Some Parkinson patients will experience what is known as 'on' and 'off' states. The National Neuroscience Institute (NNI) shares tips on how to manage symptoms.
For some Parkinson patients who have been on medication for several years, they may experience fluctuation of symptoms in between medication doses, known as the ‘on’ and ‘off’ phenomenon.
Senior Nurse Clinician Li Wei, an Advanced Practice Nurse from the
National Neuroscience Institute (NNI), a member of the
SingHealth group, shares tips to manage symptoms.
What is 'on' state?
With medication, the Parkinson patient functions well with good control of symptoms such as tremors, stiffness and slowness.
What is 'off' state?
When the effects of the medication begins to wear off, symptoms return and makes it difficult for the Parkinson patient to function.
7 Tips to manage Parkinson symptoms
To better manage Parkinson disease (PD) symptoms, Senior Nurse Clinician Li Wei offers the following advice for patients:
Stay positive and be aware that Parkinson's can affect your mood
Recognise the 'off' symptoms of Parkinson's disease (PD) and keep a symptom diary
Discuss with your PD specialist doctor and nurses if you need help coping with new symptoms. They can adjust your care plan to suit your needs
Take your medication regularly and stick to the prescription. This will help you have better control of symptoms
Plan your daily activities around ‘on’ and ‘off’ states (see an example below) — do activities that require more energy during the ‘on’ state
Exercise regularly to remain strong and sleep better
Take part in social activities and keep your spirits up
Plan for your daily activities
Madam Guo, a 55-year-old who has been living with Parkinson's disease (PD) for over a decade, shares how she plans her daily activities according to her 'on/off' timings.
Eat breakfast, consisting of fruits and eggs (meal at 30 minutes after taking medication to ensure effectiveness of medication)
Exercise at home (cycling, taichi and exercises recommended by physiotherapist)
Measure blood pressure
Pack food for distribution at temple
Drink protein shake
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