Your patient is newly diagnosed with Parkinsons. Which of the following statements by his spouse would require more education? Select all that apply.


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- "I will make sure he eats a lot of sunflower seeeds."

- "I will make sure to increase his fiber and protein intake."

- "I will provide only a few larger meals during the day."

- "I will limit his fluid intake to 2L/day."

- "I will follow up to make sure we have appointments scheduled with physical and occupational therapy."


Sunflower seeds are high in Vitamin B6, which blocks the effects of antiparkinson's drug. They should not suddenly increase their intake of these. She should encourage fluid intake, not limit it. Patients with Parkinson's benefit from small. frequent, nutrient-dense meals rather than fewer, larger meals. Increasing protein and fiber intake, as well as communicating with PT/OT to ensure they've got appointments lined up is very appropriate.


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