Raise Awareness

Taboo Parkinson’s Topics and How to Address Them

a couple in bed together

For many, it is embarrassing to bring up taboo topics with your doctor ― from sexual dysfunction to incontinence. However, when it comes to living with Parkinson’s disease (PD), sometimes these topics can be connected to the disease itself or side effects to PD medications.

No topic should be considered off limits to discuss with your healthcare team. The more we normalize and bring awareness to these issues, the less taboo they become. Scroll down to view some of these topics and their connection to Parkinson's, or click to jump straight to a specific topic.

Sexual Dysfunction

Sexual dysfunction is common in men and women with PD. The issue often goes unaddressed as patients, spouses and healthcare providers may not be comfortable discussing sex. Parkinson’s itself may cause sexual dysfunction due to the loss of dopamine. Medications, such as anti-depressants, can also contribute to sexual dysfunction. To note, most PD drugs are not associated with impotency or loss of libido.

Hypersexuality can also be linked to certain dopamine agonists. There are many ways to address PD-related sexual dysfunction, and it all starts with speaking to your doctor. Try writing your symptoms down before your next appointment and telling your doctor you have a sensitive issue you want to discuss.

Learn more

Impulse Control Disorders

Dopamine medications have improved life for millions of people, but researchers believe that some people with PD on dopamine agonists or monoamine oxidase (MAO) inhibitors can develop impulse control disorders: unhealthy levels of gambling, shopping, eating or sexual activity.

If you believe that you or a loved one has an impulse control disorder, try to identify a trend in unhealthy behaviors and discuss it with your doctor. These disorders usually respond to medication changes. Your doctor can often work with you to reduce your dosage or switch to another medication.

Learn more

Caregiver Burnout

For many, stress can be a part of life when caring for someone with a chronic illness such as PD. However, some care partners may have a tough time coping with the fact that they need help. Care partners and their loved ones should address caregiver burnout as soon as you notice warning signs: feelings of anxiety, anger followed by guilt, bitterness towards family members and depression.

In general, 40 to 70 percent of caregivers are significantly stressed, and about half of these meet the criteria for clinical depression. While a challenge in itself, learn your limits as a care partner and find a support network that works for you. Many times, you can work with your loved one’s care team or a social worker to find additional help and resources that work best for you.

Learn more

Palliative Care

For many, the term palliative care is associated with fear. Think of palliative care as supportive care, defined as helping people with Parkinson’s and care partners plan for the future, address non-motor symptoms and provide an extra level of support. Palliative care can help people with PD and their families at any stage.

Palliative care is not the same as hospice care. It does include hospice, which is end-of-life palliative care, but also provides support for patients and families from the time of diagnosis.

Learn more

End of Life Planning

Many adults avoid the subject altogether. However, all adults, even if their health is excellent, should document their wishes and preferences should a health emergency occur. If you have a spouse, partner, children or others you care about, as your disease progresses estate planning can help you ensure that they are provided for and cared for, if necessary.

Get organized. Consider creating a binder with the following main document categories: Medical, Family, Insurance/Property and Finance. Make sure that a close family member or friend knows where to find them in case they are needed. Taking the time to make advance preparations for this inevitability is practical and necessary. Honest conversations about end-of-life planning and care may not be comfortable or easy, but they are important so you can ensure that your wishes are honored.

Learn more

Addressing Uncomfortable Topics with Your Doctor

Doctors usually wait until the end of an appointment to ask, “anything else?” How do you transition into your potentially uncomfortable topic? 

  1. Remember that your doctor has heard it all. She/he wants to help you increase your quality of life.
  2. Give yourself a quick pep talk. Your symptom or issue has been impeding on your quality of life. The conversation will only last a few minutes and may have a simple solution.
  3. Write it down. Give yourself a natural transition in the conversation to bring up your topic. Try something like, “I wrote down some symptoms and/or issues I want to discuss, and they are sensitive in nature.”
  4. Add details. Try to remember when the issue began, how long it has been a problem, when it occurs and all your symptoms.

Your doctor will work with you to address the issue and can often provide guidance or a recommendation.

For more information visit our non-movement symptoms page. You can also discuss any topic with our Helpline at 1-800-4PD-INFO (473-4636).

Raise Awareness

People With Parkinson’s Share Their COVID-19 #KeyToPD

Desk with purel and masks

The Parkinson’s Foundation is dedicated to helping keep our Parkinson’s disease (PD) community safe and healthy during the COVID-19 pandemic that has disrupted so many of our daily routines. Access to gyms and exercise classes have been limited or entirely inaccessible. In-person gatherings are no longer encouraged. Even certain nutritious food items have been harder to find.

With all this in mind, we found it essential to expand our virtual programs. Through PD Health @ Home, we now offer more online health and wellness classes than ever before to ensure you have the resources you need to stay social and active through the foreseeable future.

We asked a few of our friends to share their top tips for managing PD during the pandemic. Here’s what they had to say:

heather_wolynic
MY PD STORY: Heather Wolynic

“Art is my passion and during the pandemic I’ve had more time to paint. I would highly recommend any form of art to help you relax and boost your mood while physically distancing.”

sharon krischer
MY PD STORY: Sharon Krischer

"Find a webinar and participate. There are so many out there."

 

If you have any questions about Parkinson’s and COVID-19 contact our Helpline at 1-800-4PD-INFO (473-4636) or Helpline@Parkinson.org.

Raise Awareness

Navigating the Challenges of Young-Onset Parkinson's

Woman talking to her daughter

People living with young-onset Parkinson’s disease (YOPD) ― those diagnosed before age 50 ― are often managing careers, raising families or juggling both at the time of diagnosis. Finding time to take an early, active approach to YOPD care can seem daunting, but it is essential.

Discovering expert team-based health care to treat your Parkinson’s disease (PD) needs can slow Parkinson’s progression and decrease symptoms. This is especially true for people diagnosed with Young-Onset Parkinson’s, where early intervention benefits can be monumental. Younger brains have greater neuroplasticity ― the ability to grow and change in response to therapy.

This article is based on a Parkinson’s Foundation Expert Briefing “Not What I Planned, For Me or My Family” hosted by Allison Allen, MSW, LCSW, from Duke University Medical Center, a Parkinson’s Foundation Center of Excellence.

Young-Onset Parkinson’s Distinctions

About 100,000 of the nearly one million people living with Parkinson’s disease in the U.S. live with YOPD. While there are many motor and non-motor symptom similarities between PD and YOPD, there are also notable differences:

  • Young-onset PD symptoms may progress slower.
  • People living with YOPD can be more likely to experience involuntary movements and muscle tightening or cramping like dyskinesias and dystonia from common PD medicines, such as levodopa.
  • There may be greater fluctuations between “on” and “off” times in YOPD.
  • People with YOPD are more likely to carry genes linked to PD, though not all who carry such genes will develop the disease.
  • Younger brains are capable of more easily learning or being trained or retrained after an illness or an injury.

Prioritize Early Collaborative Care

Though people with young-onset Parkinson’s are often in one of the busiest stages of life, prioritizing self-care is vital. It is also important to acknowledge your feelings surrounding the diagnosis and those of your family. Treat yourself with compassion.

A movement disorder specialist (a neurologist skilled in movement disorders) is central to living optimally with YOPD. Early collaborative care ― including social workers, physical and occupational therapists, and other health professionals ― also improves quality of life. Baseline assessments with multidisciplinary care specialists can help you determine healthcare goals, discover opportunities to stay well or identify areas for improvement.

Steps to Navigating YOPD After Diagnosis

While a diagnosis can be disruptive and unexpected, it doesn’t have to stop you from reaching your goals. When you are ready, think about your current family and career responsibilities, and set up a new long-term plan. Take one step at a time as you move toward achieving your priorities.

1. Build a Care Team: Work with your movement disorder specialists or neurologist to find the medication that is right for you. Your doctor can also help you determine which collaborative care specialists can help you further your goals. The Parkinson’s Foundation Helpline at 1-800-4PD-INFO (473-4636) can recommend PD specialists in your area.

2. Talk to Family: Parkinson’s affects everyone in the family. You may be concerned that telling your children you have Parkinson’s will cause undue worry. Fostering an open, honest and age-appropriate conversation early can help children understand PD-related changes and feel secure.

3. Tell Your Employer When You are Ready. Many people with Young-Onset Parkinson’s are still working. You decide when, with whom and how to share your diagnosis.

4. Discover Community: Whether finding a support group, educational program or getting involved with a non-profit, there are many ways to connect with others living with PD. Consider joining the Parkinson’s Foundation online PD Conversations community, which features a young-onset PD discussion group.

5. Genetic Testing: People with YOPD who have children, or who are considering pregnancy, may wonder whether they carry a PD-related genetic mutation. The Parkinson’s Foundation PD GENEration: Mapping the Future of Parkinson’s Disease national testing initiative offers free, confidential Parkinson’s-related genetic testing and counseling.

Planning

Parkinson’s disease impacts the whole family. While it may seem challenging, planning for the future can alleviate stress and foster security.

  • Familiarize yourself with your disability and long-term care insurance policies.
  • Take legal, financial and insurance planning into consideration.
  • Complete health care power of attorney (HCPOA), advanced directive and family care plans.

These documents are critical to your care ― and that of your family ― in an emergency, and they can always be updated. 

Proactive Ways to Live Well

As important as it is to plan ahead, it is even more important to live well in the present. There are many steps you can take today to live your best life with Parkinson’s, start with these:

  • Exercise has known neuroprotective benefits for people living with PD. Good for the mind and body, exercise should be a top priority.
  • Stay ahead of symptoms by prioritizing PD-related healthcare visits early in your journey.
  • Create a daily routine to realize goals.
  • Allow your plans and goals to evolve with you.
  • Grow your support system.

Explore the Parkinson’s Foundation 10 Helpful Young-Onset Parkinson’s Resources for more tips on living well with YOPD.

My PD Story

Ellie and Winnie (dog)
Family Members

Ellie

Ellie has been a part of the Parkinson’s community ever since her father received his Parkinson’s disease (PD) diagnosis more than 12 years ago. Having undergone multiple surgeries and facing infection, he now lives in an assisted living facility where he is receiving care for not only his PD, but his other health complications. She visits him, often accompanied by a welcomed guest - her dog, Winnie Belle.

Winnie is a Great Pyrenees mix, but more than that, she is Ellie’s partner, teammate and inspiration. A working dog by breed, Winnie needed a task to keep her busy and motivated through life. Even as a puppy, Ellie noticed that Winnie was drawn to people. She was affectionate towards children and if anyone was ever in trouble, Winnie sought to comfort them. It was decided: Winnie would become a therapy dog. Unbeknownst to both, it was a matter of time before they would make their way to the PD community.

After some research, Ellie and Winnie joined Pet Partners: an organization that offers education for trainers, renewed registration every two years for the therapy team, and opportunities to volunteer. For three years, Winnie took part in a variety of obedience classes outside of the program to learn how to care and comfort people with a range of needs in a medical setting, while Ellie received training of her own to become a therapy dog handler.

Looking to connect to volunteer opportunities in the PD community, Ellie signed her and Winnie Belle up for the first-ever Moving Day fundraising walk in Nashville’s Percy Warner Park to participate in honor of her father and his fight against Parkinson’s disease. They attended as a therapy team. “Sometimes people are afraid to or don’t know how to approach people with Parkinson’s. Having a dog breaks the ice,” said Ellie about one man they met at the walk. Wheelchair-bound and likely experiencing facial masking due to his Parkinson’s, the man didn’t seem to take an interest in people. But Winnie caught his eye. He then spoke slowly and softly about his own pet and was thrilled to meet Winnie.

This is what Winnie Belle can do. Even Ellie’s father, who is not an animal-person, finds joy in Winnie’s visits.

She and Ellie have since become quite the therapy team: they volunteer at Vanderbilt children’s hospital twice a month, attend monthly events for young kids with special needs and even visit juvenile court every so often. “Everyone knows Winnie,” says Ellie about the kids, nurses, and staff they encounter, “they’re eyes light up when they see her.”

Hoping to support other therapy teams in Nashville, Ellie and other Pet Partner handlers started the local affiliate group called Music City Pet Partners in July of 2017. Since then, the group ran their own booth at an annual dog days event with the goal of extending the support of pet therapy teams to those who could truly use it. 

Ellie and Winnie plan to further explore dog therapy in the Parkinson’s community and rally more Pet Partners teams to attend Moving Day Nashville next year. They can’t wait.

Moving Day Nashville 2018 will take place on Saturday, April 7 at Centennial Park.

Learn more and register for the event

My PD Story

Cristina Ibarra on boat
Family Members

Cristina Ibarra

English

My dad, Jorge, was born in 1942 in Mexico to a hardworking family. My father and grandfather started a company dedicated to manufacturing hand-made, artisanal candy. Eventually the company prospered and was recognized in Mexico and throughout Latin America.

My father’s Parkinson’s disease (PD) symptoms first manifested as fatigue. He would get exhausted from just walking. His face also started to change. He underwent medical tests and exams until the doctor diagnosed him with Parkinson’s in 2005. He was given Sinemet as his primary medication to help with symptoms. Here in Mexico, we pay for health insurance so he can regularly visit a neurologist, psychologist and psychiatrist to manage his PD and make adjustments to his medications.

Over the last 11 years his health and quality of life started to deteriorate. But recently, something inspired him to begin making homemade candy again. It’s become a hobby for him. He’s been teaching young adults how to make his artisanal candy, because it is a craft after all. Since he’s returned to his passion he’s now coping better with his Parkinson’s and his mood has improved as well.

In order to make his artisanal candy he has to constantly move. His Parkinson’s makes his muscles rigid, but when he’s constantly moving to mold the candy it breaks his rigidity. When he stops moving he gets tired since the PD affects his energy. He’s also lost a lot of weight and muscle mass, which makes his body weaker.

In Mexico we can’t find any PD support groups to attend. We consider ourselves lucky to have access to his medications, although they are expensive. There are people here who do not have access to the resources we do because they are enrolled in the country’s free health insurance, which is not sufficient. My father has met very few people with PD here in Mexico. He’s never been outgoing, but now with PD he’s even less willing to make new friends. However, his outlook and desire to speak to people completely change when he’s around his assistants in the confectionary or teaching others how to mold candy.

I wanted to share a video of my father making candy because it makes me happy to see how he’s living his life again. He is trying to make his life better and not let PD win. I’m incredibly proud of him.

Español

Cristina Ibarra's hard candy in a jar

Mi padre, Jorge, nació en 1942 en México a una familia trabajadora. Mi padre y abuelo empezaron una empresa dedicada a la fabricación de dulces hechos a mano. Con el tiempo la empresa se hizo muy conocido dentro de México y en toda América Latina.

Para mi padre, los síntomas de la enfermedad de Parkinson manifestaron por primera vez como fatiga. Se ponía agotado de sólo caminando. Su cara también empezó a cambiar. Fue a pruebas médicas y exámenes hasta que el médico le diagnosticó con Parkinson en 2005. Le dio Sinemet como su principal medicina para aliviar los síntomas. Aquí en México, pagamos para el seguro de salud para que mi padre puede ir regularmente a un neurólogo, psicólogo y psiquiatra para gestionar los medicamentos y el Parkinson.

Su salud y calidad de vida empezaron a deteriorar durante los últimos 11 años. Pero recientemente algo le inspiró para empezar a hacer los caramelos de mano otra vez. Ahora es un pasatiempo para él. Es algo que le gusta y quiso intentar de nuevo con algunos ayudantes y enseñar a gente joven también porque es un trabajo artesanal. Desde que ha vuelto a su pasión está mejorando con su enfermedad de Parkinson y su estado de ánimo.

Mi padre tiene que moverse constantemente para preparar los caramelos. El Parkinson deja sus músculos rígidos, pero cuando está en constante movimiento haciendo los caramelos se rompe su rigidez, ayudando al cuerpo temporalmente. Está cansado después porque es un trabajo duro y el Parkinson le ha hecho perder peso y masa muscular.

No hay grupos de apoyo para el Parkinson en la ciudad. Nos consideramos afortunados que es fácil conseguir los medicamentos, aunque no son baratos. Aquí hay personas que no tienen acceso a todos los recursos porque tienen el seguro de salud gratuito que no es suficiente. Mi padre solamente ha conocido a algunas personas en México con el Parkinson, pero no es muy sociable y no hace amistades fácilmente. Él siempre fue así, y es más difícil socializarse ahora que tiene el Parkinson. 

Sin embargo, su punto de vista y el deseo de hablar con la gente cambia cuando está alrededor de sus ayudantes en la confitería y cuando está enseñando a otros cómo moldear el caramelo.

Quería compartir un video de mi padre trabajando con los caramelos porque estoy feliz verle viviendo su vida de nuevo. Él está tratando a mejorar su vida para no dejar que el Parkinson gana. Estoy muy orgullosa de él.

My PD Story

Beth Bjerke with group hiking
People with PD

Beth Bjerke

Four years after a diagnosis of Parkinson's disease at age 44, Beth Bjerke took on a big challenge in a "grand" way. On April 11th, Bjerke, now 48, crossed the invisible finish line of Bright Angel Trail, a 20-mile hike to the bottom of the Grand Canyon and back again. The Tucson-resident and mother of two chose to hike the Grand Canyon during Parkinson’s Awareness Month to raise awareness of young-onset Parkinson's disease (YOPD) and the huge toll it takes on families.

"We're not all alike, but as a family, we live life on a tight rope," Bjerke explained. "My hope is to find ways to bring together kids who have a parent with Parkinson's and help them cope."

To prepare for the backpacking trip, Bjerke focused on setting short-term goals. “The Grand Canyon gave me a reason to get up and get going every day, and not give in to apathy,” she said. “I didn’t want to become depressed.” To regain her strength and balance, Bjerke worked with a personal trainer. “I went into the gym half-crunched over, like an 80-year-old lady, and came out looking normal again,” she said. Bjerke’s homegrown hiking team included her husband, her youngest son and his girlfriend, her stepsister and a close friend.

Grand Canyon landscape

Together, they entered the Grand Canyon in a snow flurry and trekked to the bottom, reaching the Colorado river hours later. They continued their four-day journey on foot through unpredictable weather and amazing views. At one point, a painfully swollen toe threatened to sideline Bjerke, but the avid outdoorswoman decided to “cow girl up” and stuffed her purple toe back into her shoe and pressed forward in pursuit of her goal.

Bjerke’s family and friends surpassed her goal of raising $5,000 for the Parkinson's Foundation.

“After being diagnosed with PD, so many people say what now? We all start off that way,” she said. “For me, this is what works best; for how long, I don’t know, but I just came out of one of the Seven Natural Wonders of the World.” Today, Bjerke is taking scuba diving lessons and dreaming of paragliding the Grand Tetons someday. “You can dream,” she said. “It may not be the best time or conditions, but you can still reach for small goals and build on them.” 

Help us raise awareness and funds for Parkinson's research. 

Become a Parkinson's Champion today

My PD Story

Todd Bischoff looking down
People with PD

Todd Bischoff

"I'm sorry. You have Parkinson's Disease." I stood in the parking lot, the receipt flapping in my trembling hand, completely stunned by the words I had just heard. At least my neurologist had the courtesy of saying, "I'm sorry" before delivering the news. Still, it didn't seem to lessen the blow any. I felt like someone had reached into my chest and squeezed all the air out of my lungs.

My personal PD story is unique, full of weird circumstances and irony. (But then again, whose PD story isn't?) I was officially diagnosed on April 4, 2006 (4/4/06) at the age of 46. I found the "numerical coincidence" to be a little disconcerting. (As an ex-ice hockey player, we all tend to be a little on the superstitious side.) It was also National Parkinson's Awareness Month, and believe me, I was aware! Prior to my diagnosis, I also had encounters with the two most famous faces of our disease, Michael J. Fox and Muhammad Ali.

Like most people with PD, as I looked back at the years prior to my diagnosis, I realized my symptoms started well before I knew that my brain was being invaded by an unwanted and uninvited visitor. The signs were all there, glowing like a brightly lit neon sign tattooed right across my forehead. I just didn't see it. And really, why would I? I was relatively young and in great shape physically, so there was certainly no reason to think I had something like PD. After all, it's an old person's disease, right? Wrong.

I ended up going to the doctor after years of stiffness (rigidity), slower walking (bradykinesia), problems with my writing (micrographia), lack of arm swing on my ride side when walking, and problems with my fine motor skills. I had severe pain (dystonia) between my shoulder blades and into the base of my neck. I was having problems holding pens and gripping my silverware when eating. Simply trying to get 3 crackers out of a box was becoming a huge ordeal. I even had some typical non-movement symptoms common in PD, like loss of smell, depression and sleep disturbances.

After blood tests to rule out other possibilities, two neurologists, one PD specialist, a trip to the Muhammad Ali Parkinson Research Center in Phoenix, AZ, and a two-week trial dose of Sinemet, the diagnosis was confirmed. Four times. Stunned doesn't even begin to describe how I felt. I wanted all the doctors to be wrong and say, "Sorry Todd, we made a mistake." But reality slapped me squarely across the face. Hard.

The challenges were just beginning. How do you tell someone you love that you've been diagnosed with a progressive neurodegenerative disease for which there is no cure? Sharing the news with my wife was quite possibly the hardest thing I've ever had to do. I felt a pain like nothing I've ever experienced before. And I can't even begin to imagine what was going through her mind as I delivered the devastating news.

I've always been a "Type A" personality. If I decide I'm going from "point A" to "point B," you best get out of my way, because I'll get there come hell or high water. And I almost always have multiple projects going on. In the old story of the rabbit and the tortoise, I was the rabbit. Zipping around as fast as I could, getting my hands into anything and everything. It wasn't about winning but enjoying the adventure. Well, I do like to win whenever possible!

But now with PD, I've come to realize that I have to be the tortoise. Slow and steady may indeed win the race, but when you're used to the rabbit lifestyle, transitioning to the tortoise isn't easy by any means. PD, however, has dictated the change and all I can do is go along. I wasn't really given a choice in the matter.

I decided to research and read anything and everything about PD that I could get my hands on. Well, I did read things that scared me. Let's be honest, it's scary to have a disease in which you can clearly see your future and know that there is nothing anyone can (currently) do to stop it. It's like being in a car going down a steep hill and realizing the brakes don't work. You can steer all you want but the crash is unavoidable. Maybe just being in denial would be the better option. But education is power, so I continued to learn as much as I could.

The biggest step was meeting others with PD, those who have already traveled down the path that I was about to go down. And yes, some were far more progressed than I. But something unexpected happened. Instead of being frightened, I felt comforted. I felt accepted. I knew they understood me, what I was going through, and what I was about to go through. I felt like I was part of a loving, caring family. I felt safe. Meeting fellow people with PD was the best thing I could have done. Isolation is a killer, camaraderie builds strength.

I'm more inspired than ever. Even though I met people who lost careers and had to dramatically alter their lifestyles, I discovered many who found new joys and talents they never knew existed. It's as if they were butterflies just waiting to be released from their cocoons. From their experiences, I've gained a perspective on life that has forever altered how I look at myself, and the world around me.

PD has changed me into the tortoise and has allowed me to see all the small moments in life that are so incredibly rewarding and powerful. Moments that as the rabbit, I would have missed.

Currently, I'm a motivational and inspirational speaker who has traveled all over the country talking about living with PD. I've started a very successful young-onset group in my area. And I’ve decided that I’m not going to “live with” PD but instead, I’m going to “fight” it every step of the way through knowledge, diet, exercise, and most importantly, attitude. While PD may have taken away some parts of my life, it's also given me a new purpose, focus, and direction, and that's not a bad thing. Being the tortoise does indeed have its advantages.

Todd Bischoff lives in California with his wife Joyce and their dog Kaylee. Todd is an ex-athlete, actor, radio personality, voice-over artist, and Child Life Specialist who now is a motivational and inspirational speaker.

As you process your or a loved one’s diagnosis, we are here to assist and empower you at every stage. When you’re ready, explore our Newly Diagnosed kit and start your journey to living well with Parkinson’s.

My PD Story

Kelly Maurer holding daughter at beach
People with PD

Kelly Maurer

Who would have ever believed the words “you have Parkinson Disease” at the age of 33? I sure didn't want to. I had a brand new baby at home, a good job, my independence. I am here to tell you, it’s ok, you don't need to surrender to this sly disease that sneaks up on you ever so subtly.

It took me some time to come to the realization that, yes, I have a disease that will change some aspects of my life. The key to that was learning that I had other talents, new paths to walk down, and a choice to surrender or stand up.

It was obvious to me at that moment that I had an opportunity to make a difference and make people stop and look, and really listen. My job now is creating awareness. My advantage is my age and the fact that I am a young mom fighting this battle. Having PD has brought the creative side out of me, writing poems is something new to me that I really enjoy. Photography is also a fun hobby that I have more time for now.

My true passion, though, is my five year old daughter, and being her mom. She keeps me on my toes at all times, helps me stay active and gives me a desire to keep pushing forward. She puts a fire in my heart to kick PD as hard as I can and to challenge myself. At nights end, tired and worn, I tuck her into bed and thank God for sharing her with me.

The unconditional love given and the innocence of a child is truly priceless. My victory each day is being able to wrap my arms around her and kiss her goodnight. As her tiny little fingers grasp mine, I can ease all her fears, give her comfort that I am here for her, and at the same time she is completing me also.

I do not question why I have PD, I accept it, move forward, and gain strength from it. How can I feel sad when I look around and have so much to live for and love? Find that inner place that brings you peace and puts a smile in your heart and on your face, then embrace it and enjoy it.

You deserve to be happy, nothing or no one can stand in your way and keep you down except you.

Tips for Daily Living

Palliative Care and Hospice: 5 Tips for Advocating for Yourself and Your Loved One

Woman talking to doctor

If you or a loved one has Parkinson’s disease (PD), it is important to understand what support is available to you. Most people are aware of hospice as a resource for late-stage Parkinson’s and palliative care as an option for additional support even at the point of diagnosis. The tips below will inform you about palliative care and hospice and help you advocate for yourself or your loved one when you consider these resources.

Tip #1: Palliative care is different from hospice care.

Many people believe the terms palliative care and hospice are interchangeable. Although they share some things in common, they are in fact different types of care.

Palliative care, ordered by one’s doctor and covered at least in part by most insurance plans, can be started as early as the time of diagnosis as an additional layer of support, complementing any other medical care you currently receive or want to pursue. The multi-disciplinary palliative care team will support you and your family by tending to unmet physical needs you may have that are hindering your quality of life and comfort, as well as your emotional, social and spiritual needs and those of your family members and caregivers.

Hospice care shares many goals of palliative care in that patient and family autonomy, dignity and comfort are paramount. However, hospice is reserved for people in later stages of Parkinson’s or advanced illness. Learn more about the role of hospice.

Palliative Care infographic

Tip #2: You may be the Parkinson’s expert on the team.

Health professionals working in palliative care and hospice may have differing levels of familiarity with Parkinson’s disease, so at various points in your partnership with them, you may need to advocate for yourself or your loved one. Don’t hesitate to ask your loved one’s neurologist to give direction or guidance to the palliative or hospice care team, especially if there is a conflict about Parkinson’s medications or symptoms.

Utilize your Hospital Safety Guide to help distinguish between medications that are considered safe and unsafe and to educate members of your care team that may be less informed about the motor and non-motor symptoms of PD.

In March 2020 the University of Rochester, a Parkinson’s Foundation Center of Excellence, received a grant to create a new program in partnership with the Parkinson’s Foundation that will launch customized palliative care training across 33 U.S. Centers of Excellence. This program will train more healthcare professionals about palliative care, underpinned by the goal of getting palliative care to as many people with Parkinson’s as possible. Read the full article.

Even if you are partnering with a palliative or hospice care team that understands Parkinson’s very well, remember that you are the expert in your experience with Parkinson’s.

Tip #3: Searching for a “best fit” team is worth the effort.

As with all health care services, there is wide variety in both philosophy of care and quality of care among providers. Ideally, you will find a team that is flexible and curious with their approach to your Parkinson’s symptoms and medication needs.

Get recommendations from people in your PD community ― ask members of your local support group or exercise class who may have experience on the subject. Browse different providers serving your area to gage whether they offer any additional, innovative services as part of their palliative care or hospice program. Talk or meet with a few palliative and hospice care agencies to learn more about their values and desire to support your unique PD needs.

Tip #4: Make the most of the services available to you.

Learn about all services a palliative or hospice care agency offers and ask to be connected to any that may interest you; you do not need to wait for the agency to suggest it first. If you do not understand the role of one of the members of the care team, ask for more information or better yet, a consultation with that person.

Tip #5: It can take courage to ask your doctor about palliative care or hospice.

Most of us feel uncomfortable talking about anything that hints at our mortality, which is why so many people, even those in the healthcare field, hesitate to approach these topics. Palliative and hospice care can both support your quality of life goals ― with palliative care supporting quality of life at any stage and hospice care supporting quality of life at the advanced Parkinson’s stages. Asking questions does not commit you to anything, it only allows you to be more informed about your options.

For more information about palliative, hospice or expert Parkinson’s care, call the Parkinson’s Foundation Helpline at 1-800-4PD-INFO (473-4636).

For more insights on this topic, listen to our podcast episode “Hospice Care and the Myths Surrounding It”.

Raise Awareness

7 Resources for Veterans with Parkinson's

Veterans

The U.S. Department of Veterans Affairs (VA) estimates that 110,000 veterans have Parkinson’s disease (PD).

Most people with Parkinson’s develop symptoms at 50 years of age or older. As our population ages, so will the number of Americans living with Parkinson’s, along with the number of veterans diagnosed with the disease. While living with Parkinson's can be challenging, an early diagnosis and beginning treatment can help people live well with Parkinson's.

We highlight seven resources below that may be useful for a U.S. veteran living with Parkinson’s or loved ones who care for a veteran with Parkinson’s:

1. Many U.S. military veterans with Parkinson’s have access to specialized medical care and financial assistance through the U.S. Department of Veterans Affairs (VA). The VA treats veterans with Parkinson’s through medical centers known as Parkinson’s Disease Research, Education & Clinical Centers (PADRECCs). Get connected to a PADRECC and apply for care and benefits from an accredited representative or Veterans Service Officer (VSO) at the VA webpage: Get help filing your claim or appeal. Always work with an accredited representative or agent. Federal law prohibits attorneys and others from charging a fee to assist with the VA application.

2. In some cases, a Parkinson’s diagnosis can be linked to Agent Orange or other herbicide exposure from a veteran’s military service. The powerful herbicide was used in Vietnam from 1962 to 1975, but was also used and stored in other locations. Veterans may be eligible for a free Agent Orange registry exam, disability compensation and other VA benefits. To learn more visit the VA page on eligibility and hazardous materials or call the Agent Orange Helpline at 1-800-749-8387.

3. Veterans living with Parkinson’s may qualify for Financial Aid Programs, such as help with daily activities, inpatient hospital care, outpatient services and more. Service members, veterans and families can apply for various VA benefits by:

  • Applying online using eBenefits
  • Working with an accredited representative or agent
  • Calling the VA’s toll-free benefits hotline at 877-222-8387, Monday-Friday 9 a.m. to 7 p.m. ET

4. The Parkinson’s Foundation and VA have resources specially designed for those caring for a loved one with Parkinson’s who is a veteran. Utilize these care partner resources now.

5. Every person living with Parkinson’s should be prepared for a possible hospitalization.  Hospitalization can be especially stressful for a veteran with PD and caregivers. Explore our Hospital Safety Guide and order or download it today.

6. Know the signs of depression. Depression is a non-movement symptom of Parkinson’s, along with anxiety and apathy, and can be a side effect of Parkinson’s medication. Know the symptoms of depression for both you and your loved one. Keep these numbers nearby, just in case: Parkinson's Foundation Helpline 1-800-4PD-INFO (473-4636) and Veterans Crisis Line (1-800-273-8255, press 1 or text to 838255). 

7. You are not alone. Find the resources that work best for you, from our Newly Diagnosed resources to our PD Library and our virtual community at PDConversations.org. Remember, you can call our Helpline at 1-800-4PD-INFO (473-4636) for answers to your Parkinson’s questions.

For the latest information about Veterans and Parkinson’s visit Parkinson.org/Veterans.

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