Participação em atividades significativas na pessoa com doença de Parkinson: estudo de caso

Abstract

Introduction: Parkinson's disease (PD) is a chronic and progressive neurodegenerative disease characterized by motor symptoms such as bradykinesia, rigidity, postural instability, and tremor. The intervention currently described involves pharmacological treatment and multidisciplinary intervention. The case reported is a 74-year-old patient who was married and retired from civil engineering. This report presents the diagnosis of PD in the intermediate phase, and the implementation of a multidisciplinary intervention plan. Objective: To describe the case of a person with PD and their participation in significant activities, such as carpentry. Material and methods: The case reported is a 74-year-old patient diagnosed with moderate-phase PD who underwent a multidisciplinary intervention plan. In the evaluation, several instruments were used, such as the Functional Assessment Inventory for Adults and Elderly (IAFAI), the Quality-of-Life Scale and Functional Assessment, and the Chedoke Arm and Hand Activity Inventory. Occupational problems related to the patient's performance and participation in activities of daily living (ADLs) and activities of interest were identified due to motor, emotional and cognitive symptoms associated with PD. The described intervention plan focuses on stimulating deficient skills, using occupational therapy sessions to build a suspended flower box. Results: Carpentry increased motivation, feelings of well-being, and capability, proving to be a beneficial activity to alleviate many of the motor symptoms but mainly emotional and cognitive symptoms. Conclusion: Participation in significant activities such as carpentry contributes to helping some symptoms of PD while it is being performed. Participation in such activities produces satisfaction for the person, enhances their sense of competence, and increases their levels of confidence and predisposition in everyday life.