Nonpharmacologic Therapy

Lifestyle Modifications

Lifestyle modifications should be started early and continued throughout treatment. They may improve ADL, gait, balance, and mental health. The most common interventions include maintaining good nutrition, physical condition, and social interactions. Patients should avoid medications that block central dopamine (e.g., antipsychotics), as they may worsen PD symptoms.1,19 A multidisciplinary approach using the expertise of nutritionists, speech therapists, physical therapists, occupational therapists, and social workers may optimize care, but may not be covered by insurance. Patients should maintain regular visits with their optometrist/ophthalmologist and dentist. PD medications decrease saliva flow, increasing the risk of dental caries.

Dietary modifications improve constipation, nausea, erratic drug absorption, and minimize the risk of aspiration and weight loss. Nutritionists help with meal selection, products to boost calories, and suggestions for arranging the proper protein content of meals to maximize medication absorption. Speech therapy may improve swallowing, articulation, and the force of speech.

Physical and occupational therapy may improve a patient's confidence, ability to stay active, and reduce the risks of falling. An exercise program and increased activity during the day should minimize daytime sleepiness, possibly improve sleep at night,

and may be neuroprotective. ' ' Occupational therapists provide information about adaptive equipment for the home, specialized clothing, and personal training that can maximize independence, safety, and ADLs. They can help improve handwriting and train patients to use communication software.

Social workers help patients and their families handle problems related to disease progression. They provide family counseling to help keep patients engaged in family activities and to minimize family conflicts. They also arrange for special community assistance programs.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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