Common activities of daily living dysfunction in Parkinson’s patients is manifested in.
1. Difficulty in initiating movements and reduced activity, which can easily cause a vicious circle.
2.Small and rigid gait, unstable gait and easy to fall.
3.Joint stiffness and inability to do fine movements, which affects activities of daily living.
4. Late cognitive deterioration.
The occupational therapy for Parkinson’s are.
1.Encourage patients to actively participate in activities during daily life.
2.Reduce the chance of patients falling.
3.Use appropriate assistive devices, use environmental improvement and daily living aids to promote independent living ability.
4.Participate more in outside activities to slow down the deterioration of limbs and cognition.
Specific methods are as follows.
1, how to train from sitting to standing: let the patient’s body weight forward, and then say: “Please put your hands under your knees! Swing your body forward and backward for a few seconds and count: one, two, three! Stand up!”
2.How to sit up from the bed: let the patient bend his feet up, swing his feet from side to side several times, then put his feet out of the bed, then get up with his hands on the edge of the bed can say to the patient: “Please put your left hand on the edge of the bed!”
3, how to walk on the floor: you can put colorful cloth strips on the floor, so that patients pay attention to the visual cues provided on the floor, prompting patients to walk widely, and use a larger stride when turning in the corner.
For Parkinson’s patients, common assistive devices for occupational therapy and home environment modification are.
1.Assisted walking frame for getting up.
2.Toilet movable handle.
Toilet booster
Scrubbing belt
Bathing board and bathtub handle
4.Easy feeding for patients.
Chopstick aids
Special cups
Leak-proof device and enlarged handle eating utensils
5.Convenient care for patients.
Mobility wheelchair
Standard wheelchair
Parkinson’s patients need to pay attention to when they go out.
1, encourage patients to use more canes, a little more support, a little more balance, but also to give themselves more external cues, the chance of falling will be less. Nowadays, most traffic lights turn too quickly, so if drivers see you using a cane when crossing the street, they may give you a step to walk past.
2, avoid using escalators, because they are generally very fast and crowded, Parkinson’s disease patients such as] have such a large gait, should use the lift to reduce falls.
3, go out to the bathroom to find a spaced toilet compartment, because there are walls or handrails to rely on, reducing the risk of falling because of the broken step state, but also allow yourself enough time to complete the task.
4.Put small things and personal items such as wallets in a portable bag that can be hung on your chest to make it easy to take things out and dislike them, and it is also convenient to use your bank card to buy things in the supermarket to reduce the need to find change or to pick up change that has unfortunately fallen to the ground.
5.When you go out, you should try to avoid busy hours to reduce the number of people and collisions and falls. If the journey is too long, please try to have a family member or friend accompany you, and bring a light weight portable wheelchair to go out, so that you can sit down and dislike it when you are tired.
In conclusion, the principles of home and daily living care are to respect the patient, encourage them to build a healthy self-image and keep their personal appearance neat and tidy, encourage the patient and their family to face difficulties and adapt to changes in their lives with a firm and courageous attitude, maximize the patient’s abilities rather than emphasize the patient’s deficiencies, and actively participate in home activities to increase the patient’s self-confidence and sense of success.