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 EXPRESSIONBALANCE

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 MayoClinicdefines 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)

AvoidanceConfusion

ElationShockFear

FrustrationIrritationAnxiety

OverwhelmedHelplessness

HostilityFlight

Struggling To Find MeaningReaching Out

To OthersTelling One’s

Story

ExploringOptions

New PlanIn Place

Moving On

Kübler-RossStages of Grief

ANGER

BARGAINING

ACCEPTANCE

DENIAL

DEPRESSION

Information andCommunication

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

BRAINNEURON CELL

NORMAL

TerminalBranch ofSender

DopamineTerminalBranch

www.GriswoldHomeCare.com