Stages of Parkinson's Disease

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Anonymous
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196169
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Stages of Parkinson's Disease
Updated:
2013-01-28 20:44:40
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  1. Stage I
    • •Considered the beginning stage of the disease. 
    • •Signs and symptoms are only on one side of the body
    • –Usually has tremors in one limb
    • •Symptoms are mild
    • •Symptoms are inconvenient but not disabling
    • •Noticeable changes in posture, locomotion, and facial expression.
  2. Stage II (Mild Stage)
    • •Symptoms occur on both sides of the body
    • –Tremors worsen
    • –Focal dystonia- impairment of muscle tone
    • •Minimal disability
    • •Posture and gait are affected
    • –Slow, shuffling gait (potential for falls)
    • •Masklike facies
  3. Stage II (Moderate)
    • (Stages III, IV, and V – are when a person develops significant disability from Parkinson’s disease)
    • •Significant slowing of body movements
    • •Early impairment of equilibrium when walking or standing
    • –Unsteady gait and bent forward
    • –Postural instability
    • •Generalized dysfunction that is moderately severe
  4. Stage IV  (Severe disability)
    • –Advanced disease
    • –Severe symptoms
    • •Person can still walk to a limited extent
    • –Shuffling gait – shuffles fast and can fall forward
    • •Rigidity and bradykinesia/akinesia are present
    • •Person is no longer able to live alone
    • •Tremor may be less than earlier stages
  5. Stage V (complete ADL dependence)
    • –Cachectic state – loss of strength, weight, muscle mass
    • –Major loss of mental capacity
    • –Invalid – needs constant nursing care
    • –Person cannot stand or walk
    • •Wheelchair or bedbound

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