MEDICATION Instruct the patient to take medicine exactly as prescribed.

● Omeprazole 20mg/tab, 1 tab 30 minutes before breakfast

● Carbidopa/levodopa 25/100 1 tablet @8:30AM, 12:30 PM,

4:30 PM, and 8:30 PM

● Pergolide 1 mg po ( oral ) TID ( three times a day)

● Simvastatin 20 mg po ( oral) HS ( at bedtime) x 2 years

Educate the patient and the family of the side/adverse effects of the
drugs.

GENERAL CARE Teach the patient and family about home safety:

● Suggest they remove throw rugs and loose carpeting and

install grab bars and elevated toilet seats in the bathroom
● Recommend the use of a cane or walker for a patient in the
later stages of Parkinson’s disease.
● Group the things that are used most, such as reading
glasses, keys, and the telephone, in one easy-to-reach place.
● Put no-slip tape and handrails in the tub to prevent falls.

DIET & EXERCISE Teach the patient and family about preventing constipation by
encouraging adequate nutrition, eat foods with moderate fiber
content, and hydration; stress the importance of establishing a
regular pattern of elimination.

If the patient have problems swallowing, change how and what to

eat:
● Try thick drinks, such as milk shakes. They are easier to
swallow than other fluids.
● Do not eat foods that crumble easily. These can cause
choking.
● Use a blender to prepare food. Soft foods need less chewing.
● Eat small meals often so that you do not get tired from eating
heavy meals.
● The patient is encouraged to chew first on one side of the
mouth and then on the other.
● Massaging the facial and neck muscles before meals may be
beneficial.

Encourage the patient for exercises:.

Stretching (stretch–hold–relax) and range-of-motion exercises

promote joint flexibility.
 Postural exercises are important to counter the tendency of the head
and neck to be drawn forward and down.

Educate the patient to concentrate on walking erect, to watch the

horizon, and to use a wide-based gait (i.e., walking with the feet
separated).

Tell the patient to have frequent rest periods to aid in preventing

frustration and fatigue.

REFERRAL May recommend of the following:

Support groups that are specifically for patients with Parkinson’s

disease.

Therapy :

● Physical therapy to maintain muscle function as long as

possible.
● Occupational therapy is used to teach skills that help with
daily activities.
● Speech therapy may be used to help improve your ability to
talk or swallow.
● Psychotherapy can be used to help you talk about your
feelings about PD. Your family members may attend meetings
to learn new ways to take better care of both you and
themselves.