Expert Briefing: What's on Your Mind? Thinking & Memory Changes
November 13, 2024
Cognitive changes, including slowness in thinking, decreased attention span and difficulty finding words, can often occur in Parkinson’s disease. These changes, along with memory loss, can be frustrating and challenging for the person with Parkinson’s and those close to them. This webinar will review the cognitive and memory changes in Parkinson’s as well as practical strategies to help with daily activities.
Greg Pontone, MD, MHS
The Louis and Roberta Fixel Chair
Division Chief, Aging, Behavioral, and Cognitive Neurology
Co-Director of the Fixel Neuropsychiatry Program
University of Florida College of Medicine
Professor, Department of Neurology
My PD Story
People with PD
James Higgins
Since I've had Parkinson's disease (PD), I've learned that there's not enough research going on within the black community for people with Parkinson's. Simply put, we’re different, our genes are different. Our genetic make-up is unique compared to white people and other backgrounds. Which is why I signed up for the Parkinson’s Foundation genetics study, PD GENEration.
I signed up for PD GENEration at Rush University Medical Center, a Parkinson’s Foundation Center of Excellence. Participating was simple. I went to Rush, where Stacy took some blood. We got four tubes of blood. Two of them went to the Parkinson's Foundation where their PD GENEration lab will complete the genetic testing specific to Parkinson's. The other two tubes go to the NIH where they're doing a study to better understand what Parkinson's and genetics looks like. I asked Stacy if I would walk the blood samples to the lab with her, where we submitted them together.
I find it exciting that the PD GENEration study looks at genes from black folks and compares them to genes of all other races, and that researchers will use this information to see if we can find out what particular genes affect us. Ultimately, this study help us all try to deal with the Parkinson's a little bit better.
I signed up for PD GENEration because I want people living with Parkinson's, and those who know somebody with Parkinson's, to know that you can participate in research. Participating in research can help us see what's going on with ourselves. We're just trying to make life better for the folks with Parkinson’s that come after us.
We don't expect to solve the issue of Parkinson’s right away, but we do expect to get enough research underway that involves us — this research is for us.
A genetics counselor will call me to discuss my genetics test results. They’re going to let me know what they discovered in that test. I’m looking forward to completing the PD GENEration life cycle as I continue to fight this disease.
Episodio 32: Los desafíos del habla y la deglución
Los profesionales de la salud aliados son un grupo de profesionales médicos cuya función y conocimientos complementan la labor de los médicos. Entre ellos se encuentran los fisioterapeutas, terapeutas del habla y el lenguaje, nutricionistas y más. Son tan importantes como sus especialistas en trastornos del movimiento y neurólogos y desempeñan un papel vital en la creación de un equipo de atención al Parkinson integral y completo que atienda sus necesidades individuales y se ocupe de su bienestar general.
En este episodio, hablamos con Ana Molano, una terapeuta del habla y el lenguaje especializada en el tratamiento de los trastornos de la voz y la deglución. A medida que avanza la enfermedad de Parkinson, la voz de una persona puede volverse más suave o puede experimentar dificultades para tragar. Ana habla de las ventajas de trabajar con un terapeuta del habla para evaluar y abordar los desafíos del habla y la deglución en la EP. Destaca la importancia de obtener una evaluación de referencia para identificar los problemas actuales, lo que ayuda a crear un plan terapéutico individualizado. También habla de los síntomas frecuentes que puede experimentar una persona con la EP, así como de algunos signos menos comunes a los que hay que estar atentos.
Publicado: 26 de noviembre de 2024
Ana Molano, terapeuta del habla y el lenguaje certificada, especialista clínica en voz y deglución, terapeuta bilingüe originaria de Bogotá, Colombia, se especializa en el tratamiento de los trastornos de la voz, la deglución y las vías respiratorias. Ana, que habla inglés y español con fluidez, se dedica a mejorar la vida de las personas a las que atiende a través de su experiencia clínica y sus contribuciones al campo de la patología del habla y el lenguaje.
Su trayectoria profesional la ha llevado a trabajar en diversos entornos hospitalarios, como rehabilitación de agudos, cuidados intensivos neonatales e instalaciones ambulatorias.
Comprometida con la práctica basada en la evidencia, Ana emplea estrategias integrales de rehabilitación para garantizar una atención óptima a sus pacientes.
Actualmente, Ana Molano es directora de operaciones de Voice Rehab y combina la práctica clínica con el liderazgo para mejorar la atención al paciente e impulsar soluciones terapéuticas innovadoras. Como presidenta de la Foundation for Voice and Swallow Wellness, Ana aboga por la concientización y la educación en este ámbito. Apasionada por mejorar la calidad de vida de las personas con problemas de comunicación y deglución, Ana está comprometida con el avance de la investigación y el fomento al apoyo comunitario.
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Every year, Parkinson’s Foundation Helpline specialists receive calls from people with Parkinson’s disease (PD) and their loved ones looking for advice when it comes to navigating the holidays. So, we put our specialists’ top recommendations in this article.
From not knowing how to explain PD to grandchildren, to feeling insecure that family will notice worsening symptoms and the exhaustion that can accompany travel, the holidays can be overwhelming. By thinking ahead about possible stressors, this article is designed to help you plan and prepare to enjoy your holiday season while best managing PD symptoms.
1. Preparing to see family you haven’t seen in a while.
The holidays can be a time when extended family gets together. What if your symptoms have changed since the last time you saw these family members?
Before you see family consider providing them a primer to Parkinson’s — sending them a link in the family chat or email to our What is Parkinson’s page. Early on in your holiday get-together, consider speaking about Parkinson’s for a few minutes to help them understand how you are doing, establishing expectations and setting limits on what works for you.
It can be helpful to come up with a few short sentence scripts prior to these meetings. That way you can practice what you want to say and get the most important information across. An example could be, “Since last seeing you my Parkinson’s symptoms have picked up. My hand shakes more and I walk a little slower. Taking my medicine on time helps me feel my best. Unless I ask for extra help, please treat me as you would anyone else.”
2. Managing Parkinson’s medications when traveling.
What should you know about traveling with Parkinson’s medications?
Carry all medications in their original bottles, with the name of the drug and your doctor’s name on the label.
Continue to take medications on time, every time, even if changing time zones
Bring a copy of your prescriptions (generic and non-generic names) and medication regimen, including your physician’s name and contact information. This printable medication schedule can help.
Keep all your medications, for your entire trip, with you in your carry-on bag; include snacks, water or juice to take with medications.
If possible, pack extra medication in case you are delayed.
Set timers to help you remember to take your medication.
Consider bringing or printing a Hospital Safety Guide with you when traveling. If you do not have one, order or download the guide and its printable components online in the planning stage of your trip.
How can you make traveling with Parkinson’s easier? Whether you’re driving, flying or taking that dream cruise this holiday season, we’ve gathered helpful tips in our Traveling with Parkinson’s below. Read this refresher to help you prepare for all aspects of your upcoming trip.
General travel tips:
Plan to rest the day before your trip and the day you arrive.
Add a name label to assistive equipment, such as a walker, cane or walking stick, before packing.
Give yourself extra time for everything.
Days before a flight, request wheelchair or electric cart service within terminals if necessary. Your bags will be handled too.
For cruises and theme parks, call ahead to rent assistive devices, such as a scooter.
For hotels, call ahead to request an accessible room, or a room near the elevator.
Don’t be afraid to ask for help.
Stick to your routine. It’s easy to get caught up in the excitement of the holidays but try to keep to your daily routine. Follow your usual medication times, mealtimes, exercise routine and sleep schedule.
4. Talking to children and grandchildren about Parkinson’s.
Drawing on the experiences of many PD families, children and grandchildren can have a wide-swinging variety feelings about their parent or grandparent having Parkinson’s. The information you choose to share will likely change as they mature and are able to understand more aspects of Parkinson’s.
The good news is that children often adjust well to a loved one’s diagnosis of PD. Giving children a better understanding of Parkinson's can lessen their fear and anxiety about the disease. When you see children at a family gathering, consider:
Talking to them for a few minutes, providing them with general information about Parkinson’s. For instance, you can share that Parkinson’s is a disease that makes it harder for your body to move, and they notice your symptoms. Share what you do to manage them.
Using language that is understandable and concrete to your child.
Finding a way to allow the child to help and be involved. For instance, they can get you water, help you exercise your brain by playing a game or go on a walk with you.
5. Protect your mental health — and move your body.
Depression and anxiety can be symptoms of Parkinson’s. Prioritize and protect your mental health when traveling. That means taking time for yourself. Rest, read, take your grandchild to the movies, visit a local coffee shop — whatever helps you wind down.
It’s not easy to exercise when traveling but try to stick to your exercise routine as best as possible. Exercise is essential to managing Parkinson’s symptoms and mental health. Keep moving during the holidays. Whether it’s a short walk after a meal or asking your favorite family member to join you for a Fitness Friday on-demand virtual exercise class, staying active can help ease stiffness and improve your mood.
Exercise and movement can be great for the whole family especially during the holidays! Consider including your family in your exercise routine. Ask your grandkids to go on a walk with you, sign the family up for a boxing class or schedule a time for a virtual exercise class with all family members that are interested.
About 75% of people with Parkinson’s experience changes in speech and voice. People with Parkinson’s might struggle in a big group discussion, with following along, being heard or needing extra time to answer.
Tips to help you communicate with your family:
Drink plenty of water or other liquids each day (non-caffeine and non-alcoholic).
Do not strain your voice by shouting over loud noise when you talk.
Rest your voice when it is tired. Like other muscles in your body, the muscles controlling your speech need a break sometimes.
Reduce throat clearing or coughing.
Tips for family and friends:
Have important or more challenging conversations when the person with PD is well-rested and at their ‘best’ time of day.
Minimize talking ‘for’ the person with PD or filling in their responses unless they ask you to do so.
Reduce background noise when having a conversation. Turn off the radio and TV and shut doors to noisy areas.
Be aware that people with PD may not accurately express their emotions through facial expressions because of facial masking.
Be patient. Allow ample time for the person with PD to communicate.
Finally, don’t hesitate to ask for help. Whether it’s asking a family member to go on a pharmacy run for you, letting someone make your tea or calling a friend from your support group to simply confide in someone about how you’re feeling — your support system is there to help lighten the load.
Learn More: Call the Parkinson's Foundation Helpline 1-800-4PD-INFO (1-800-473-4636) and explore our Resources and Support page.
I was 42 years old and newly single. I had a high-pressure job I was excelling at, and my body was in top shape. But my left hip was so tight all the time, my tennis serve was off, and I was having a hard time keeping the rhythm in spin class.
I chalked it up to excessive exercise, or my new sports car with the heavy clutch. But then my toes started to move by themselves, which was curious. And a friend standing behind me mentioned that my left arm was not swinging when I walked. Soon I started to really have to think about picking up my left foot.
Even though my grandmother and aunt had Parkinson's disease (PD), and I was displaying the textbook early signs, I was flabbergasted at my own Parkinson’s diagnosis.
I found a great doctor whose treatment was heavy on exercise, and light on medication. I went to a Moving Day, A Walk for Parkinson’s, event, where I met people who were just living their lives, incorporating Parkinson's into their planning and decision making, but not being ruled by it.
I went to the World Parkinson's Conference and saw how many treatment options were available, or in development. I started medication, and continued to live my life, just with more pills and more exercise.
In the years that followed, I put a lot of work into my wellness to prove to myself that this wasn't a death sentence. I continued to excel in my career, make friends, I dated, I bought my dream house, I met the love of my life, we adopted a puppy and got married.
I'm retired now, to focus on my health, and spread the word that there is life after diagnosis. It's not easy, there are setbacks. I wish we as a community didn't have to do this. But with determination, pharmaceuticals and new technology, the future isn't as bleak as it may have seemed the day I was diagnosed.
Young-onset Parkinson’s disease (YOPD) occurs in people younger than 50 years of age. Learn more.
I was born in 1959 and at an early age, I became athletic participating in swimming and basketball activities. I swam as a teenager. I did bodybuilding in my 20s and I completed triathlons from my 30s through 50s. I have completed 18 full Ironman Triathlons.
In 2022, I noticed a tremor in my right hand. I went to a neurologist and was diagnosed with Parkinson’s disease (PD). Slowly over the next 12 months it began its process of degenerative abilities.
I needed hip surgery, which ended my running career. I couldn’t ride my bike because of instability issues (trouble with balance). I continue to lift weights and do stationary cardio activities.
I have been a strength and wellness coach for the last 40+ years. As my ability to train for sports began to decrease, I found it rewarding to put more effort into training my athletes and clients. It’s been a couple years now and I am truly enjoying putting my effort into training clients.
I am a wife, boy mom of two fantastic sons, a speech-language pathologist working in a large inpatient rehabilitation hospital, and a woman living with young-onset Parkinson's disease (YOPD).
I feel like I'm a bit of a unicorn at times, being a woman working in the medical setting with people who have neurological etiologies (some with PD) and having Parkinson's myself. Because of my professional career as a speech-language pathologist, I know what is coming my way with my own diagnosis of Parkinson's in terms of PD’s impact on speech, voice and swallowing.
I can't unknow what I know; however, I am not scared nor deterred to keep on living my best life!
I decided immediately upon receiving my diagnosis that I wanted to use my positivity, knowledge as a speech-language pathologist and personal experiences living with PD to help others. I immediately volunteered to enroll in a phase two clinical trial, which gave me a sense of some control over how I responded to my diagnosis and a sense of purpose.
Beyond sharing my diagnosis initially with my immediate family, a handful of friends and co-workers, I kept my diagnosis "secret" or hidden out of fear. I was too afraid to let people know, especially at my place of employment. I was afraid others would question my skills and abilities having a progressively degenerative neurological disease, especially diagnosed in my 40s.
However, as my symptoms progressed and became more visible, it was harder and more stressful for me to hide them. I would have to slow down, stop while walking due to painful dystonia, be cognizant that my arm was not swinging, and of course, recognize that the tremors in my fingers were progressing to my arm. I knew it was time to share my diagnosis publicly.
I went nearly seven years without disclosing my diagnosis publicly and had no idea there was a whole online community of others with YOPD, including WOMEN!
I work full-time and am a busy wife and mom… I had no time for social media and did not explore this way to connect with others until quite recently. After I publicly disclosed my diagnosis, I discovered this amazing online community of others living amazing lives with Parkinson’s, and felt like I'd found my people... I was not alone living with PD!
Sharing my diagnosis with others has lifted a tremendous weight from my mind and body, allowing me to find community and no longer try to hide my symptoms. I've been met with compassion and my goal is to extend that love and my experience and knowledge to others.
I recently began my journey as a Parkinson's Foundation Research Advocate and am an Ambassador, volunteering within my community. I can't wait to see what the future holds as I continue to serve as a Research Advocate, Ambassador and online advocate to inspire, educate and hopefully be a source of positivity for others living with Parkinson's and their families/caregivers.
Expert Briefing: Communication Strategies for Optimal Success with PD
September 17, 2019
Conversation is the primary mechanism by which humans create and maintain relationships. Yet, in the context of Parkinson’s disease (and typical aging) changes in speech, facial expressions, cognition, voice, and hearing can interfere with communicating messages and creating meaningful connections in conversations between individuals with Parkinson’s disease and their partners. These changes significantly impact the perceived burden (social, emotional, physical) and practical aspects of living with Parkinson’s disease. Dr. Roberts will focus on the multidimensional nature of conversation difficulties in the context of living with Parkinson’s disease and will discuss communication strategies for optimizing successful conversation interactions.
Presenter
Angela Roberts, PhD
Roxelyn and Richard Pepper Department of Communication Sciences and Disorders
Northwestern University (Parkinson’s Foundation Center of Excellence)
Videos & Webinars
Expert Briefing: Addressing the Challenge of Apathy in Parkinson's
September 11, 2024
Apathy can significantly impact the quality of life for people with Parkinson’s disease (PD). This invisible symptom can make it difficult to maintain interest in daily activities and to effectively manage PD symptoms. Apathy can be frustrating for people with Parkinson’s, care partners and loved ones, but understanding it as a symptom and finding ways to cope with it are key to ensuring a good quality of life.
Aaron C. Malina, PhD, ABPP
Clinical Neuropsychology
Northwestern Medicine-Lake Forest Hospital
A Parkinson's Foundation Center of Excellence
Podcasts
Episodio 31: Alucinaciones y delusiones en el Parkinson
Alrededor de un 20-40% de las personas con Parkinson experimentan algún tipo de alucinación o delusión en algún momento de su recorrido por la enfermedad de Parkinson (EP). Aunque en la actualidad los estudios no indican que la comunidad hispanohablante de la EP corra un mayor riesgo de desarrollar estos síntomas, sigue siendo importante conocer los posibles signos para estar mejor preparado para manejar situaciones de emergencia. Las alucinaciones y delusiones en sí pueden asustar, pero cuando se combinan con otros síntomas del Parkinson, pueden ser aún más problemáticas.
En este episodio, hablamos con la Dra. Blanca Valdovinos, neuróloga especialista en trastornos del movimiento del Centro Médico de University of Rochester. Ella comparte su experiencia de primera mano en trabajar con personas con Parkinson, basándose en el tiempo que pasó dirigiendo una clínica semanal para sus pacientes hispanohablantes con afecciones neurológicas. Explica qué son las alucinaciones y delusiones, destaca sus diferencias y proporciona ejemplos de cómo pueden presentarse en una persona con Parkinson. Ofrece orientación para reconocer las primeras señales y comparte cómo los familiares y aliados en el cuidado pueden responder mejor si su ser querido experimenta una alucinación o delusión.
Publicado: 10 de septiembre de 2024
La Dra. Blanca Valdovinos es neuróloga especializada en trastornos del movimiento. Creció en California y se trasladó a Nueva York para estudiar en Cornell University, donde se licenció en biología. Posteriormente, estudió medicina en la University of Rochester, donde también realizó la residencia en neurología y la especialización en trastornos del movimiento. Es directora de la Clínica de Neurología en Español de UR Medicine, donde atiende a pacientes con trastornos del movimiento y neurología en general. Se especializa en la enfermedad de Parkinson y es codirectora del Centro de Excelencia de la Parkinson's Foundation en University of Rochester. Creció en una comunidad hispana grande y le apasiona retribuir a su comunidad. Su trabajo se centra en lograr la equidad en temas de salud. Considera que todos los pacientes deben recibir atención médica de alta calidad, independientemente de su raza, etnia o idioma. Completó el “Programa de liderazgo en diversidad” de la American Academy of Neurology en 2021.
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