facies

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Related to masked facies: Micrographia, festinating gait, cogwheel rigidity
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Nursing Diagnoses in Idiopathic Parkinsonism[22] * Activity intolerance related to (R/T) bradykinesia perceived as weakness * Ineffective breathing patter to R/T bradykinesia and rigidity, and/or levodopa induced dyskinesia of throat and thorax muscles and diaphragm * Body image disturbance R/T bradykinesia, tremor, masked facies, blepharospasm, sialorrhea and stooped posture * Caregiver role strain R/T patient's increasing dependence, altered communication patterns and loss of facial animation * Impaired verbal communication R/T weak voice (hypophonia), absence of normal pitch and rhythm of speech (aprosody) and difficult articulation (dysarthria).
Patients with OPCA will commonly present with many parkinsonian signs and symptoms, including rigidity, resting tremor, bradykinesia, masked facies, and shuffling gait, all of which may mask subtle signs of cerebellar degeneration.