What disease characteristics may be used to distinguish PD, drug-induced Parkinsonism, and other Parkinson-like syndromes?
Disease characteristics that may be used to distinguish between Parkinson’s disease, drug-induced parkinsonism, and other Parkinson-like syndromes include: asymmetric vs. symmetric motor signs; time frame of progression; and response to pharmacologic therapy. • When should a speech therapy evaluation be considered for a patient with Parkinson’s disease? Consider a speech therapy evaluation if there is a significant change in the patient’s cognition or ability to communicate. • What are common side effects of the drug levodopa? Side effects of levodopa include the “wearing-off” effect (the patient’s response to levodopa may become progressively shorter over time, resulting in a marked, predictable decline in function before the next dose is administered) and dyskinesia. • What are the leading causes of nursing facility placement among PD patients? Among PD patients, dementia and delirium are the leading causes of nursing facility placement. • When should pharmacotherapy for PD patients
