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GROUP 3: Parkinsons Disease

Case:
Mr. S, a 69-year-old man, presents with a 1-year history of mild slowness and loss of
dexterity. His handwriting has become smaller, and his wife feels his face is less expressive
and his voice softer. Over the last few months he has developed a subtle tremor in the right
hand, noted while watching television. His symptoms developed insidiously but have mildly
progressed. He has no other medical history, but he has noted some mild depression and
constipation over the last 2 years. His examination demonstrates hypophonia, masked
facies, decreased blink rate, micrographia, and mild right-sided bradykinesia and rigidity. An
intermittent right upper extremity resting tremor is noted while he is walking. The rest of his
examination and a brain MRI are normal.
Mr. S has had decreased levels of independence at home, particularly in ADLs, with his
dependence on his aging wife growing. His primary goal is to be able to take care of himself
at home.
Flow of the Days Lecture:
Pretest and presentation of the case
Important details about the case
Group Discussion
Problem Area
Journal Conclusion and Management
Potential and Prognosis
Intervention Strategies
Assessment Tools and Evidence Based Management
Summary of the Observer
Learning Goals
To recall basic concepts and facts about Parkinsons Disease
To understand the concepts in relation to its entity and affectation towards function in
people affected with the disease.
To use the information gathered to sum up the necessary interventions needed to
provide therapy to the affected population.
To analyze and connect ideas in order to create and conduct an appropriate
treatment outcome that is beneficial to the affected population.
Learning Methodology
To facilitate sharing of ideas with regards to Parkinsons Disease through class
discussion
To be discuss the role of occupational therapy in the management of patients with
Parkinsons Disease
To discuss current, evidence-based practice
Parkinsons Disease:
Specific Points to Learn in Each Topic
What is Parkinsons Disease?
What is the hallmark etiology of PD?
What is the hallmark manifestation of PD?
What is the stages of PD?
Common complications or comorbidities encountered in PD?
How is PD diagnosed?
What are initial signs and symptoms of PD?

What
What
What
What
What
What

special tests apply to PD?


is the role of OT in patients with PD?
are the general OT goals for patients with PD?
are approaches used with patients with PD?
are possible outcomes for patients with PD?
is the current trend of evaluation and intervention according to research?

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