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Improved Quality of Life
 Efficacy with minimal
side effects -
 Optimal functional level
 Minimal effect on
cognition
 Peace & comfort
 Improved socialization
 Without adversely
effecting co-morbidities

 

nCareful and accurate history
nDistinguishing exceptional symptoms from complaints due to age-related cognitive decline
nAssess the patient for depression, and inquire about behavioral and psychotic disturbances
nConsider conditions whose symptoms and signs mimic those of neurodegenerative dementia
nObtain and review the patient's medication history for drugs
 Features of schizophrenia and their impact on social and
occupational functioning.
 Comorbid psychiatric disorders
 Neurocognitive deficits
 Comorbid substance abuse
 Comorbid metabolic disorders.
Average Life Span in US
47 years in 1900
mid 75 years in the mid--1990s
Definition of Parkinson Disease
Diagnosis
History
Physical Examination
Testing
Differential Diagnosis
Co Co--morbid Mental Illnesses
Treatment
pThe diagnosis of Parkinson's disease is based primarily on the presence resence
of four distinct features:
 Bradykinesia (slowness of movements) or akinesia (difficulty ini Bradykinesia (slowness of movements) or akinesia (difficulty initiating tiating
movements) movements)
 Truncal and limb muscle rigidity Truncal and limb muscle rigidity
 Resting tremor or postural tremor Resting tremor or postural tremor
 Postural instability and gait disorders later in the course of t Postural instability and gait disorders later in the course of the illness. he illness.