CASE STUDY SCENARIO Mr Lo age 62 years old has been diagnose

CASE STUDY SCENARIO

Mr. Lo, age 62 years old, has been diagnosed with Parkinson’s disease (PD). He lives in downtown Toronto with his husband of 22 years. His initial symptoms were depression, monotonous, indistinct speech, stooped posture, loss of energy, and hand tremors. His physician started him on Sinemet^® 300mg/day PO (levodopa-carbidopa combination). While discussing his medication history with him, you find out that he takes a B-complex multivitamin that contains vitamin B₆. He also tells you that his husband Joey has told him to take some of his phenothiazine (an antipsychotic) since he thinks it may “lift him out of his depressed mood.”

A year has passed, and when you see Mr. Lo again his symptoms have worsened. He is feeling muscle rigidity, fixed facial expressions, slowed movement, arm numbness, and cognitive difficulty. His physician has changed his Sinemet^® to Stalevo^® 100 (levodopa- carbidopa-entacopone combination); he has also added pramipexole (Mirapex ER) a dopamine agonist, and an antidepressant for his mood disorder.

Pharmacology Questions

1.        What are some non-pharmacological and diet changes that Mr. Lo needs to consider altering with his diagnosis of Parkinson’s disease?explain your answer in full lenght and refrences as well

Solution

non pharmacological intervention would mean be any means to improve health and well being that does not involve the use of any drug or medicine.Parkinsons disease is a neurodegenetrative disorder that affects motor and non-motor features.Among nonmotor features cognitive impairement and developement of dementia is common.Non drug cognitive enhancement therapy play an important role in parkinson disease.

exercise may increase your flexibilty,balance and muscle strength.Exercise can improve your well being, and reduce depression or anxiety.Exercises such as walking swimming, gardening,dancing,water aerobics and streching and be done.Parkinsons disease can disturb your sense of balance may it difficult for you to walk.Excercise can improve your balance.

Massage therapy can reduce tension and promote muscle relaxation. Tai-chi,an ancient form of chinese excercise improves flexibility,balance and muscle strength.The stretching movements in Yoga can improve flexibility and balance.Medidation can reduce stress,pain and can improve your sence of well being.Music therapy helps you to relax.it helps people improve their walking and speech.

No single diet can treat Parkinsons disease but a healthy and well balanced diet can improve health and general well being.Eating fruits and vegetables can keep you energized and well hydrated.Fibre rich foods and fluids can ease the symptoms of constipation and low blood pressure. diet rich in antioxidants helps tackle oxidative stress and cellulat damage. Diet should include grains,eggs,legumes,nuts ,dark chocolate.Choose foods low in saturated fats and cholestrol.Drink 8 glasses of water per day.