Richard is 63 years old and receives home care by an occupational therapist twice a week. His therapist is currently working with Richard on maintaining joint flexibility and balance. Richard demonstrates resting tremor, so his therapist is also working on adaptive techniques, so Richard can continue to use his hands to write, use the computer, and cook simple meals. Richard’s wife assists with his mobility and walks slowly beside him, holding his arm. Sometimes she needs to help him open his prescription bottles, so he can take his medicine, a combination of levodopa and carbidopa. 1.  The Advantage of Combining Levodopa With Carbidopa Essay What motor disease does Richard demonstrate? One of his signs is resting tremor. What is the difference between a resting tremor and an intention tremor? 2. What is the advantage of combining levodopa with carbidopa? What is the benefit of anticholinergic drugs in the management of Parkinson disease? 3. Parkinson disease involves the destruction of the substantia nigra and the nigrostriatal pathway. Where are these structures anatomically? 4. The patient with Parkinson disease typically presents with a masklike facial expression. The Advantage of Combining Levodopa With Carbidopa Essay

Why does he or she have a masklike facial expression? How are the eyes, mouth, and laryngopharynx affected by this disease?