Standardized Patient Actor Training
Section 4 - The Parkinson's Disease Patient
The links to the right are documents that you may use during the simulated clinic encounter and the post-encounter debriefing session with the medical student. Please review each of these documents.
Your patient history, review of symptoms, and physical exam will be given to the student prior to the clinic encounter and will not be simulated. However, you (as the actor) should know what your medical student doctor knows about you (as the patient) already.
You are an 82-year old retired cook who recently moved into the area from Chicago to be closer to your daughter. You have come to the doctor's office to establish yourself as a patient. You are also concerned about a feeling of imbalance that you began noticing recently. You have fallen a few times, with the last fall being one week ago. You tripped over a throw rug in the bathroom and landed on your left side. You have not been injured in any of your falls. You also complain that your right hand has been shaking, especially when you are sitting and watching television. This shaking has been present for several years, but you have not bothered to get it checked because it doesn't interfere with your daily activities.
You had your tonsils removed as a child, and at age 52 had surgery for gall stones (female) or hernia repair (male). You have a history of arthritis affecting your thumbs, and occasionally your right hip, and take Tylenol two or three times a day for hand pain. You also have a 15-year history of high blood pressure, for which you are taking two medications that have kept your blood pressure under control. Occasionally, you drink prune juice to help with constipation. You have mildly impaired vision, slightly worse in the left eye than in the right due to a cataract. You cannot hear a word whispered in your ear. In addition to the resting tremor in your right hand, your right arm and leg are slightly rigid. Physical examination is otherwise normal.
Your spouse died five years ago. You have two sons and a daughter who are all alive and well. You live by yourself in a first-floor, one-bedroom apartment two miles away from your daughter.