Parkinson's disease impacts the human brain's dopamine-secreting nerve cells. Its symptoms include tremors, gait and speech modifications and muscle rigidity. The disease has no permanent cure; a patient of Parkinson's disease can only take treatment to alleviate his/her symptoms (WebMD, 2017).
Subjective
A fifty-year-old male patient complains of trembling hands, a condition that has been aggravating over the course of the last two or three years. His hands tremble when eating, writing, tying his shoelaces, cutting things, and doing other activities by hand. He complains that his handwriting is now nearly illegible and slumping. He is a carpenter by profession, and is anxious that his problem may affect his ability to continue earning a living.
Parkinson's disease symptoms are different for different individuals. Further, with disease advancement, the symptoms transform. Initial symptoms of a particular patient may never surface in another, or may only surface at a very advanced stage of the disease. Normally, symptoms start surfacing between fifty and sixty years of age, developing gradually and frequently going undetected by the patients, their families and their friends. The following symptoms and signs may manifest themselves in Parkinson's patients:
• Tremors in limbs, usually fingers or hands.
• Muscular rigidity
• Bradykinesia or slowed movement
• Balance and posture impairments
• Reflex loss
• Modifications in writing and • Modifications in speech (MFMER, 2015).
Objective
Parkinson's patients exhibit the following four cardinal disease indications, namely, bradykinesia, resting tremors, rigidity and postural instability - 3 out ofn4 are already inhibited in our subject. Except for the last condition, two out of the remaining three are necessary for clinical diagnosis. The 4th indication, namely difficulties balancing or postural instability, only crops up in the advanced stages of the disease (often 8+ years after diagnosis).
Postural Instability
This denotes imbalance and righting reflex loss. Its appearance...
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