RECOGNIZE & SHARE symptoms of depression, anxiety, and grief with your care team, family, and friends. Depression self-assessment: http://mayocl.in/16ws3tl GET SUPPORT http://bit.ly/Z8Aq7Z http://bit.ly/Xq141T ADJUST YOUR LIFE, ROLES & ACTIVITIES based on your areas of strength: http://bit.ly/XpZ6P9 CHOOSE HEALTHY FOODS http://bit.ly/109aOeZ GET INVOLVED THROUGH ADVOCACY http://bit.ly/XNgug1 http://bit.ly/12fu5iF EXPAND YOUR CARE TEAM to include providers who understand and treat psychosocial challenges such as depression, anxiety, and grief. STAY ACTIVE It is important to talk to your healthcare provider prior to starting any new routines. • Tai Chi • Yoga • Pilates • Stretching “Scientists showed that the impact of depression on health status is almost twice that of the motor impairments universally associated with Parkinson’s.” Parkinson’s Outcomes Project – 2012 FACIAL EXPRESSION BALANCE MOBILITY INDEPENDENCE ROLES When reading through the symptoms of Parkinson’s Disease, you frequently see the words, “loss of” Our challenge – “Depression and anxiety have greatest impact on health status” We should also focus on uncovering and treating the grief and loss that may be driving - or related to - depression and anxiety. The MayoClinic defines grief as… “…the natural reaction to loss. Grief is both a universal and a personal experience. Individual experiences of grief vary and are influenced by the nature of the loss. Some examples of loss in- clude the death of a loved one, the ending of an important relationship, job loss, loss through theft or the loss of independence through disability.” http://www.mayoclinic.org/support-groups/grief.html EMPOWER clients to self-assess, share, and overcome depression, anxiety, and grief (click the links below) Avoidance Confusion Elation Shock Fear Frustration Irritation Anxiety Overwhelmed Helplessness Hostility Flight Struggling To Find Meaning Reaching Out To Others Telling One’s Story Exploring Options New Plan In Place Moving On Kübler-Ross Stages of Grief ANGER BARGAINING ACCEPTANCE DENIAL DEPRESSION Information and Communication Guidance and Direction Emotional Support by Dr. Elisabeth Kubler-Ross EDUCATE clients with Parkinson’s Disease and their caregivers about the stages of grief http://www.ekrfoundation.org/five-stages-of-grief/ Parkinson’s Solutions Toolkit © 2013 Griswold International, LLC A Griswold Home Care publication The four main symptoms of PD are: • As these symptoms become more pronounced, patients may have difficulty walking, talking, or completing other important daily tasks. Tremor or trembling in the hands, arms, legs, jaw, and face Stiffness of the limbs and trunk Slowness of movement Problems with posture, balance and coordination Source: National Institute of Neurological Disorders and Stroke: http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease.htm National Parkinson’s Foundation The Michael J. Fox Foundation for Parkinson’s Research American Academy of Neurology: Practice parameter: treatment of non-motor symptoms of Parkinson’s disease. Report of the Quality Standards Subcommittee of the American Academy of Neurology. (2010). http://1.usa.gov/13RI3Z9 National Institute of Neurological Disorders and Stroke – Benefits of Tai Chi: http://1.usa.gov/Z22WJr Elisabeth Kubler-Ross Foundation: http://bit.ly/10vYjZO Depression - http://bit.ly/109iWfB What are the treatment options for Anxiety?: http://bit.ly/Z22JWx Videos and webcasts: http://bit.ly/17dh2OL Emotions and Parkinson’s Disease: http://bit.ly/14EMmq2 How are Depression and Parkinson’s Disease linked? http://bit.ly/16oh9nq I have Parkinson’s Disease, it doesn’t have me #1: http://bit.ly/16wDZLq I have Parkinson’s Disease, it doesn’t have me #2: http://bit.ly/Xq3pKb Additional Resources brought to you by: Uncovering the of Parkinson’s Disease (PD) What is Parkinson’s Disease? • Parkinson's disease (PD) belongs to a group of conditions called motor system disorders, which are the result of the loss of dopamine- producing brain cells. Dopamine is a chemical messenger in the brain that impacts movement and emotions. PARKINSON’S BRAIN NEURON CELL NORMAL Terminal Branch of Sender Dopamine Terminal Branch www.GriswoldHomeCare.com