Table 3 Recommendations for maintaining cognitive health across stages of Parkinson’s disease
Early-stage to mid-stage Parkinson’s disease: |
1. Exercise according to guidelines from American College of Sports Medicine and American Heart Association60,67,69,71 |
2. Stay active socially; for example, spend time with friends or join a support group |
4. Learn coping strategies; for example, work with an occupational therapist or neuropsychologist on techniques for paying attention, remembering things, or doing everyday tasks |
5. Nutrition can affect cognition; for example, try a Mediterranean diet |
6. Take your time when doing tasks |
7. Let your family and friends know if you are having trouble |
8. Seek help if feeling depressed or anxious120 |
Advanced Parkinson’s disease: |
Keep following the above recommendations, PLUS: |
1. Develop a highly structured daily routine that you follow |
2. Consider the use of medication for cognitive impairment |
3. Have an advanced directive in place (living will, treatments)120 |
4. For care partners—take care of your own health as well (see doctors as needed)111 |
5. For care partners—seek out support such as counseling |