Evaluation and Intervention of the Client with Parkinson’s Disease

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About the Course:
Parkinson's disease (PD) is the second most prevalent neurodegenerative disorder, after Alzheimer's disease, affecting approximately 630,000 people in the U.S. in 2010. This number is expected to double by 2040. With the growing number of people living with PD, most occupational therapy practitioners are likely to encounter a client with this diagnosis in their practice. Practitioners enter the field with a general understanding of neurologic rehabilitation but lack specific training in the differential diagnosis, examination, and management of clients with Parkinson's disease. This intermediate-level course is designed to provide occupational therapists and certified occupational therapist assistants with the information needed to appropriately examine and treat the client with Parkinson's Disease, including differential diagnosis of individuals who exhibit signs and symptoms indicative of PD. Equipped with the most current evidence, the learner will be able to discuss and critically evaluate interventions directed at the specific body structure and function, activity, and participation deficits associated with PD. 

Course Objectives: 
After completing this course, the learner will be able to: 
  • Describe the etiology and symptoms of Parkinson’s disease, including its four cardinal signs. 
  • Describe the clinical course of Parkinson’s disease, its classification, and differential diagnosis of parkinsonian syndromes. 
  • Describe the medical management of Parkinson’s disease. 
  • Determine the optimal evaluation process given the client’s individual presentation and current best evidence. 
  • Compare and contrast current, best therapy interventions for the management of the client with Parkinson’s disease. About the 

About the Authors
Meredith Chandler OTR/L has been working as an occupational therapist for 7 years, primarily with the adult and geriatric populations in hospital and skilled nursing settings. Her patients have a wide variety of medical conditions including, but not limited to, neurological and cognitive impairments. Additionally, she works as an independent writer and researcher. Over the past 4 years, she has compiled several academic courses, articles, and educational blogs for fellow clinicians and caregivers. Meredith also has experience in conducting international rehabilitation trainings for both pediatric and adult patients/caregivers.

The 1st Edition Author Deborah Kegelmeyer, DPT, MS, GCS, is a certified geriatric clinical specialist with more than 20 years of clinical experience. She is currently professor of clinical Health and Rehabilitation Sciences at Ohio State University, from which she graduated summa cum laude in 1983 with a Bachelor of Science in physical therapy and in 1990 with a Master of Science in allied medicine. She went on to pursue a doctorate in physical therapy from the Massachusetts General Hospital Institute of Health Professions in 2004. In 1988 she founded the first group exercise program in Franklin County, Ohio, for individuals with Parkinson’s disease and has remained active in local Parkinson’s support and exercise groups. She served as chair of the PD EDGE taskforce for the Neurology Section of the American Physical Therapy Association, creating recommendations for universal outcome measures for use in Parkinson’s disease. Dr. Kegelmeyer studies mobility and fall prevention in the elderly and those with neurodegenerative disease and works as a consultant in the Movement Disorders Clinic at Wexner Medical Center. She has written extensively, including several journal articles related to Parkinson’s disease, including “Reliability and Validity of the Tinetti Mobility Test for Individuals with Parkinson Disease” and “Assistive Devices Alter Gait Patterns in Parkinson Disease: Advantages of the Four-Wheeled Walker.”

How to Receive Credit:
  • Read the entire course online or in print.
  • Depending on your state requirements you will be asked to:
    • Complete a mandatory test (a passing score of 75 percent is required). Test questions link content to learning objectives as a method to enhance individualized learning and material retention.
  • Provide required personal information and payment information.
  • Complete the mandatory Course Evaluation.
  • Print your Certificate of Completion.

Disclosures:

Resolution of Conflict of Interest
The contributors to this course have no conflicts of interest relative to its content. Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity.

Sponsorship/Commercial Support and Non-Endorsement
It is the policy of Colibri Healthcare, LLC not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Disclaimer
The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.
©2020: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing, but does not represent or warrant that it will apply to your situation or circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.