is Parkinson’s Disease?
• Parkinson's disease
(PD) belongs to a group
of conditions called
motor system disorders,
which are the result of
the loss of dopamine-
producing brain cells.
Dopamine is a chemical
messenger in the brain
that impacts movement
and emotions.
PARKINSON’S
BRAIN
NEURON CELL
NORMAL
Terminal
Branch of
Sender
Dopamine
Terminal
Branch
www.GriswoldHomeCare.com