Stress and time pressure influence
the severity of the symptoms of Parkinson’s. This affects the performance in
activities. During assessment stage, I think it is important to identify which
factors contribute to stress and in which daily situations this stress occurs.
Individuals with Parkinson’s often have problems of slowed information
processing and slowed motor performance.
The OT can assist by educating the
individual how to deal with stress and time pressure in daily situations.
Consideration could be given to modifying the nature of the task, for example,
for meal preparation by buying pre-prepared meals which removes the need for
that person to undertake the task altogether.
4. Practicing arm/hand motor skills
Problems with reaching, gripping
and manipulating frequently occur in Parkinson’s disease and hinder the
performance of many daily activities.
Therapy can focus on maintaining or improving the motor skills of the
arm and hand in order to maintain or improve the performance of activities.
Compensatory strategies may also be needed to facilitate motor skills, for
example, I noticed a client being very frustrated whilst doing up his buttons
on his shirt while the individual beside him had his clothing adapted by
replacing the buttons with Velcro and was managing well.
5. Occupational performance with focused attention
5. Occupational performance with focused attention
During placement I could see that individuals
with Parkinson’s found some ADL’s difficult to perform, such as, handwriting,
cutting, eating and dressing.
Individuals with Parkinson’s find they have to think more when
performing these actions. Therefore, full attention and concentration on the
task is essential for success.
When working with the individual I would
focus on an ADL that the individual does daily which requires attention, for
example, having to do up the buttons when dressing.
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