Wednesday, April 2, 2025

Parkinson's disease - What it is and how you can look after someone with Parkinson's disease


- Guest authored by B. Swain

Is buttoning a shirt or picking up and holding a cup of coffee often a challenge for you?

This is the reality for millions of people with Parkinson's disease, a neurological condition that impacts everything in your life. If you or a loved one has been diagnosed with Parkinson's disease, it is understandable to feel overwhelmed. But with the proper information and attention, individuals with Parkinson's disease can live a full and independent life for many years.

What is Parkinson's Disease?

Parkinson's disease is a nervous system disorder that most directly impacts movement. It is caused by the slow deterioration or death of brain cells that produce dopamine, a chemical involved in carrying messages that govern movement and coordination. Parkinson's disease is the second most prevalent neurodegenerative disorder and currently affects over 8 million people globally. Although the exact cause of Parkinson's disease still remains unknown, both genetics and environmental causes are believed to be involved.


Symptoms of Parkinson's Disease

The symptoms of Parkinson's disease typically appear gradually over a period of time and may differ from individual to individual. These typically can be divided into motor and non-motor symptoms.

Motor Symptoms:

  • Tremors – Involuntary trembling, typically beginning in the hands or fingers.
  • Bradykinesia (slowness of movement) – Reduction in spontaneous and voluntary movements.
  • Muscle rigidity– Stiffness in the muscles, which causes difficulty in movement and pain.
  • Postural instability– Balance and coordination impairments, increasing the risk of falls.
  • Facial masking– Decreased facial expressions because of facial muscle stiffness.

Non-motor Symptoms:

  • Cognitive changes– Memory impairment and difficulty in concentration.
  • Depression and anxiety– Mood disorders 
  • Sleep disturbances – Insomnia, restless legs syndrome, excessive daytime sleepiness
  • Digestive problems – Difficulty in swallowing and constipation.
  • Loss of smell – A less discussed, yet prevalent, early symptom of Parkinson's disease.

Caring for a Person with Parkinson's Disease

Caring for a loved one with Parkinson's disease demands patience, empathy, and an active attitude. Here are some practical tips on how to offer support:

1. Support Regular Exercise

Exercise is the most effective method of slowing down the progress of Parkinson's disease. Walking, swimming, and martial arts such as tai chi improve mobility, balance, and flexibility. Physical therapy can also be helpful in allowing movement and decreasing stiffness.

2. Offer a Balanced Diet

A healthy diet may assist in controlling symptoms and enhancing well-being. Foods high in antioxidants (e.g., berries, greens, and nuts) may protect the brain. Eating foods high in fiber and drinking plenty of water can aid digestive problems such as constipation.

3. Promote Adherence to Medication

Parkinson's medication, such as levodopa, replenishes the levels of dopamine in the body and controls the symptoms. Make sure your loved one is reminded to take medication at the proper time because omitting a single dose can easily affect their mobility and overall condition.

4. Ensure the Home is Safe and Accessible

Individuals suffering from Parkinson's disease are more susceptible to falls.Make your home a safe environment for such people. 

  • Remove any loose rugs that may they are likely to trip over.
  • Fix grab bars in the bathroom.
  • Provide good lighting in the entire house.
  • Use non-slip shoes and mats.

5. Provide Emotional Support

Managing Parkinson's disease is an emotional rollercoaster for the caregiver as well as the patient. Maintain open communication, hear them out, and make them understand they are not isolated. Support groups, counselling, and meditation can aid in dealing with stress and depression.

6. Assist in Daily Activities

As Parkinson's disease advances, everyday activities like dressing, eating, and bathing can be challenging. Assisting while promoting independence can preserve their dignity. Adaptive equipment, such as utensils with larger grips or clothing without buttons, can simplify daily tasks.

7. Watch for Cognitive Changes

Some people with Parkinson's disease may have cognitive decline as they age. Monitor any changes in memory, thinking, or behavior and talk to a healthcare provider when in doubt. Cognitive therapy and mental exercises, including puzzles and reading, will maintain brain function.

8. Promote Social Interaction

Loneliness and isolation can exacerbate the symptoms. Encourage them to engage in social activities, hobbies, or community participation. Talking and maintaining relationships with friends and family can enhance their emotional well-being.

Caring for Yourself as a Caregiver

  • Caring for someone with Parkinson’s can be physically and emotionally exhausting. It’s important to take care of yourself as well. 
  • Take breaks when needed and ask for help from other family members or professional caregivers.
  • Join a caregiver support group to connect with others in similar situations.
  • Prioritize self-care, including exercise, healthy eating, and relaxation.
  • Most importantly, take care of your mental health. Ask for help if needed. Don’t let your energy be drained completely; take breaks.

Parkinson's disease is a difficult condition for the patient as well as the caregiver. Take care of both. With proper care and support, people can lead meaningful and productive lives. As a caregiver, your contribution is priceless in making those with Parkinson’s disease feel comfortable, safe, and emotionally sound.

By being well-informed, promoting independence, and creating a positive atmosphere, you can make a big difference in the life of a person with Parkinson's disease.

If you or a loved one is touched by Parkinson's disease, seek the advice of healthcare providers and support groups to sail through the journey together.