By Jolyon Meara, William C. Koller

Parkinson's disorder and parkinsonism are specific difficulties within the aged, inflicting incapacity and impairing caliber of existence. This e-book covers the medical good points, analysis, and administration of Parkinson's affliction in aged humans, discussing such themes as motor signs, melancholy, and autonomic frightened process disorder. It quite emphasizes the significance of rehabilitation and overall sufferer care. subject matters lined contain:

  • Differential analysis and epidemiology
  • Drug-induced parkinsonism and gait apraxia
  • The drug therapy of aged sufferers
  • Cognitive impairment in aged sufferers with Parkinson's disorder
  • The multidisciplinary rehabilitation staff. This ebook is a complete, sensible and enlightened account of Parkinson's ailment within the aged that might entice clinicians concerned with neurological illness and rehabilitation in aged humans.
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    Sample text

    One study comparing a sample of patients with arthritis and P1) found that depression scores were similarly high in both disease groups compared with healthy elderly subjects (Gotham et al. 1986). 86% per year, with age specific incidence increasing with age of subjects (Dooniefet al. 1992). 17%. Nature of depression in PD Although elderly patients with PD express high levels of depressive symptoms the prevalence of major affective disorder, as diagnosed on L)SM-1II criteria, and other formal psychiatric diagnoses of 'caseness', appears to be low (Madeley et al.

    1990, Jankovic et al. 1990, Stern et al. 1993, Viitanen et al. 1994, Marder et al. 1995). Causes of dementia in PD Elderly patients with dementia predating parkinsonism by at least one year should probably be considered to have a primary dementia, such as AD, or dementia with Lewy bodies complicated by parkinsonism. Parkinsonism predating dementia by at least one year can be considered to be 'PD with dementia'. In this situation dementia can arise from the same causes as for primary dementia as well as from typical brainstem PD pathology alone.

    In this study 79 carer spouses were identified and 35% of this group of carers had significant depressive symptoms. Only around 7% of carers scoring in the depressed range on the GDS were being treated with antidepressant drugs. Dementia Dementia is a major factor in the management of PD in elderly subjects, limiting both the drug therapy that can be offered and the quality of life that can be achieved for patient, carer and family. Cognitive impairment in PD, particularly if complicated by hallucinations and delusional ideas, is the most potent risk factor for admission to nursing home care.

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