Description

The Intake Questionnaire – Parkinson-specific is an assessment tool designed to gather essential information about a patient’s condition during the initial evaluation for Parkinson’s disease. This questionnaire focuses on Parkinson-specific issues and includes questions regarding symptoms, quality of life, and the daily challenges faced by the patient.

Analysis

The Intake Questionnaire – Parkinson-specific includes various sections covering:

Parkinson’s Disease Symptoms:
Questions about the core symptoms of the disease, such as tremors, rigidity, bradykinesia (slowness of movement), and balance problems.
Daily Activities:
Questions evaluating the difficulties in daily functioning and the impact of the disease on the person’s quality of life.
Symptom Management:
Questions about ongoing treatments, including medication, physical therapy, and other interventions.
Psychological State:
Assesses the patient’s emotional and psychological condition, including anxiety and depression, related to Parkinson’s disease.

Purpose

The purpose of the Intake Questionnaire – Parkinson-specific is:

Initial Evaluation:
To provide a comprehensive baseline assessment of a patient with Parkinson’s disease.
Symptom Identification:
To identify the main symptoms and challenges the patient is experiencing.
Treatment Planning:
To support the development of a personalized treatment and care plan based on the patient’s specific needs.
Progress Monitoring:
To serve as a reference point for tracking patient progress and evaluating the effectiveness of the treatment over time.

Scoring

Scoring for the Intake Questionnaire – Parkinson-specific includes:
Total Score:
Calculated based on responses, reflecting the severity of symptoms and impact on quality of life.
Symptom Categories:
Answers are grouped into categories such as motor symptoms, daily functioning, and psychological condition to facilitate targeted evaluation.

References

Schapira, A. H. V. (2009). Parkinson’s Disease: Clinical Features and Diagnosis. In J. E. Hardy & M. A. Riley (Eds.), Parkinson’s Disease (pp. 1–12). Elsevier.
Koller, W. C., & Vetlesen, J. (1997). Assessment of Parkinson’s Disease: Clinical and Research Tools. Movement Disorders, 12(3), 485–497.
Fahn, S., & Parkinson Study Group (2004). Unified Parkinson’s Disease Rating Scale (UPDRS): An Update. Movement Disorders, 19(2), 195–198.