How Available And/or Useful Is The Information On The Motability Scheme
23. The Motability website is easy to navigate and offers functionality to live chat if there are questions. They have accessible ways to get in touch by phone, minicom and textphone with queries. Also, Motability also offer sign language interpretation. It is positive that they offer these options to ensure they meet the diverse needs of the client base, as not everyone is online.
24. We believe that the Motability scheme is referred to in the award letter, if someone has been successful. But wonder if any further information is provided as people may miss this useful information in the award letter.
Parkinsons Symptoms Including Pain And Frequent Urination
Pain is a common cause of sleep disturbances in Parkinsons, says Horvat. A study published in June 2019 in the Journal of Pain Research found that about one-third of people with Parkinsons had clinically relevant sleep disturbances, and that central parkinsonian pain was the pain subtype that was most often associated with sleep issues.
Central pain can vary widely from person to person. It can feel like a constant burning or tingling that affects the whole body or it can be an intermittent sharp episode of pain, according to the Parkinsons Foundation.
You should definitely talk to your doctor if pain or Parkinsons symptoms are waking you up or keeping you up at night, to see what your treatment options may be, says Horvat.
Frequent urination can be a sign of several different things, and so its important to pay attention to any other symptoms you may also be having, she says.
Autonomic instability is often present in Parkinsons disease, which basically means the autonomic system is not firing regularly, as it should be, says Horvat. The autonomic system controls functions that keep you alive, including your heartbeat, breathing, and digestion.
This condition can lead to incontinence or urinary retention, she says. This is something to talk with your doctor about there are some medications that can be helpful.
Va Disability Compensation For Veterans With Parkinsons
VA disability compensation benefits are monthly, tax-free, benefits that are paid to U.S. military veterans with disabilities that are connected to their active duty military service. These benefits are administered and paid by the U.S. Department of Veterans Affairs .
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How Thc And Cbd Work
Cannabinoids from cannabis activate the ECS by binding to endocannabinoid receptors throughout the brain and body. The two most affected by cannabis are:
- CB1 receptors: Found in the brain in high levels, they are responsible for marijuanas psychoactive properties, or the high effect.
- CB2 receptors: Found throughout the body, they affect pain levels and inflammation.
THC strongly activates CB1 receptors, triggering a feeling of euphoria. This activation also increases blood flow to the prefrontal cortex of the brain, which is the area that controls the ability to focus, as well as our motor skills, attention, memory, and decision-making abilities.
THC also interacts with CB2 receptors, providing added analgesic , muscle relaxing, and antiemetic effects .
CBD activates both CB1 and CB2 receptors, although less strongly than THC. Although its CB1 and CB2 receptor activation does not produce a high, it has been shown to interact with additional receptors in the body and have calming and anti-inflammatory effects. For this reason, CBD has been used to treat pain, anxiety, and seizures.
Parkinsons Disease And Long Term Disability Insurance Claims
You may have group disability insurance coverage as part of an employee benefits plan, or you may have purchased an individual disability policy as protection against loss of income.
In either case, to receive these long term disability benefits, you need to meet your plan or policys definition of disability. This generally requires that, due to sickness or injury, you are now unable to perform the duties of your own occupation or another occupation.
Your insurance company may not fully understand the impact that Parkinsons disease can have on a person over time, both physically and cognitively. Claim examiners may not appreciate how is it that you have been able to work for years with PD and now suddenly you cannot.
Our attorneys do understand. We also know what it takes to submit a strong LTD insurance claim to prove disability for Parkinsons or file an appeal that will stand up in court.
We prepare for the tactics insurers use to avoid having to pay monthly benefits. Here are a few:
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Is The Decision Not To Use The Scheme Related To A Preference For Using Public Transport Or Is It Due To Other Factors
10. Under 10% of people with Parkinsons are eligible to apply for the Motability scheme currently. We believe that low income and poverty is a factor in people not leasing a Motability vehicle. If someone with Parkinsons is on the enhanced rate of PIP at £245 every 4 weeks and possibly on Universal Credit or Employment and Support Allowance at £73.10 per week, then their household income may not enable them to take advantage of the scheme. A Motability car might not be the priority, whereas paying utility bills and medication costs are likely to be prioritised above this expenditure.
11. Research conducted by Sheffield Hallam University showed that the additional cost of Parkinsons on a household is around £16,582 per year. This includes health and social care costs, potential loss of income from reduced hours or retirement. This additional cost of living with the condition shows that household income for those with the condition is squeezed. So while mobility is an important element to maintaining wellbeing, participating in the Motability scheme may not be viable due to the cost.
12. Also, some people with Parkinsons cannot drive, have had their licence removed or dont have someone who is able to drive them, so the Motability scheme isnt that useful for them.
Understanding The Side Effects Of Sleeping Tablets
Sleeping tablets dont just affect sleep they may also make you feel drowsy or heavy in the morning, or anxious during the day.
They may interfere with your ability to perform some everyday tasks . The effects you may have will depend on the type of medication and dose taken. Older people are often given lower doses of sleeping tablets as they tend to be more sensitive to their effects.
Many people assume sleeping tablets will help them function normally the next day, but there is little scientific evidence for this. Rather than improving your alertness during the day, some sleeping tablets may actually make your memory and concentration worse.
For example, Benzodiazepines can affect your memory, particularly at night. People may wake up several times during the night, but do not remember doing so in the morning.
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How Exercise May Slow Down Parkinsons Disease Progression
Exercise is thought to help slow down or possibly even reverse the progression of Parkinsons disease by causing neurological changes in your brain.
have found that exercise may have neuroprotective effects on the brain by increasing your bodys production of brain-derived neurotrophic factor and growth factors that promote the growth of brain cells.
Other have found that exercise might limit the depletion of dopamine-producing neurons in the substantia nigra. Exercise might also enhance your bodys ability to adapt to altered levels of dopamine and another neurotransmitter called glutamate.
Complex Parkinson’s Disease And Palliative Care
Complex Parkinson’s disease is defined as the stage when treatment is unable to consistently control symptoms, or the person has developed uncontrollable jerky movements .
These problems can still be helped by adjustment or addition of some of the medications used to treat Parkinson’s disease, under the supervision of a doctor with a specialist interest in Parkinson’s disease.
As Parkinson’s disease progresses, you’ll be invited to discuss the care you want with your healthcare team as you near the end of your life. This is known as palliative care.
When there’s no cure for an illness, palliative care tries to alleviate symptoms, and is also aimed at making the end of a person’s life as comfortable as possible.
This is done by attempting to relieve pain and other distressing symptoms, while providing psychological, social and spiritual support for you and your family.
Palliative care can be provided at home or in a hospice, residential home or hospital.
You may want to consider talking to your family and care team in advance about where you’d like to be treated and what care you wish to receive.
Which Cbd Oil Is Best For Parkinsons Disease
Getting the best CBD oil for your condition depends on many factors, and the only way you can make sure that you buy a high-quality product is to shop smart:
- Read the label. Carefully check how much CBD and THC the product contains.
- Check for third-party testing. Companies that have independent evaluation facilities test their products usually provide higher quality.
- Check online CBD oil for Parkinsons reviews to make an informed and educated decision.
- Check the sourcing location. Where the product comes from and how the plant is grown is important. Some states require growers to adhere to stricter quality assurance regulations regarding the use of pesticides or chemicals.
- Check the oil type. Full or broad-spectrum CBD oil will probably be a better option than an isolate.
- Choose where you buy CBD. Although online purchases are a good option, the best place to find CBD oil for Parkinsons for sale is from licensed dispensaries. This way you know what you are buying and you are less likely to get into any trouble over potential legal issues.
Disability Compensation For Veterans With Parkinsons
The minimum VA disability rating for Parkinsons disease is 30%. However, you must consider other important factors that can increase this rating to 100%. While you may be awarded 30%, that rating alone may be incomplete.
The 30% rating is the starting point. It is vital to make sure the VA completes its rating and evaluates each of your symptoms associated with PD. The VA then should calculate your rating using the combined rating for each symptom. These may include:
- Tremors, rigidity, and slowness of movement in both upper and lower extremities
- Cognitive problems
- Facial muscle paralysis
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Cck Understands Parkinsons Disability Claims
We understand the effects that Parkinsons Disease can have on you over time, both physically and cognitively. The cognitive symptoms of PD may make it difficult for you to concentrate or juggle multiple responsibilities at once. Physical symptoms can impede your ability to perform everyday tasks, such as getting dressed, physically attending work reliably and traveling.
Your insurer may not fully comprehend the strain you face by remaining in the workforce. They may not understand how you have worked with PD in the past, but are now rendered unable to do so due to the diseases progression. At CCK, we have experience helping professionals who have pushed through their symptoms for years, but simply can no longer perform at the capacity required to remain in the workforce.
How Does Deep Brain Stimulation For Parkinsons Work
Deep brain stimulation works by modifying abnormal electrical activity in the brain. It was first approved for Parkinsons tremors in 1997 and has become an established treatment to control additional motor symptoms of Parkinsons disease.
DBS involves three main components:
- Leads: Leads are implanted in the brain in a region responsible for motor activity.
- Implantable pulse generator : A separate procedure is performed to implant a battery-operated device in the chest or in the abdomen. An IPG is similar to a pacemaker for the heart and has been coined by some as a pacemaker for the brain.
- Extension: A thin, insulated wire is passed beneath the skin between the leads and implantable pulse generator to deliver the electrical stimulation from the pulse generator to the leads.
The target area in the brain is first identified by magnetic resonance imaging or computed tomography . Then, the leads are placed via small holes that a surgeon drills in the skull.
This is considered a minimally invasive surgery that is done in the operating room with local anesthesia. It usually requires an overnight stay.
The IPG is inserted in a separate surgical procedure in the operating room roughly a week later.
After a few weeks, a neurologist begins to program the unit. This process can take several additional weeks to months. When this is completed, people are able to manage the device with a handheld remote control.
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General Symptoms Of Parkinsons Disease
- Tremor Tremor in a limb, often in the hand or fingers at rest, a back-and-forth rubbing of your thumb and forefinger, known as pill-rolling
- Slowed voluntary movement Reduced ability to move and walk, and dragging feet with smaller steps as well as difficulty in rising from sitting/getting out of a bed/chair
- Orthostatic hypotension Lightheadedness or dizzy when standing
- Rigid muscles Muscle stiffness and abnormal tone in the body limiting your motion and causing pain
- Impaired posture and balance Stooped posture, unsteady balance
- Loss of automatic movements Decreased facial movement like blinking, smiling or swinging your arms when you walk
- Dysarthria Difficulty in speaking and speech-related problems like speaking softly, quickly, with a slur or hesitation, monotonous without inflections
- Dysphagia Difficulty in swallowing
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How Can You Qualify For Disability Benefits Of Parkinsonism
To become qualified for social security disability benefits, you are required to be an adult who has been detected with any sort of Parkinsonism. You need to meet the exact criteria given in the social security administrations listing for Parkinsonism, listing 11.06 and you will be granted the benefits.
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Parkinsons Disease: How Patients Can Benefit From Cbd
CBD has taken the world by storm and has proven to help address various issues that humans face. As a result, it is not surprising that people might want to know the effect of CBD on Parkinsons Disease.
Indeed, cannabis has proven beneficial in alleviating common medical conditions such as inflammation, severe pain, anxiety, epilepsy, bowel disorder, and Parkinsons disease. The plants legalization has created chances for researchers to explore the full potential the plant has to offer, and some clinical trials are showing positive results.
The Parkinsons Foundation made a Consensus Statement on the effect of medical cannabis on the disease in 2020. The state advised users to be careful about adverse impacts since trials are still on the medication. Medical cannabis is a compound of the hemp plant, such as THC and CBD. Currently, only one CBD-based drug has been authorized by the Food and Drug Administration to be used by patients with seizure conditions. The effect on seizures has attracted more attention to its impact on Parkinsons.
What is CBD?
CBD is a natural compound that can be extracted from the cannabis plant. CBD products can alleviate pain, inflammation, and other medical conditions. Unlike its cousin THC, CBD doesnt make you feel high. However, THC also holds numerous therapeutic benefits and is available in different forms, including THC pen, capsules, and gummies.
Evidence Of CBD For Parkinsons Disease
How Is Parkinsons Disease Diagnosed
A doctors diagnostic process for PD may include:
- Thorough review of medical history
- Neurological examination
- Looking for two or more of the cardinal symptoms of PD such as resting tremor, bradykinesia, rigidity, and postural instability
- DaTscan, a technique that allows doctors to capture detailed images of the dopamine system
Parkinsons Disease shares the symptoms of many other disorders. Since none of the above methods can definitively diagnose a person with Parkinsons, PDs misdiagnosis rate is fairly high.
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Proving Service Connection For Parkinsons Disease Without A Presumption:
As for any other non-presumptive conditions, veterans with Parkinsons who did not serve in a location listed above may still qualify for VA compensation. You will need to submit additional evidence to show that your exposure was during military service, and link the exposure to your Parkinsons.
Because PD is progressive, the VA does not make veterans wait for the disease to slowly evolve. So medical documentation of symptoms should pave the way to service connection. The first thing you need to provide is documentation that you have symptoms of Parkinsonism.
You will need to provide the VA with your
- Military separation records
- Service treatment records
- Medical evidence of diagnosis and treatment of Parkinsons
Timing and sufficient evidence of Parkinsons are critical, as a timely filing for VA compensation properly ensures that you can start receiving benefits from the date VA has your claim in hand.
You will also need your physicians opinion saying that your PD was caused by exposure to toxins in service, or by a service-connected traumatic brain injury . We recommend providing a statement detailing your exposure or event.
Regarding Parkinsons in particular, various instances exist by which veterans may qualify for service-connected VA compensation, including
Risks And Side Effects Of Deep Brain Stimulation
Like any surgery, deep brain stimulation can have side effects, and it carries potential risks. Its also important to consider the complications and side effects of medications you take since their dosages can often be reduced following surgery.
While DBS may cause side effects, it may also reduce side effects from medications.
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What Grants Are Available For This Group Of People And What More Can Be Done To Support These Needs
20. We believe that access to work grants could potentially be available and applicable to this group of people. In a recent survey of 399 of our supporters 65% of respondents had heard of the access to work scheme, however only 14% indicated that they had made use of the scheme. Therefore, we would recommend that the SSAC encourage the DWP to widely publicise the access to work scheme.