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Suggest Treatment For Difficulty Walking In A Person With Parkinson S Disease
Hi, my father is 80 years old and suspectedly suffering from Idiopathic Parkinson Disease. The thyroid test is awaited. He has been recently discharged from hospital and brought home and is bedridden. He was walking and doing his chores some 30 days back when he suddenly started hallucinating and falling. During hospital admission he was found to have some delirium, acute constipation, lack of orientation but had no tremors. His heart, blood, urine , X-ray, MRI and USG (Abdomen) reports were okay and doctors were very hopeful that with physiotherapy he will walk again. Accordingly, after discharge, I am giving him care, prescribed medication and physiotherapy at home. He has now following problems:- (a) Passing green stools, (b) Unable to walk and has to be assisted by two persons. His left leg seems weeker and accordingly right step wobbles left and front of left leg, (c) Orientation has returned and irrelevant talks have reduced. He had a brief episode of non-physical aggression (unlike before when he was physical and longer lasting). I want to know how can I help him to walk again and if it is correct that he can walk? His medication is Syndopa 110 TDS, Fludrocortisone 1mg OD, Metoprolol XL 50 mg OD, Urimax 0.4mg OD, Shelcal 500mg OD, Pantocid 40mg OD, Amantidine 100mg BD, Donepezil 5mg OD, Pramipexole 0.25 mg HS, Folic Acid OD, Capsule Autrin BD, TAb Escitalopram 10mg HS, Losartan 50mg BD and Quetiaprine 25mg + 50mg BD.
Mon, 11 Apr 2016
hi,
thank you for providing the brief history of your father.
As you mentioned he is having idiopathic Parkinson disease it is possible that the reason is unknown. But as per my knowledge of understanding, since you mentioned his age as 80 years, it is ageing related process which is stopping him from being comfortable.
I have seen Parkinson cases and been providing physical therapy to them at doorsteps. Focussing on each and every aspect of the patient is very important and I was able to cope up well with recovery of them.
Usually, medication and physical therapy are The support system to the patients. For my patients I use to provide the oxygen therapy as to help their metabolic function to be at optimum. Oxygen is the primary source of energy required for the cells to recover and function normally.
Along with exercise the use of oxygen has added an advantage of the physical therapy I provided since the oxygen helps the neural tissues to be functioning well. Also, exercises are a must to improve the metabolism and the drug absorption.
as continued reading the history , I could understand that the condition is progressive, so as to control the progression the absorption of the drug along with the physcial therapy has to be on the coordinated. I usually discuss with the physician and discuss about the dosages from time to time. Keeping an close connection between the patient, physical therapist and the physician helps to plan the rehabilitation process.
Also, as you mentioned in the history of the green stools, it is possible of having any bacterial infection which needs correction.
Helping the patient walk as much as possible with support if required will help to induce the cardio workout as well. Never means that patient has to walk longer distance. walk short distances with increased frequency helps alot.
I have a descent success in the ageing patients who have suffered with Parkinson. I am sure your dad will recover once the bodys physiological system takes the role above all. once the physiology supports the absorption of the drug and confidence is created within the self, then walking will come faster. Needs only a patience and a humble care.
Regards
Jay Indravadan Patel
thank you for providing the brief history of your father.
As you mentioned he is having idiopathic Parkinson disease it is possible that the reason is unknown. But as per my knowledge of understanding, since you mentioned his age as 80 years, it is ageing related process which is stopping him from being comfortable.
I have seen Parkinson cases and been providing physical therapy to them at doorsteps. Focussing on each and every aspect of the patient is very important and I was able to cope up well with recovery of them.
Usually, medication and physical therapy are The support system to the patients. For my patients I use to provide the oxygen therapy as to help their metabolic function to be at optimum. Oxygen is the primary source of energy required for the cells to recover and function normally.
Along with exercise the use of oxygen has added an advantage of the physical therapy I provided since the oxygen helps the neural tissues to be functioning well. Also, exercises are a must to improve the metabolism and the drug absorption.
as continued reading the history , I could understand that the condition is progressive, so as to control the progression the absorption of the drug along with the physcial therapy has to be on the coordinated. I usually discuss with the physician and discuss about the dosages from time to time. Keeping an close connection between the patient, physical therapist and the physician helps to plan the rehabilitation process.
Also, as you mentioned in the history of the green stools, it is possible of having any bacterial infection which needs correction.
Helping the patient walk as much as possible with support if required will help to induce the cardio workout as well. Never means that patient has to walk longer distance. walk short distances with increased frequency helps alot.
I have a descent success in the ageing patients who have suffered with Parkinson. I am sure your dad will recover once the bodys physiological system takes the role above all. once the physiology supports the absorption of the drug and confidence is created within the self, then walking will come faster. Needs only a patience and a humble care.
Regards
Jay Indravadan Patel
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