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MonitoringParkinson’s

      Sara Riggare,
Chimes/Karolinska Institute,
       Stockholm,
         Sweden

                                 Not patient
                               butim-patient
End-of-doseakinesia              Dyspnea                            Fatigue
“On”–“off” phenomenon
No “on” responses
                        What is Parkinson’s?
                                 Dysphagia
                                 Constipation
                                                                    Irritability
                                                                    Hallucinations
“Off”-period dystonia            Distal cold sensations             Self-withdrawal
Peak-dosedyskinesia              Excessive salivation               Euphoria
Diphasicdyskinesia                           Movement
                                 Urinaryurgency                     Lassitude/weariness
Freezing                         Visual disorders                   Sadness
Slowness of thinking     Other non-
                                 Palpitations                       Hyperactivity
                           motor                                   Mood
Difficulty in memorizing symptoms
                                Tremor bloating
                                 Abdominal         Bradykinesia Sensation of imminent death
Mental emptiness                 Dysuria                            Abulia
Mental hyperactivity             Precordialgia                      Mutism
Anxiety                          Flatulence                         Panic attack
Drenching sweats                 Stridor                            Aggressive behavior
Slowness of thinking                  Parkinson’s
                                 Facialpallor                       Sensation of injustice
Fatigue                          Abdominal pain                         Sleep
                                                                    Sexual disorders
                       Pain
                                                      Postural disturbances
Akathisia                       Rigidity hunger
                                 Paroxysmal                         Guilty feelings
Irritability                     Pollakiuria        instabilities Akathisia
Hallucinations                   Pyrosis                            Tightening sensation
Drenchingsweats                  Nausea                             Tingling sensation
Sensation of being hot           Leg edema                          Diffuse pain
                                  Cognition           Digestion etc
Facialflushing                   Belching                           Restlessness
Oral dryness                     Coughing                           Neuralgic pain
                                                                                           Not patient
                                 Anxiety                            Burning sensation butim-patient
What? How?




               Not patient
             butim-patient
What? How?




               Not patient
             butim-patient
What? How?




               Not patient
             butim-patient
Whatdid I learn ?

Physical    Mental
                           Sleep
strength   strength

                       Balance
   Medication
                        in life
                                 Not patient
                               butim-patient
Data-drivenParticipatory Medicine




                                Not patient
                              butim-patient

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Monitoring Parkinson's symptoms - Sara Riggare

  • 1. MonitoringParkinson’s Sara Riggare, Chimes/Karolinska Institute, Stockholm, Sweden Not patient butim-patient
  • 2. End-of-doseakinesia Dyspnea Fatigue “On”–“off” phenomenon No “on” responses What is Parkinson’s? Dysphagia Constipation Irritability Hallucinations “Off”-period dystonia Distal cold sensations Self-withdrawal Peak-dosedyskinesia Excessive salivation Euphoria Diphasicdyskinesia Movement Urinaryurgency Lassitude/weariness Freezing Visual disorders Sadness Slowness of thinking Other non- Palpitations Hyperactivity motor Mood Difficulty in memorizing symptoms Tremor bloating Abdominal Bradykinesia Sensation of imminent death Mental emptiness Dysuria Abulia Mental hyperactivity Precordialgia Mutism Anxiety Flatulence Panic attack Drenching sweats Stridor Aggressive behavior Slowness of thinking Parkinson’s Facialpallor Sensation of injustice Fatigue Abdominal pain Sleep Sexual disorders Pain Postural disturbances Akathisia Rigidity hunger Paroxysmal Guilty feelings Irritability Pollakiuria instabilities Akathisia Hallucinations Pyrosis Tightening sensation Drenchingsweats Nausea Tingling sensation Sensation of being hot Leg edema Diffuse pain Cognition Digestion etc Facialflushing Belching Restlessness Oral dryness Coughing Neuralgic pain Not patient Anxiety Burning sensation butim-patient
  • 3. What? How? Not patient butim-patient
  • 4. What? How? Not patient butim-patient
  • 5. What? How? Not patient butim-patient
  • 6. Whatdid I learn ? Physical Mental Sleep strength strength Balance Medication in life Not patient butim-patient
  • 7. Data-drivenParticipatory Medicine Not patient butim-patient