Iowa Geriatric Education Center Iowa Geriatric Education Center

Standardized Patient Actor Training

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Section 4 - The Parkinson's Disease Patient

Did Your Physician? Checklist
This document tells you what your student doctor should do (marked with a "+") and not do (marked with a "-") during functional assessment, and provides you places to check off what he or she does and record any notes to use in the debriefing session. It also contains brief reminders of how to portray the patient.

Instrumental Activities of Daily Living
This document lists the activities of daily living with which you have trouble (marked with a "+" because in medicine, a positive finding means there is a problem). You should follow this sheet when answering the student doctor's questions about your functioning.

Male Patient Description and Female Patient Description
These documents give your patient history, review of symptoms, and physical exam. The version appropriate to your gender will be given to the medical student before he or she enters the exam room.

Mini Mental State Exam (MMSE)
This form indicates which items you should miss (marked with an "X") when asked the questions on the MMSE, and also shows how you should copy the pentagons and write the sentence.

Geriatric Depression Scale (GDS)
This form indicates how you should answer when asked the questions on the GDS.


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.

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