General Management Goals

Management of hypokinesia and immobility includes medical and physical therapies. Whereas the specific drug or surgical intervention depends on the etiology and the type of hypokinesia, all forms may benefit from careful attention to proper support tools in the home and walking aids. Sometimes, a visit to the home by a physical or occupational therapist is useful for an assessment of needs. Because freezing episodes can be precipitated by low-lying objects and crowded conditions, many families remove all unnecessary furnishings from the patient's walking area. Visual cues like striped lines on the floor may also help patients with prominent freezing akinesia to overcome the blockage and initiate movement. The patient who falls may need to wear knee, elbow, and hip padding. If the patient is highly immobilized, venous status and pulmonary emboli are risks, especially if the patient remains in bed.

The hyperkinetic patient likewise may need protective clothing if he bumps himself from flinging movements. Braces and splints should generally be avoided, because the movements persist and the braced extremity or trunk will be injured. Attention to weight and nutrition is important in hyperkinetic patients because hyperkinetic patients may be hypermetabolic and use unexpectedly high calories and fluids. If swallowing is affected by either hypokinesia or hyperkinesia, attention must be directed to proper nutrition, and some patients with advanced diseases require feeding tubes.

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Alcohol No More

Alcohol No More

Do you love a drink from time to time? A lot of us do, often when socializing with acquaintances and loved ones. Drinking may be beneficial or harmful, depending upon your age and health status, and, naturally, how much you drink.

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