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Mr. X is 70-year-old patient who was diagnosed of Idiopathic

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Mr. X is 70-year-old patient who was diagnosed of Idiopathic Parkinson’s Disease 10 yearsago. He is a retired banker and retired 7 years ago when he experienced that his symptomsworsen which generally slowed him in performing his duties at work. He reported that hissymptoms started with mild shaking of his right hand at rest. Initially he thought that it wasjust a writer’s cramp. Recently, patient had a fall when moving from his bed to a nearby chair.He suffered minor bruised on his left arm and left thigh because of this fall but no otherserious problem occurred. However, because of this fall incident he became reluctant tomove which further worsen his difficulty in transferring. His son who accompanied him tothe clinic, reported that patient now rarely leaves the house unless someone will go withhim. In spite of the tremor, stiffness, and slowness of movement patient remainsindependent at home but requires assistance and use of walking frame during outdooractivity. Mr. X also has difficulty in moving through narrow doorways and crowded places.During observation, you noted that the patient appears depressed with minimal emotionshown during the interview. He is alert, oriented, and cooperative but there is mild memoryand concentration impairment. You noted when he is sitting, his trunk and limbs are bentwith shaking of both hands. His shoulders are depressed and protracted and his neck isprotruded forwards. There is limited trunk movements and patient has limited rolling abilityin bed.When asked to stand, he makes several attempts to stand but significant instability withtendency to fall is noted. He has slight proprioception in both legs. Stiffness of both upperand lower limbs are noted. There is weak grip strength and fine manipulation is difficult asseen when attempting to buttoning his shirt.Mr. X walks with short, rapid steps with apparent reduced stride and step length, increasedcadence and loss of normal heel-toe pattern on both legs. Patient tends to stop when anobstacle is present in front of him and has difficulty in maintaining his balance when turning.Reciprocal arm swing is absent.Instructions:1. Provide a general summary of the impairments and functional limitations for thispatient.2. Based on the scenario, provide the Hoehn & Yahr Classification of Mr. X. State yourexplanation why the patient is in the stage you selected.3. Choose TWO (2) problems that you will prioritize from the scenario. In addition,explain the reason(s) why you selected these problems.4. Provide at least TWO (2) evidence-based management appropriate for each problemyou selected. Explain the reason(s) why you selected such interventions and cite therelevant literatures you used as bases for selection.5. Describe a suitable outcome measure/ tools to evaluate the effectiveness of themanagement you have selected. Explain the reason(s) why you selected such outcomemeasure and cite the relevant literatures you used as bases for selection.ScienceHealth SciencePHYS 101

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