Surprising insights into life with Parkinson’s disease

Lifestyle Saturday 22/September/2018 18:52 PM
By: Times News Service
Surprising insights into life with Parkinson’s disease

Millions live with Parkinson’s disease (PD), and while some symptoms are easier to see, such as tremors, stiffness and slowness of movement, there are a range of harder-to-detect non-movement symptoms that can have an impact on daily life.
Here are some of their findings and insights:
1. Parkinson’s disease affects more than motor function. Every person with Parkinson’s disease may experience different symptoms, both motor and non-movement related. In fact, nearly all (90 per cent) of survey respondents experienced non-movement symptoms, such as:
• Sleep problems (84 per cent)
• Cognitive challenges (75 per cent)
• Anxiety (65 per cent)
• Depression (55 per cent)
•Hallucinations (41 per cent)
• Delusions (24 per cent)
2. Non-movement symptoms can be more challenging than motor symptoms. Of those who experienced, or reported that their loved one experienced, non-movement symptoms, 84 per cent felt that they have a negative impact on quality of life, and about half rated them as more challenging or much more challenging to live with than movement symptoms.
In a survey question about their Parkinson’s experience, one care partner said, “I wish [other people] knew that Parkinson’s looks different in different people. My spouse’s motor symptoms are fairly well controlled, but his REM sleep disorder and dementia have made our lives incredibly challenging and exhausting.”
3. Daily living is impacted by hard-to-see symptoms. Parkinson’s disease changes how patients and their care partners think about the future and cope with day-to-day living.
In fact, non-movement symptoms negatively impacted the ability to:
• Sleep (84 per cent)
• Plan for future events (76 per cent)
• Socialise (71 per cent)
• Make plans with family and friends (70 per cent)
• Be intimate with their partner (68 per cent)
• Complete household chores (68 per cent)
• Run errands (67 per cent)
When people with Parkinson’s experience non-movement symptoms, care partners are impacted, too. In fact, psychosis symptoms in patients with PD are a strong predictor of increased care partner burden, and those with hallucinations have a 2.5-fold greater risk for nursing home admission.
4. Reporting symptoms is crucial. Even though non-movement symptoms are common, they are rarely reported. For example, more than half of patients will experience hallucinations or delusions associated with Parkinson’s over the course of their disease, however, only 10-20 per cent of patients and care partners voluntarily report these symptoms to their doctors.
It’s important to report all symptoms to a doctor (usually a neurologist), as there are many different treatment options to address both motor and non-movement symptoms.