sideeffects are worst when the person first begins taking the drug and gradually disappear orlessen. For other medications, side effects may appear after several years. For example,long-tern levodopa use may result in very uncontrollable movements called dyskinesias,or on-off attacks where a person will become frozen for a few seconds. Confusion maydevelop as a side effect after about eight years.Care for people with Parkinson’s disease includes a well-balanced diet andregular exercise. Physical, occupational, or speech therapy may be suggested for somepeople. Physical therapy and muscle strengthening exercises can be a key part ofmanaging Parkinson’s disease. A physical therapist can help develop and monitor ahome exercise program. A good exercise routine should include strengthening andflexing all limbs, stretching legs and feet, walking, facial and breathing exercises, andspecific exercises to gain better control in swallowing. An occupational therapist canhelp with walking and accomplishing everyday activities. People with Parkinson’sdisease lose the ability to move automatically. A good exercise program can help peoplewith Parkinson’s learn how to think about their movements and to plan their movementsone step at a time. A speech therapist can help improve voice volume and quality. Therapeuticexercises, including verbalization and tongue movements, often can make a difference. In some cases where speech is severely impaired, a machine or computer generated vocecan be used. It also may be important for families to learn new strategies to help theperson communicate. If the person is confused, it may be a good idea to use verbal cuesto understand or assist. The inability to understand can be very frustrating. Offerreassurance and support. This may ease some of the person’s anxiety over not being ableto express a thought or need.Diet also plays an important role in keeping a person with Pa...
