How to care for people with Parkinson’s disease

Parkinson’s disease is a chronic disease, but it is a progressive aggravation, and in some patients it can also progress very quickly. Therefore, early treatment is necessary and long-term medication is required. Commonly used medications include amantadine, antan, levodopa, methyldopa, and Senfluoro. Long-term use of these drugs may result in reduced efficacy or side effects. Therefore, family members should not only urge patients to take medication on time, but also pay attention to observe the effect of the patient’s medication and the side effects of the medication, so that doctors can adjust the dosage and type of medication in a timely manner. At the same time of medication, patients should be encouraged to do exercise training. Encourage patients to put on and take off soft and loose clothes by themselves to strengthen the upper limb activities and upper and lower limb coordination training. For those who have difficulty in getting up by themselves, the head of the bed can be raised, and a rope can be knotted at the end of the bed for the patient to get up by pulling. Avoid sitting on too soft sofa and deep concave chair, try to sit on both sides of the armrests of the sitting furniture, can also raise the back of the chair, so that there is a certain degree of inclination, easy to get up. 2, gait training Every day, planned to stand in place and high leg stepping, standing position, sitting position to do the left and right alternating ankle dorsiflexion; forward, backward stride to move the center of gravity and other sports exercises. When walking, stride length and width control can be achieved by adding markers on the floor, such as walking line markers, transfer line markers or footprint markers, etc., and walking according to the markers’ instructions in order to obtain gait control. If there is a small step, wear shoes with high friction soles, such as rubber soles, to make the walk less slippery. Avoid shoes with a heel or slanted heel for a forward gait. Flat-heeled shoes can slow down a forward gait. Walking stick can help the patient to limit the forward gait and maintain balance. 3.Help training For patients with loss of self-care ability or advanced Parkinson’s disease, active or passive joint training is indispensable every day. The focus of activity training is to strengthen the patient’s extension muscle range, traction shortened, stiff muscles. Family members should help them to do passive limb movement, activities, gentle and slow movements, to the neck, waist, limbs, joints and muscles comprehensive massage, 3-5 times a day, 15-30 minutes each time, try to maintain the range of motion of the joints, and to help turn over on a regular basis to prevent and treat complications such as bedsores. 4, language training Parkinson’s disease patients have hoarseness, pronunciation difficulties, unclear speech, etc., so appropriate pronunciation exercises, can improve the pitch, volume and clarity of speech. Find a secluded place, relax, stand with eyes closed, pronounce as long as possible, amplify the volume as much as possible, repeat the exercise, read aloud newspapers, novels, etc. or communicate with others to maintain speech function through long-term effective communication. 5, facial movement training The special face of Parkinson’s disease patients is “mask face”, due to the stiffness of facial muscles, resulting in dull facial expression, so it is necessary to do some facial movement exercises. Frowning: Frown as much as you can, and then spread your eyebrows, repeat several times. Exercise by opening and closing your eyes. Cheek puffing exercise: first, puff up your cheeks, and then try to inhale them as much as possible. Show your teeth and whistle: try to show your teeth as much as possible and then do a whistling motion. In front of the mirror, let the face show a smile, laugh, show teeth and smile, pouting, whistling, puffing cheeks and so on. 6, trunk exercise (1) feet apart, knees slightly bent, the right upper limb raised above the head and slowly bent to the left side to hold for a few seconds; then the left side to repeat. (2) Arms forward, gently cross to the opposite side. (3) Lie flat on the floor with each knee bent toward the chest for a few seconds. Then do this bilaterally at the same time. (4) Lie on your back with your abdomen extended and your legs and pelvis pressed against the floor, and push up with your arms for 10 seconds. Then relax. Then raise your arms and legs off the floor at the same time for 10 seconds, then relax. For patients who are bedridden in the late stage, they should be helped to turn over diligently and make more passive movements in bed to prevent joint fixation, decubitus ulcers and the occurrence of crural pneumonia.