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effets ? Blocage soudain \u00e0 la marche, lenteur, visage sans expression, retrait : ce sont des manifestations neurologiques classiques de la maladie de Parkinson, pas des choix. En cas de doute, d\u00e9crivez pr\u00e9cis\u00e9ment la sc\u00e8ne \u2014 l&#8217;heure, le lieu, ce qui s&#8217;est pass\u00e9 avant \u2014 \u00e0 l&#8217;\u00e9quipe soignante et au m\u00e9decin, plut\u00f4t que de la r\u00e9sumer par \u00ab il ne fait pas d&#8217;efforts \u00bb. 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Les horaires prescrits doivent donc primer sur les contraintes d&#8217;organisation du service, dans le respect de l&#8217;ordonnance. On n&#8217;avance, ne retarde, ni ne modifie jamais un traitement de sa propre initiative. Si le circuit du m\u00e9dicament g\u00e9n\u00e8re des d\u00e9calages r\u00e9p\u00e9t\u00e9s, on le fait remonter pour le corriger avec le m\u00e9decin et le pharmacien.&#8221;<br \/>\n          }<br \/>\n        },<br \/>\n        {<br \/>\n          &#8220;@type&#8221;: &#8220;Question&#8221;,<br \/>\n          &#8220;name&#8221;: &#8220;Comment r\u00e9agir face \u00e0 des hallucinations sans aggraver la situation ?&#8221;,<br \/>\n          &#8220;acceptedAnswer&#8221;: {<br \/>\n            &#8220;@type&#8221;: &#8220;Answer&#8221;,<br \/>\n            &#8220;text&#8221;: &#8220;On ne contredit pas frontalement : pour la personne, sur le moment, c&#8217;est r\u00e9el, et la nier l&#8217;angoisse davantage. On rassure sans mentir : \u00ab Je ne le vois pas, mais je suis l\u00e0, vous ne risquez rien. \u00bb On agit sur l&#8217;environnement \u2014 allumer, r\u00e9duire ombres et reflets \u2014 puis on d\u00e9tourne doucement l&#8217;attention. Surtout, toute hallucination nouvelle ou toute confusion r\u00e9cente se signale \u00e0 l&#8217;\u00e9quipe et au m\u00e9decin : elle peut \u00eatre li\u00e9e \u00e0 la maladie, au traitement, ou \u00e0 un facteur ajout\u00e9 comme une infection ou une d\u00e9shydratation, qui se recherche et se traite.&#8221;<br \/>\n          }<br \/>\n        },<br \/>\n        {<br \/>\n          &#8220;@type&#8221;: &#8220;Question&#8221;,<br \/>\n          &#8220;name&#8221;: &#8220;La formation DYNSEO s&#8217;adresse-t-elle aux familles ou aux professionnels ?&#8221;,<br \/>\n          &#8220;acceptedAnswer&#8221;: {<br \/>\n            &#8220;@type&#8221;: &#8220;Answer&#8221;,<br \/>\n            &#8220;text&#8221;: &#8220;Aux deux. La formation \u00ab Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle \u00bb est con\u00e7ue pour les soignants et accompagnants en \u00e9tablissement, mais elle \u00e9claire tout autant les proches qui veulent comprendre ce qui se joue. Elle compte 32 le\u00e7ons, se suit 100 % en ligne, \u00e0 son rythme, avec un acc\u00e8s illimit\u00e9. Elle est propos\u00e9e par un organisme certifi\u00e9 Qualiopi (N\u00b0 11757351875) et donne lieu \u00e0 une attestation de fin de formation. 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Elle se glisse dans les micro-sc\u00e8nes du quotidien&nbsp;: un r\u00e9sident qui reste fig\u00e9 sur le seuil de sa chambre, un repas qui s&#8217;\u00e9ternise, une voix devenue si faible qu&#8217;on finit par r\u00e9pondre \u00e0 sa place. Face \u00e0 ces moments, la question qui revient sans cesse chez les \u00e9quipes comme chez les familles est simple&nbsp;: <strong>Parkinson en \u00e9tablissement, que faire<\/strong> concr\u00e8tement, \u00e0 l&#8217;instant o\u00f9 la sc\u00e8ne se produit&nbsp;?<\/pee>\n<ul class=\"dyn-pagehead__meta\">\n<li>\u23f1\ufe0f 19 min de lecture<\/li>\n<li>\ud83d\udc65 Pour les familles et les aidants<\/li>\n<li>\ud83d\udd04 Mis \u00e0 jour en ao\u00fbt 2026<\/li>\n<\/ul>\n<\/header>\n<section class=\"dynen dynen-inarticle\" data-dynen=\"inarticle\"><pee class=\"dynen-h\">Dans cet article<\/pee><pee class=\"dynen-sub\">La formation associ\u00e9e<\/pee><a class=\"dynen-form\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\"><\/p>\n<div class=\"dynen-form__img\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-9-4.jpg\" alt=\"\" loading=\"lazy\"><\/div>\n<div class=\"dynen-form__body\"><span class=\"dynen-tag dynen-tag--quali\">Formation Qualiopi<\/span><b>Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle<\/b><span class=\"dynen-go\">D\u00e9couvrir la formation \u2192<\/span><\/div>\n<p><\/a><\/section>\n<aside class=\"dyn-hero\" aria-label=\"Formation pr\u00e9sent\u00e9e dans cet article\">\n<div class=\"dyn-hero__grid\">\n<div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-9-4.jpg\" alt=\"Formation DYNSEO \u00ab Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle \u00bb\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n<div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">La formation li\u00e9e \u00e0 cet article<\/span>\n      <pee class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle<\/a><\/pee>\n      <pee class=\"dyn-hero__pitch\">Tout ce que cet article explique, mis en pratique.<\/pee>\n<ul class=\"dyn-badges\">\n<li>\ud83c\udfa5 8 modules \u00b7 32 le\u00e7ons<\/li>\n<li>\ud83d\udcbb 100 % en ligne<\/li>\n<li>\u23f1\ufe0f \u00c0 votre rythme<\/li>\n<li>\ud83c\udfc5 Organisme Qualiopi<\/li>\n<li>\ud83c\udf0d 9 langues<\/li>\n<\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Voir la formation<\/a><br \/>\n        <span class=\"dyn-hero__price\">20.0 \u20ac<\/span>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/aside>\n<pee>Voici dix de ces sc\u00e8nes, d\u00e9crites telles qu&#8217;elles se d\u00e9roulent r\u00e9ellement dans un couloir, une salle \u00e0 manger ou une chambre. Pour chacune&nbsp;: ce qui se joue vraiment c\u00f4t\u00e9 maladie, le r\u00e9flexe spontan\u00e9 qui aggrave la situation \u2014 celui que nous avons tous \u2014 et la r\u00e9ponse pas \u00e0 pas qui fonctionne, avec les mots exacts \u00e0 dire et la posture \u00e0 adopter. Sans jargon, sans protocole m\u00e9dical, et sans jamais confondre un sympt\u00f4me neurologique avec un trait de caract\u00e8re.<\/pee>\n<section class=\"dyn-tldr\">\n<h2>L&#8217;essentiel en 30 secondes<\/h2>\n<pee>La plupart des situations difficiles li\u00e9es \u00e0 Parkinson en \u00e9tablissement ne sont ni de la mauvaise volont\u00e9, ni un caprice, ni de la paresse&nbsp;: ce sont des <strong>manifestations neurologiques<\/strong>. Les reconna\u00eetre comme telles change compl\u00e8tement la r\u00e9ponse \u00e0 apporter.<\/pee>\n<ul>\n<li><strong>Trois r\u00e9flexes valables presque partout<\/strong> \u2014 ralentir son propre rythme, donner un rep\u00e8re (visuel, sonore, verbal), et laisser le temps du mouvement s&#8217;installer.<\/li>\n<li><strong>Ce qui aggrave presque toujours<\/strong> \u2014 presser, tirer sur le bras, faire \u00e0 la place, hausser la voix, multiplier les consignes en m\u00eame temps.<\/li>\n<li><strong>Le blocage moteur (freezing)<\/strong> n&#8217;est pas un refus&nbsp;: le mouvement est bloqu\u00e9, pas la volont\u00e9.<\/li>\n<li><strong>Les fluctuations dans la journ\u00e9e<\/strong> (effet \u00ab&nbsp;on-off&nbsp;\u00bb) sont normales dans la maladie&nbsp;: la personne n&#8217;exag\u00e8re pas le matin et ne fait pas semblant l&#8217;apr\u00e8s-midi.<\/li>\n<li><strong>Tout changement soudain<\/strong> (chute, fausse route r\u00e9p\u00e9t\u00e9e, confusion nouvelle) s&#8217;observe, se note et se signale \u00e0 l&#8217;\u00e9quipe soignante et au m\u00e9decin.<\/li>\n<\/ul>\n<\/section>\n<nav class=\"dyn-toc\" aria-label=\"Sommaire\">\n  <pee>Les 10 situations<\/pee>\n<ol>\n<li><a href=\"#dyn-s1\">Il se fige dans le couloir et ne peut plus avancer<\/a><\/li>\n<li><a href=\"#dyn-s2\">Le repas s&#8217;\u00e9ternise et il fait des fausses routes<\/a><\/li>\n<li><a href=\"#dyn-s3\">Il n&#8217;arrive plus \u00e0 se lever du fauteuil<\/a><\/li>\n<li><a href=\"#dyn-s4\">Le matin il est bloqu\u00e9, l&#8217;apr\u00e8s-midi il va bien<\/a><\/li>\n<li><a href=\"#dyn-s5\">Sa voix est devenue inaudible<\/a><\/li>\n<li><a href=\"#dyn-s6\">Son visage ne montre plus rien, on croit qu&#8217;il boude<\/a><\/li>\n<li><a href=\"#dyn-s7\">Il voit des choses qui n&#8217;existent pas, surtout le soir<\/a><\/li>\n<li><a href=\"#dyn-s8\">Il ne veut plus participer \u00e0 rien<\/a><\/li>\n<li><a href=\"#dyn-s9\">Les nuits agit\u00e9es et le risque de chute<\/a><\/li>\n<li><a href=\"#dyn-s10\">Il devient anxieux quand le traitement tarde<\/a><\/li>\n<li><a href=\"#dyn-recap\">Parkinson en \u00e9tablissement, que faire&nbsp;: le tableau r\u00e9capitulatif<\/a><\/li>\n<li><a href=\"#dyn-faq\">Questions fr\u00e9quentes<\/a><\/li>\n<\/ol>\n<\/nav>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s1\">1. Il se fige dans le couloir et ne peut plus avancer<\/h2>\n<pee><em>10 h, dans le couloir qui m\u00e8ne \u00e0 la salle d&#8217;animation. M. R. marchait normalement. Arriv\u00e9 devant l&#8217;encadrement de la porte, ses pieds semblent coll\u00e9s au sol. Vous lui dites \u00ab&nbsp;allez, avancez&nbsp;\u00bb, vous le prenez par le bras pour l&#8217;entra\u00eener. Il se penche en avant, manque de tomber, et se braque.<\/em><\/pee>\n<pee>Ce qui se joue&nbsp;: c&#8217;est ce qu&#8217;on appelle le blocage moteur, ou <em>freezing<\/em>. Le cerveau n&#8217;arrive plus \u00e0 envoyer la commande de d\u00e9marrage. C&#8217;est souvent d\u00e9clench\u00e9 par un passage \u00e9troit, un seuil, un changement de sol, ou par la pr\u00e9cipitation. La personne veut avancer, elle en est incapable sur le moment. Tirer sur son bras d\u00e9s\u00e9quilibre son centre de gravit\u00e9 d\u00e9j\u00e0 instable et augmente le risque de chute.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Arr\u00eatez de pousser, arr\u00eatez de tirer.<\/strong> Placez-vous \u00e0 c\u00f4t\u00e9, jamais devant \u00e0 reculons. Dites calmement&nbsp;: \u00ab&nbsp;On ne bouge pas, on respire, \u00e7a va repartir.&nbsp;\u00bb<\/li>\n<li><strong>Donnez un rep\u00e8re pour enjamber.<\/strong> Une consigne rythm\u00e9e aide souvent le d\u00e9marrage&nbsp;: \u00ab&nbsp;grand pas par-dessus ma chaussure&nbsp;\u00bb, ou compter \u00ab&nbsp;un, deux, trois, on part&nbsp;\u00bb.<\/li>\n<li><strong>Proposez un point de mire au sol.<\/strong> Une ligne, un carrelage, votre pied pos\u00e9 devant le sien&nbsp;: enjamber un rep\u00e8re visuel d\u00e9bloque fr\u00e9quemment la marche.<\/li>\n<li><strong>Laissez le temps du red\u00e9marrage.<\/strong> Le mouvement revient g\u00e9n\u00e9ralement de lui-m\u00eame en quelques secondes si on ne panique pas.<\/li>\n<\/ol>\n<pee><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> tirer sur le bras, dire \u00ab&nbsp;d\u00e9p\u00eachez-vous&nbsp;\u00bb, s&#8217;agacer, ou entourer la personne de plusieurs soignants qui parlent en m\u00eame temps \u2014 la surcharge aggrave le blocage. Signalez \u00e0 l&#8217;ergoth\u00e9rapeute et au kin\u00e9sith\u00e9rapeute les endroits o\u00f9 les blocages reviennent&nbsp;: l&#8217;am\u00e9nagement des lieux fait partie de la r\u00e9ponse.<\/pee>\n<pee>Un point qui d\u00e9route souvent les \u00e9quipes&nbsp;: la m\u00eame personne qui reste fig\u00e9e devant une porte peut monter un escalier sans difficult\u00e9, ou repartir d\u00e8s qu&#8217;une musique rythm\u00e9e se met en route. Ce n&#8217;est pas contradictoire. Le blocage touche l&#8217;automatisme du d\u00e9marrage, pas la m\u00e9canique du mouvement lui-m\u00eame. C&#8217;est pourquoi un stimulus ext\u00e9rieur \u2014 un rep\u00e8re visuel, un rythme, une consigne concr\u00e8te \u2014 sert de \u00ab&nbsp;b\u00e9quille&nbsp;\u00bb au cerveau pour relancer la s\u00e9quence. Retenir cette logique \u00e9vite bien des interpr\u00e9tations erron\u00e9es et des r\u00e9ponses inadapt\u00e9es d&#8217;un accompagnant \u00e0 l&#8217;autre.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s2\">2. Le repas s&#8217;\u00e9ternise et il fait des fausses routes<\/h2>\n<pee><em>12 h 30, salle \u00e0 manger. Mme L. mange tr\u00e8s lentement, sa cuill\u00e8re tremble, elle tousse \u00e0 plusieurs reprises pendant le repas. Le service presse&nbsp;: il faut d\u00e9barrasser. Quelqu&#8217;un propose de lui donner \u00e0 manger plus vite \u00ab&nbsp;pour gagner du temps&nbsp;\u00bb.<\/em><\/pee>\n<pee>Ce qui se joue&nbsp;: la lenteur des gestes (bradykin\u00e9sie) et les troubles de la d\u00e9glutition sont fr\u00e9quents dans la maladie de Parkinson. La toux pendant le repas peut \u00eatre le signe d&#8217;une fausse route, c&#8217;est-\u00e0-dire d&#8217;aliments qui passent du mauvais c\u00f4t\u00e9. Acc\u00e9l\u00e9rer le repas ou d\u00e9tourner l&#8217;attention de la personne au moment o\u00f9 elle avale augmente pr\u00e9cis\u00e9ment ce risque. Ce n&#8217;est pas un probl\u00e8me d&#8217;app\u00e9tit ni de bonne volont\u00e9.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Installez la personne bien droite, sans la presser.<\/strong> Une posture assise stable, le repas dans un environnement calme, sans t\u00e9l\u00e9vision ni conversation crois\u00e9e au-dessus de sa t\u00eate.<\/li>\n<li><strong>Un temps pour avaler, une bouch\u00e9e \u00e0 la fois.<\/strong> On ne relance pas, on ne fait pas la conversation pendant qu&#8217;elle d\u00e9glutit. Le silence attentif est ici une aide, pas de l&#8217;indiff\u00e9rence.<\/li>\n<li><strong>Observez et notez.<\/strong> Toux, voix \u00ab&nbsp;mouill\u00e9e&nbsp;\u00bb apr\u00e8s avoir bu, aliments qui restent en bouche&nbsp;: ce sont des observations \u00e0 transmettre, pas \u00e0 interpr\u00e9ter seul.<\/li>\n<li><strong>Renvoyez au professionnel.<\/strong> L&#8217;adaptation des textures et des consignes de posture rel\u00e8ve de l&#8217;orthophoniste et du m\u00e9decin&nbsp;: appliquez leurs pr\u00e9conisations, ne les improvisez pas.<\/li>\n<\/ol>\n<pee><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> faire manger vite, donner \u00e0 boire pendant une quinte de toux, modifier de sa propre initiative la texture des aliments, ou consid\u00e9rer que \u00ab&nbsp;elle fait des mani\u00e8res&nbsp;\u00bb. En cas d&#8217;\u00e9touffement avec impossibilit\u00e9 de respirer, on applique les gestes de premiers secours et on alerte imm\u00e9diatement les services d&#8217;urgence de votre pays.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s3\">3. Il n&#8217;arrive plus \u00e0 se lever du fauteuil<\/h2>\n<pee><em>16 h, salon commun. M. B. veut rejoindre sa chambre. Il pose les mains sur les accoudoirs, se balance une fois, deux fois, retombe assis. Un soignant, press\u00e9, le saisit sous les aisselles et le hisse d&#8217;un coup. M. B. crie de douleur et se crispe.<\/em><\/pee>\n<pee>Ce qui se joue&nbsp;: l&#8217;initiation du mouvement est justement ce qui coince dans Parkinson. Le transfert assis-debout demande une s\u00e9quence (avancer les fesses, pencher le buste, pousser sur les jambes) que la maladie d\u00e9sorganise. Soulever la personne en force, sans qu&#8217;elle participe, la met en danger et ab\u00eeme le lien de confiance. Le geste doit rester le sien, avec vous en soutien.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>D\u00e9composez la s\u00e9quence \u00e0 voix haute.<\/strong> \u00ab&nbsp;On avance les fesses au bord\u2026 on met les pieds sous les genoux\u2026 on penche le nez vers l&#8217;avant\u2026 et on pousse.&nbsp;\u00bb<\/li>\n<li><strong>Donnez le rythme, laissez l&#8217;\u00e9lan.<\/strong> Un d\u00e9compte \u00ab&nbsp;un, deux, trois&nbsp;\u00bb synchronise l&#8217;effort mieux qu&#8217;un ordre sec.<\/li>\n<li><strong>S\u00e9curisez sans faire \u00e0 la place.<\/strong> Vous accompagnez le mouvement, vous ne le remplacez pas. La personne garde le contr\u00f4le de son corps.<\/li>\n<li><strong>Appliquez les consignes de transfert de l&#8217;\u00e9tablissement.<\/strong> Techniques de manutention, aides techniques, hauteur d&#8217;assise&nbsp;: ce sont des points \u00e0 voir avec le kin\u00e9sith\u00e9rapeute et l&#8217;ergoth\u00e9rapeute.<\/li>\n<\/ol>\n<pee><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> tirer sous les bras, presser, ou au contraire tout faire \u00e0 la place \u00ab&nbsp;parce que c&#8217;est plus rapide&nbsp;\u00bb. Chaque transfert autonome entretenu aujourd&#8217;hui est un transfert de moins \u00e0 assurer demain.<\/pee>\n<pee>Il vaut la peine d&#8217;observer aussi <em>quand<\/em> le transfert \u00e9choue. Souvent, il coince en d\u00e9but de matin\u00e9e ou juste avant la prise suivante du traitement, quand l&#8217;effet est au plus bas \u2014 et devient beaucoup plus fluide une heure plus tard. Programmer les levers importants sur les bons cr\u00e9neaux, plut\u00f4t que de lutter contre une phase de blocage, \u00e9pargne de la fatigue \u00e0 la personne comme \u00e0 l&#8217;\u00e9quipe. C&#8217;est le m\u00eame principe que pour les fluctuations d\u00e9crites plus loin&nbsp;: on adapte le moment \u00e0 la personne, on ne demande pas \u00e0 la personne de s&#8217;adapter \u00e0 un moment qui ne lui convient pas.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s4\">4. Le matin il est bloqu\u00e9, l&#8217;apr\u00e8s-midi il va bien<\/h2>\n<pee><em>Le matin, Mme D. est raide, lente, presque incapable de tenir sa fourchette. En d\u00e9but d&#8217;apr\u00e8s-midi, la m\u00eame personne marche dans le couloir et plaisante. Un rempla\u00e7ant, surpris, l\u00e2che&nbsp;: \u00ab&nbsp;Ce matin vous exag\u00e9riez, non&nbsp;?&nbsp;\u00bb<\/em><\/pee>\n<pee>Ce qui se joue&nbsp;: ce sont les fluctuations motrices, l&#8217;effet dit \u00ab&nbsp;on-off&nbsp;\u00bb. Selon le moment de la journ\u00e9e et l&#8217;efficacit\u00e9 du traitement, la personne passe de phases o\u00f9 elle bouge correctement \u00e0 des phases de blocage. Ces variations sont une caract\u00e9ristique connue de la maladie de Parkinson \u00e9volu\u00e9e. La personne n&#8217;en exag\u00e8re aucune&nbsp;: elle subit les deux.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Calez les activit\u00e9s exigeantes sur les phases \u00ab&nbsp;on&nbsp;\u00bb.<\/strong> Toilette, marche, sorties, animation&nbsp;: dans les cr\u00e9neaux o\u00f9 la personne bouge le mieux.<\/li>\n<li><strong>Respectez les horaires de traitement.<\/strong> Dans Parkinson, la r\u00e9gularit\u00e9 des prises est d\u00e9terminante. Un retard peut suffire \u00e0 faire basculer en phase \u00ab&nbsp;off&nbsp;\u00bb.<\/li>\n<li><strong>Rep\u00e9rez le rythme propre \u00e0 chacun.<\/strong> Notez sur la journ\u00e9e les moments de blocage et de mieux-\u00eatre&nbsp;: cette carte du quotidien est pr\u00e9cieuse pour toute l&#8217;\u00e9quipe.<\/li>\n<li><strong>Transmettez au m\u00e9decin.<\/strong> Des fluctuations qui s&#8217;aggravent ou changent de forme sont une information d&#8217;ajustement du suivi, pas une fatalit\u00e9 \u00e0 subir.<\/li>\n<\/ol>\n<pee><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> juger la personne sur un seul moment de la journ\u00e9e, la soup\u00e7onner de \u00ab&nbsp;faire semblant&nbsp;\u00bb, ou d\u00e9caler les prises de traitement pour des raisons d&#8217;organisation du service.<\/pee>\n<pee>Ces fluctuations sont l&#8217;une des sources de malentendu les plus fr\u00e9quentes entre \u00e9quipes, entre \u00e9quipe de jour et \u00e9quipe de nuit, ou entre soignants et famille. Une personne vue seulement le matin peut \u00eatre per\u00e7ue comme \u00ab&nbsp;tr\u00e8s d\u00e9pendante&nbsp;\u00bb, tandis que la m\u00eame, observ\u00e9e l&#8217;apr\u00e8s-midi, semblera \u00ab&nbsp;autonome&nbsp;\u00bb. Les deux photographies sont vraies, aucune ne l&#8217;est \u00e0 elle seule. C&#8217;est pourquoi une transmission qui note les horaires des phases \u00ab&nbsp;on&nbsp;\u00bb et \u00ab&nbsp;off&nbsp;\u00bb vaut mieux qu&#8217;un jugement global&nbsp;: elle donne \u00e0 chacun la m\u00eame carte du quotidien et \u00e9vite que la personne ne soit accompagn\u00e9e diff\u00e9remment selon qui la croise.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>These situations, decrypted and worked through step by step<\/h3>\n<pee>The DYNSEO training \u201c&nbsp;Parkinson in care facilities&nbsp;\u201d covers these everyday scenes&nbsp;: understanding the symptoms, adapting posture, securing transfers and meals, preserving autonomy. 32 lessons, 100&nbsp;% online, at your own pace, unlimited access \u2014 certified organization Qualiopi (N\u00b0&nbsp;11757351875), certificate of completion.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Discover the training \u2014 20&nbsp;\u20ac<\/a>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s5\">5. His voice has become inaudible<\/h2>\n<pee><em>Mr. T. is trying to tell you something. His voice comes out in a thin, monotone stream, without breath. You make him repeat twice, then you turn to his daughter&nbsp;: \u201c&nbsp;What is he saying&nbsp;?&nbsp;\u201d He lowers his eyes and falls silent.<\/em><\/pee>\n<pee>What is happening&nbsp;: Parkinson&#8217;s disease often weakens the voice (hypophonia) and makes the speech monotonous. The person does not always realize that they are speaking too softly&nbsp;: to them, they are speaking normally. Turning to a third party and speaking \u201c&nbsp;over&nbsp;\u201d them, as if they are not there, is one of the most frequently cited wounds by those affected.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Reduce noise above all.<\/strong> Turn off the television and radio, get closer&nbsp;: this is what most changes understanding.<\/li>\n<li><strong>Position yourself facing them, at eye level.<\/strong> The face and context help to understand what the voice alone no longer conveys.<\/li>\n<li><strong>Gently invite to \u201c&nbsp;speak louder&nbsp;\u201d.<\/strong> A simple \u201c&nbsp;please speak louder, I want to hear you&nbsp;\u201d helps, without reproach.<\/li>\n<li><strong>Continue to address them.<\/strong> Even if you check later with the family, the speech remains directed at the person, not above them.<\/li>\n<\/ol>\n<pee><strong>\u274c To avoid&nbsp;:<\/strong> speaking about them in the third person in front of them, finishing their sentences out of weariness, or raising your own voice \u2014 it\u2019s not a hearing issue. Voice rehabilitation falls under the speech therapist&nbsp;: report any worsening to guide the care.<\/pee>\n<pee>The weakened voice has a cascading effect that is underestimated&nbsp;: because it is hard to hear, it is used less&nbsp;; because it is used less, it weakens further. The person, for their part, sometimes ends up giving up speaking to avoid the effort and discomfort of having to repeat. This is how a motor symptom insidiously becomes a factor of isolation. Keeping the habit of soliciting speech, being patient, and valuing every exchange \u2014 even brief \u2014 is not a detail of comfort&nbsp;: it is a true lever for maintaining connection and quality of life.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s6\">6. Her face shows nothing, we think she is sulking<\/h2>\n<pee><em>You propose an activity to Mrs. P., you joke, you smile at her. Her face remains completely still, expressionless, with a fixed gaze. You conclude that she is angry, or that she is bored, and you move on to someone else.<\/em><\/pee>\n<pee>What is happening&nbsp;: this is what is called amimia, or \u201c&nbsp;frozen face&nbsp;\u201d, characteristic of the disease. The facial muscles move little&nbsp;: the person may be delighted or touched without anything showing. Interpreting this neutral face as hostility or disinterest leads to reducing solicitations\u2026 and thus further isolating the person.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Do not rely on the face alone.<\/strong> Look for other signals&nbsp;: a gaze that follows, a word, a hand gesture, a posture that turns towards you.<\/li>\n<li><strong>Ask the question directly.<\/strong> \u201c&nbsp;Would you like it&nbsp;?&nbsp;\u201d is better than guessing from a face that no longer provides information.<\/li>\n<li><strong>Give time for the response.<\/strong> Slowness also affects expression&nbsp;: a smile may come delayed, several seconds later.<\/li>\n<li><strong>Explain it to the family and colleagues.<\/strong> \u201c&nbsp;The face doesn\u2019t move, but she is fine with us&nbsp;\u201d&nbsp;: this phrase changes the perspective of the whole team.<\/li>\n<\/ol>\n<pee><strong>\u274c To avoid&nbsp;:<\/strong> concluding \u201c&nbsp;she is sulking&nbsp;\u201d, reducing proposals because \u201c&nbsp;anyway it doesn\u2019t matter to her&nbsp;\u201d, or speaking about her as if she does not understand.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s7\">7. He sees things that do not exist, especially in the evening<\/h2>\n<pee><em>7 PM, night falls. Mr. V. claims to see a child in the corner of his room. He is not terrified, but he insists. A caregiver responds&nbsp;: \u201c&nbsp;But no, there is no one, you are making things up.&nbsp;\u201d Mr. V. becomes agitated and refuses to stay alone.<\/em><\/pee>\n<pee>What is happening&nbsp;: hallucinations or confusion can occur in advanced Parkinson&#8217;s disease, sometimes related to the disease itself, sometimes to treatments, sometimes to an added factor (fever, dehydration, infection, change of environment). They are often more frequent at the end of the day. Contradicting the person directly increases their anxiety&nbsp;: for them, at that moment, it is real.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Reassure without lying or denying brutally.<\/strong> \u201c&nbsp;I don\u2019t see it, but I am here, you are not at risk.&nbsp;\u201d Secure before correcting.<\/li>\n<li><strong>Act on the environment.<\/strong> Turning on lights, reducing shadows and reflections, tidying up objects that may cause confusion often calms the episode.<\/li>\n<li><strong>Gently redirect attention.<\/strong> Changing rooms, proposing a calm activity or a drink frequently interrupts the scene.<\/li>\n<li><strong>Always report.<\/strong> Any new hallucination, or any recent confusion, should be communicated to the team and the doctor&nbsp;: it is a follow-up information, never something to manage alone.<\/li>\n<\/ol>\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f A sudden confusion is never trivial<\/strong>\n  <pee>A sudden installation confusion, a new disorientation, unusual drowsiness, or agitation that is out of the ordinary may indicate an acute medical problem (infection, dehydration, medication effect). It is not &#8220;just Parkinson&#8217;s evolving.&#8221; We observe, we note the time and circumstances, we alert the care team and the doctor without delay; in case of rapid deterioration of the general condition, we contact the emergency services in your country.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s8\">8. He no longer wants to participate in anything<\/h2>\n<pee><em>Every activity proposal meets a &#8220;no,&#8221; or worse, an absence of reaction. Mrs. F. stays in her room. The team eventually leaves her alone: &#8220;She doesn&#8217;t want anything, we&#8217;re not going to force her.&#8221;<\/em><\/pee>\n<pee>What is at stake: apathy \u2014 a loss of momentum and initiative \u2014 is common in Parkinson&#8217;s disease, and it should not be confused with laziness or reduced to a choice. It can also accompany depression, which is also common and treatable. The person often has &#8220;no desire for anything&#8221;: they can no longer initiate action, even when the activity would please them.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Offer something concrete, not a desire.<\/strong> &#8220;I need you to fold these napkins&#8221; works better than &#8220;Would you like to do something?&#8221;<\/li>\n<li><strong>Reduce the distance to be covered.<\/strong> Five minutes, one single step, a tiny and achievable goal: we start small, we extend if the momentum comes.<\/li>\n<li><strong>Make the result visible.<\/strong> A <a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">session follow-up<\/a> or a progress marker shows the person what they have accomplished, which rekindles engagement.<\/li>\n<li><strong>Distinguish apathy from depression.<\/strong> Lasting sadness, crying, negative remarks about oneself: this should be reported to the doctor. Apathy can be worked on; depression can be treated.<\/li>\n<\/ol>\n<pee><strong>\u274c To avoid:<\/strong> interpreting withdrawal as a definitive choice, blaming the person (&#8220;make an effort&#8221;), or giving up all solicitation \u2014 this accelerates withdrawal. Adapted supports like the <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a> application allow for adjusting the level to avoid failure that discourages.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s9\">9. Restless nights and the risk of falling<\/h2>\n<pee><em>3 a.m. Mr. G. got up alone to go to the bathroom. His room is dark, he is stiff, disoriented upon waking. He is found on the floor near the bed, without knowing how long he has been there.<\/em><\/pee>\n<pee>What is at stake: sleep disorders are common in Parkinson&#8217;s disease, and the night accumulates risk factors for falls: stiffness upon waking, the treatment effect at its lowest, darkness, low blood pressure when getting up, disorientation. A fall is not clumsiness: it is the convergence of several vulnerabilities at the worst moment.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Secure the night path.<\/strong> Night light, automatic lighting, clear floor, appropriate footwear: the route from bed to toilet must be visible and obstacle-free.<\/li>\n<li><strong>Never rush the nighttime rising.<\/strong> Sitting on the edge of the bed, waiting a few moments before standing limits discomfort when verticalizing.<\/li>\n<li><strong>Anticipate the call.<\/strong> Bell within reach, clear markers: it&#8217;s better to be called than to find someone on the floor.<\/li>\n<li><strong>Analyze each fall as a team.<\/strong> Time, circumstances, environment: fall prevention is built with the occupational therapist, physiotherapist, and doctor.<\/li>\n<\/ol>\n<pee><strong>\u274c To avoid:<\/strong> lifting a fallen person alone and forcefully without checking that they are not injured, trivializing a fall as &#8220;without visible consequences,&#8221; or resorting to restraint measures that are a medical decision, never a service initiative.<\/pee>\n<pee>A fall always deserves a time for cold analysis, beyond immediate care. What was the person doing? At what time? Were they wearing appropriate shoes? Was the floor slippery, was the light sufficient? Was there dizziness upon getting up? These questions, asked as a team, transform a suffered event into useful information. The fear of falling also needs to be taken into account: a person who has fallen once may restrict their movements out of apprehension, which accelerates the loss of mobility. Reassuring, securing the environment, and maintaining appropriate physical activity, on the advice of the physiotherapist, are part of prevention just like the night light.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 10 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-s10\">10. He becomes anxious when the treatment is delayed<\/h2>\n<pee><em>The distribution cart is delayed. Mrs. S., usually calm, becomes anxious, demands, tenses up, says she &#8220;can&#8217;t take it anymore.&#8221; A caregiver, overwhelmed, responds: &#8220;It&#8217;s okay, it&#8217;s not a matter of minutes.&#8221;<\/em><\/pee>\n<pee>What is at stake: in Parkinson&#8217;s disease, the timing of doses is not indicative: it directly conditions the ability to move. When the treatment is delayed, the person feels the return of the blockage and the accompanying anxiety. It is neither a demand nor a performance: it is the very concrete fear of freezing. Minimizing the delay worsens anxiety.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Take the worry seriously.<\/strong> &#8220;I understand, your treatment matters, I&#8217;m taking care of it&#8221; calms faster than &#8220;it&#8217;s not a big deal.&#8221;<\/li>\n<li><strong>Protect the regularity of doses.<\/strong> The timing of Parkinson&#8217;s treatment takes precedence over the organizational constraints of the service, within the framework of prescriptions.<\/li>\n<li><strong>Accompany the wait.<\/strong> Staying present, speaking calmly, offering a support point: reducing anxiety also reduces motor blockage.<\/li>\n<li><strong>Report recurring delays.<\/strong> A poorly timed medication circuit can be corrected at the organizational level and, if necessary, with the doctor and pharmacist.<\/li>\n<\/ol>\n<pee><strong>\u274c To avoid:<\/strong> minimizing the delay, rescheduling doses to accommodate the schedule, or modifying a treatment on one&#8217;s own initiative \u2014 even when &#8220;everything has been fine for weeks.&#8221;<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SUMMARY \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-recap\">Parkinson&#8217;s in an institution, what to do: the summary table<\/h2>\n<pee>To be displayed in the transmission room or slipped into the care binder: it is in the urgency of daily life that we forget what we had understood in calm. A response addressed to the symptom rather than to the person almost always defuses the situation before it escalates.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Situation<\/th>\n<th>\u2705 The reflex to have<\/th>\n<th>\u274c To avoid<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Blockage in the corridor (freezing)<\/td>\n<td>Stand next to them, give a ground reference, let them go<\/td>\n<td>Pull on the arm, press, get annoyed<\/td>\n<\/tr>\n<tr>\n<td>Long meals, false routes<\/td>\n<td>Sit up straight, calm, one bite at a time, signal<\/td>\n<td>Rush the eating, change the texture yourself<\/td>\n<\/tr>\n<tr>\n<td>Unable to get up<\/td>\n<td>Break down and rhythm the movement, assist<\/td>\n<td>Lift forcefully under the arms<\/td>\n<\/tr>\n<tr>\n<td>Fluctuations &#8220;on-off&#8221;<\/td>\n<td>Activities during &#8220;on&#8221; phases, respect schedules<\/td>\n<td>Judge based on a single moment, shift the intake<\/td>\n<\/tr>\n<tr>\n<td>Inaudible voice<\/td>\n<td>Reduce noise, get closer, address the person<\/td>\n<td>Talk about them in the 3rd person, raise your voice<\/td>\n<\/tr>\n<tr>\n<td>Frozen face (amimia)<\/td>\n<td>Look for other signals, ask the question directly<\/td>\n<td>Conclude &#8220;she&#8217;s sulking&#8221;, reduce solicitations<\/td>\n<\/tr>\n<tr>\n<td>Hallucinations, confusion in the evening<\/td>\n<td>Reassure, illuminate, divert attention, signal<\/td>\n<td>Contradict harshly, trivialize a new confusion<\/td>\n<\/tr>\n<tr>\n<td>No longer participating (apathy)<\/td>\n<td>Offer something concrete, reduce walking, make it visible<\/td>\n<td>Interpret as a choice, guilt-trip<\/td>\n<\/tr>\n<tr>\n<td>Restless nights, falls<\/td>\n<td>Secure the path, lift without rushing, analyze<\/td>\n<td>Lift forcefully, trivialize a fall<\/td>\n<\/tr>\n<tr>\n<td>Anxiety if treatment is delayed<\/td>\n<td>Take seriously, protect the regularity of intakes<\/td>\n<td>Minimize, shift for organization<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 The principle that applies to all ten<\/strong>\n  <pee>Before reacting, ask yourself one question: <em>could this behavior be a symptom?<\/em> In the vast majority of cases, the answer is yes. Recognizing the symptom behind the scene, slowing your own pace, and referring to the right professional when necessary: this is where the support for Parkinson&#8217;s disease in institutions is concretely played out.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SERIES \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2>To go further<\/h2>\n<div class=\"dyn-serie\">\n  <a href=\"#comprendre-la-maladie\"><span>In-depth Guide<\/span>Parkinson in institutions: the complete guide to understanding what is at stake<\/a><br \/>\n  <a href=\"#activites-supports\"><span>Toolbox<\/span>Activities, resources, and concrete arrangements to implement<\/a><br \/>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support is available, and how to sustain it over time<\/a><br \/>\n  <a href=\"#presentation-formation\"><span>Training<\/span>Program, content, and who the DYNSEO Parkinson training is for<\/a>\n<\/div>\n<pee>Several free resources help to put the above into practice: the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-competences\/\">skills tracking table<\/a> and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">session tracking sheet<\/a> help objectify what daily life makes us forget, while the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">complete tools catalog<\/a> offers other support resources. For cognitive stimulation tailored to seniors and people with Parkinson&#8217;s, the application <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a> adjusts the difficulty level to avoid repeated failure, and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests<\/a> provide an initial reference to share with the care team.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\">\n<h3>How to know if a behavior is a symptom or a lack of will&nbsp;?<\/h3>\n<pee>A good indicator&nbsp;: does the behavior vary according to the times of the day and the treatment, and does the person seem to be affected by it&nbsp;? Sudden blockage in walking, slowness, expressionless face, withdrawal&nbsp;: these are classic neurological manifestations of Parkinson&#8217;s disease, not choices. In case of doubt, describe the scene precisely \u2014 the time, the place, what happened before \u2014 to the care team and the doctor, rather than summarizing it as \u201c&nbsp;he is not making an effort&nbsp;\u201d. It is the concrete detail that allows distinguishing the symptom from the rest.<\/pee>\n<h3>What to do when a person freezes while walking&nbsp;?<\/h3>\n<pee>Stop pushing and pulling, stand next to them and calmly reassure them&nbsp;: the movement is blocked, not the will. Then suggest a cue that helps restart&nbsp;: stepping over a line on the ground or your foot, a rhythmic countdown \u201c&nbsp;one, two, three, let\u2019s go&nbsp;\u201d, or a command for big steps. Wait a few seconds&nbsp;: movement often returns on its own if one does not panic. Pulling on the arm destabilizes and increases the risk of falling. Report repeated blockage locations to the occupational therapist and physiotherapist.<\/pee>\n<h3>Should treatment times be respected to the minute&nbsp;?<\/h3>\n<pee>In Parkinson&#8217;s disease, the regularity of doses is crucial&nbsp;: it directly affects the ability to move and the comfort of the person. A delay can be enough to trigger a blockage phase and cause anxiety. Prescribed times must therefore take precedence over organizational constraints of the service, in accordance with the prescription. One should never advance, delay, or modify a treatment on their own initiative. If the medication circuit generates repeated delays, it should be reported to correct it with the doctor and the pharmacist.<\/pee>\n<h3>How to react to hallucinations without worsening the situation&nbsp;?<\/h3>\n<pee>Do not contradict directly&nbsp;: for the person, at that moment, it is real, and denying it increases their anxiety. Reassure without lying&nbsp;: \u201c&nbsp;I don\u2019t see it, but I am here, you are not at risk.&nbsp;\u201d Act on the environment \u2014 turn on lights, reduce shadows and reflections \u2014 then gently divert attention. Above all, any new hallucination or recent confusion should be reported to the team and the doctor&nbsp;: it may be related to the disease, the treatment, or an added factor such as an infection or dehydration, which should be investigated and treated.<\/pee>\n<h3>Is DYNSEO training aimed at families or professionals&nbsp;?<\/h3>\n<pee>Both. The training \u201c&nbsp;Parkinson in care facilities&nbsp;: understanding the disease and adapting professional practice&nbsp;\u201d is designed for caregivers and companions in facilities, but it also enlightens relatives who want to understand what is happening. It includes 32 lessons, is 100&nbsp;% online, at one\u2019s own pace, with unlimited access. It is offered by a certified Qualiopi organization (N\u00b0&nbsp;11757351875) and results in a certificate of completion. It addresses concrete daily situations to transform the understanding of the disease into appropriate actions.<\/pee>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <pee>This article provides general guidelines for daily life in a facility. It does not replace a diagnosis, medical advice, or rehabilitation. Each person living with Parkinson&#8217;s disease is different: for any decisions regarding treatments, food textures, transfers, or fall prevention, refer to the caregiving team and the doctor who follows the person.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Know what to do in every situation<\/h3>\n<pee>You now know what to do, Parkinson&#8217;s in a facility, in response to the ten most common daily scenarios. To go further and embed these reflexes into your practice, the DYNSEO training covers them one by one: 32 lessons, 100% online, unlimited access, at your own pace. Qualiopi certified (N\u00b0 11757351875), certificate of completion.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Discover the training \u2014 20 \u20ac<\/a>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>.dbi-art-199d86 .dyn-article { &#8211;dyn-bleu:#5e5ed7; &#8211;dyn-bleu-fonce:#5268c9; &#8211;dyn-vert:#a9e2e4; &#8211;dyn-jaune:#ffeca7; &#8211;dyn-rose:#e73469; &#8211;dyn-encre:#1d1d2e; &#8211;dyn-gris:#5c5c72; &#8211;dyn-fond:#f6f6fd; &#8211;dyn-ombre:0 6px 24px rgba(29,29,46,.08); &#8211;dyn-ombre-forte:0 12px 34px rgba(94,94,215,.22); &#8211;dyn-radius:18px; font-family:&#8221;Inter&#8221;,&#8221;Segoe UI&#8221;,system-ui,-apple-system,&#8221;Helvetica Neue&#8221;,Arial,sans-serif; color:var(&#8211;dyn-encre); line-height:1.68; font-size:clamp(16px,1.05vw + 13px,18px); 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Blocage soudain \u00e0 la marche, lenteur, visage sans expression, retrait : ce sont des manifestations neurologiques classiques de la maladie de Parkinson, pas des choix. En cas de doute, d\u00e9crivez pr\u00e9cis\u00e9ment la sc\u00e8ne \u2014 l'heure, le lieu, ce qui s'est pass\u00e9 avant \u2014 \u00e0 l'\u00e9quipe soignante et au m\u00e9decin, plut\u00f4t que de la r\u00e9sumer par \u00ab il ne fait pas d'efforts \u00bb. C'est le d\u00e9tail concret qui permet de distinguer le sympt\u00f4me du reste.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Que faire quand une personne se fige en pleine marche ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"On arr\u00eate de pousser et de tirer, on se place \u00e0 c\u00f4t\u00e9 d'elle et on la rassure calmement : le mouvement est bloqu\u00e9, pas la volont\u00e9. 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Elle se glisse dans les micro-sc\u00e8nes du quotidien&nbsp;: un r\u00e9sident qui reste fig\u00e9 sur le seuil de sa chambre, un repas qui s'\u00e9ternise, une voix devenue si faible qu'on finit par r\u00e9pondre \u00e0 sa place. Face \u00e0 ces moments, la question qui revient sans cesse chez les \u00e9quipes comme chez les familles est simple&nbsp;: <strong>Parkinson en \u00e9tablissement, que faire<\/strong> concr\u00e8tement, \u00e0 l'instant o\u00f9 la sc\u00e8ne se produit&nbsp;?<\/p>\n  <ul class=\"dyn-pagehead__meta\">\n    <li>\u23f1\ufe0f 19 min de lecture<\/li>\n    <li>\ud83d\udc65 Pour les familles et les aidants<\/li>\n    <li>\ud83d\udd04 Mis \u00e0 jour en ao\u00fbt 2026<\/li>\n  <\/ul>\n<\/header>\n\n<aside class=\"dyn-hero\" aria-label=\"Formation pr\u00e9sent\u00e9e dans cet article\">\n  <div class=\"dyn-hero__grid\">\n    <div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Parkinson-en-etablissement.png\" alt=\"Formation DYNSEO \u00ab Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle \u00bb\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n    <div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">La formation li\u00e9e \u00e0 cet article<\/span>\n      <p class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle<\/a><\/p>\n      <p class=\"dyn-hero__pitch\">Tout ce que cet article explique, mis en pratique.<\/p>\n      <ul class=\"dyn-badges\">\n        <li>\ud83c\udfa5 8 modules \u00b7 32 le\u00e7ons<\/li>\n        <li>\ud83d\udcbb 100 % en ligne<\/li>\n        <li>\u23f1\ufe0f \u00c0 votre rythme<\/li>\n        <li>\ud83c\udfc5 Organisme Qualiopi<\/li>\n        <li>\ud83c\udf0d 9 langues<\/li>\n      <\/ul>\n      \n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Voir la formation<\/a>\n        <span class=\"dyn-hero__price\">20.0 \u20ac<\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/aside>\n\n<p>Voici dix de ces sc\u00e8nes, d\u00e9crites telles qu'elles se d\u00e9roulent r\u00e9ellement dans un couloir, une salle \u00e0 manger ou une chambre. Pour chacune&nbsp;: ce qui se joue vraiment c\u00f4t\u00e9 maladie, le r\u00e9flexe spontan\u00e9 qui aggrave la situation \u2014 celui que nous avons tous \u2014 et la r\u00e9ponse pas \u00e0 pas qui fonctionne, avec les mots exacts \u00e0 dire et la posture \u00e0 adopter. Sans jargon, sans protocole m\u00e9dical, et sans jamais confondre un sympt\u00f4me neurologique avec un trait de caract\u00e8re.<\/p>\n\n<section class=\"dyn-tldr\">\n  <h2>L'essentiel en 30 secondes<\/h2>\n  <p>La plupart des situations difficiles li\u00e9es \u00e0 Parkinson en \u00e9tablissement ne sont ni de la mauvaise volont\u00e9, ni un caprice, ni de la paresse&nbsp;: ce sont des <strong>manifestations neurologiques<\/strong>. Les reconna\u00eetre comme telles change compl\u00e8tement la r\u00e9ponse \u00e0 apporter.<\/p>\n  <ul>\n    <li><strong>Trois r\u00e9flexes valables presque partout<\/strong> \u2014 ralentir son propre rythme, donner un rep\u00e8re (visuel, sonore, verbal), et laisser le temps du mouvement s'installer.<\/li>\n    <li><strong>Ce qui aggrave presque toujours<\/strong> \u2014 presser, tirer sur le bras, faire \u00e0 la place, hausser la voix, multiplier les consignes en m\u00eame temps.<\/li>\n    <li><strong>Le blocage moteur (freezing)<\/strong> n'est pas un refus&nbsp;: le mouvement est bloqu\u00e9, pas la volont\u00e9.<\/li>\n    <li><strong>Les fluctuations dans la journ\u00e9e<\/strong> (effet \u00ab&nbsp;on-off&nbsp;\u00bb) sont normales dans la maladie&nbsp;: la personne n'exag\u00e8re pas le matin et ne fait pas semblant l'apr\u00e8s-midi.<\/li>\n    <li><strong>Tout changement soudain<\/strong> (chute, fausse route r\u00e9p\u00e9t\u00e9e, confusion nouvelle) s'observe, se note et se signale \u00e0 l'\u00e9quipe soignante et au m\u00e9decin.<\/li>\n  <\/ul>\n<\/section>\n\n<nav class=\"dyn-toc\" aria-label=\"Sommaire\">\n  <p>Les 10 situations<\/p>\n  <ol>\n    <li><a href=\"#dyn-s1\">Il se fige dans le couloir et ne peut plus avancer<\/a><\/li>\n    <li><a href=\"#dyn-s2\">Le repas s'\u00e9ternise et il fait des fausses routes<\/a><\/li>\n    <li><a href=\"#dyn-s3\">Il n'arrive plus \u00e0 se lever du fauteuil<\/a><\/li>\n    <li><a href=\"#dyn-s4\">Le matin il est bloqu\u00e9, l'apr\u00e8s-midi il va bien<\/a><\/li>\n    <li><a href=\"#dyn-s5\">Sa voix est devenue inaudible<\/a><\/li>\n    <li><a href=\"#dyn-s6\">Son visage ne montre plus rien, on croit qu'il boude<\/a><\/li>\n    <li><a href=\"#dyn-s7\">Il voit des choses qui n'existent pas, surtout le soir<\/a><\/li>\n    <li><a href=\"#dyn-s8\">Il ne veut plus participer \u00e0 rien<\/a><\/li>\n    <li><a href=\"#dyn-s9\">Les nuits agit\u00e9es et le risque de chute<\/a><\/li>\n    <li><a href=\"#dyn-s10\">Il devient anxieux quand le traitement tarde<\/a><\/li>\n    <li><a href=\"#dyn-recap\">Parkinson en \u00e9tablissement, que faire&nbsp;: le tableau r\u00e9capitulatif<\/a><\/li>\n    <li><a href=\"#dyn-faq\">Questions fr\u00e9quentes<\/a><\/li>\n  <\/ol>\n<\/nav>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s1\">1. Il se fige dans le couloir et ne peut plus avancer<\/h2>\n\n<p><em>10 h, dans le couloir qui m\u00e8ne \u00e0 la salle d'animation. M. R. marchait normalement. Arriv\u00e9 devant l'encadrement de la porte, ses pieds semblent coll\u00e9s au sol. Vous lui dites \u00ab&nbsp;allez, avancez&nbsp;\u00bb, vous le prenez par le bras pour l'entra\u00eener. Il se penche en avant, manque de tomber, et se braque.<\/em><\/p>\n\n<p>Ce qui se joue&nbsp;: c'est ce qu'on appelle le blocage moteur, ou <em>freezing<\/em>. Le cerveau n'arrive plus \u00e0 envoyer la commande de d\u00e9marrage. C'est souvent d\u00e9clench\u00e9 par un passage \u00e9troit, un seuil, un changement de sol, ou par la pr\u00e9cipitation. La personne veut avancer, elle en est incapable sur le moment. Tirer sur son bras d\u00e9s\u00e9quilibre son centre de gravit\u00e9 d\u00e9j\u00e0 instable et augmente le risque de chute.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Arr\u00eatez de pousser, arr\u00eatez de tirer.<\/strong> Placez-vous \u00e0 c\u00f4t\u00e9, jamais devant \u00e0 reculons. Dites calmement&nbsp;: \u00ab&nbsp;On ne bouge pas, on respire, \u00e7a va repartir.&nbsp;\u00bb<\/li>\n  <li><strong>Donnez un rep\u00e8re pour enjamber.<\/strong> Une consigne rythm\u00e9e aide souvent le d\u00e9marrage&nbsp;: \u00ab&nbsp;grand pas par-dessus ma chaussure&nbsp;\u00bb, ou compter \u00ab&nbsp;un, deux, trois, on part&nbsp;\u00bb.<\/li>\n  <li><strong>Proposez un point de mire au sol.<\/strong> Une ligne, un carrelage, votre pied pos\u00e9 devant le sien&nbsp;: enjamber un rep\u00e8re visuel d\u00e9bloque fr\u00e9quemment la marche.<\/li>\n  <li><strong>Laissez le temps du red\u00e9marrage.<\/strong> Le mouvement revient g\u00e9n\u00e9ralement de lui-m\u00eame en quelques secondes si on ne panique pas.<\/li>\n<\/ol>\n\n<p><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> tirer sur le bras, dire \u00ab&nbsp;d\u00e9p\u00eachez-vous&nbsp;\u00bb, s'agacer, ou entourer la personne de plusieurs soignants qui parlent en m\u00eame temps \u2014 la surcharge aggrave le blocage. Signalez \u00e0 l'ergoth\u00e9rapeute et au kin\u00e9sith\u00e9rapeute les endroits o\u00f9 les blocages reviennent&nbsp;: l'am\u00e9nagement des lieux fait partie de la r\u00e9ponse.<\/p>\n\n<p>Un point qui d\u00e9route souvent les \u00e9quipes&nbsp;: la m\u00eame personne qui reste fig\u00e9e devant une porte peut monter un escalier sans difficult\u00e9, ou repartir d\u00e8s qu'une musique rythm\u00e9e se met en route. Ce n'est pas contradictoire. Le blocage touche l'automatisme du d\u00e9marrage, pas la m\u00e9canique du mouvement lui-m\u00eame. C'est pourquoi un stimulus ext\u00e9rieur \u2014 un rep\u00e8re visuel, un rythme, une consigne concr\u00e8te \u2014 sert de \u00ab&nbsp;b\u00e9quille&nbsp;\u00bb au cerveau pour relancer la s\u00e9quence. Retenir cette logique \u00e9vite bien des interpr\u00e9tations erron\u00e9es et des r\u00e9ponses inadapt\u00e9es d'un accompagnant \u00e0 l'autre.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s2\">2. Le repas s'\u00e9ternise et il fait des fausses routes<\/h2>\n\n<p><em>12 h 30, salle \u00e0 manger. Mme L. mange tr\u00e8s lentement, sa cuill\u00e8re tremble, elle tousse \u00e0 plusieurs reprises pendant le repas. Le service presse&nbsp;: il faut d\u00e9barrasser. Quelqu'un propose de lui donner \u00e0 manger plus vite \u00ab&nbsp;pour gagner du temps&nbsp;\u00bb.<\/em><\/p>\n\n<p>Ce qui se joue&nbsp;: la lenteur des gestes (bradykin\u00e9sie) et les troubles de la d\u00e9glutition sont fr\u00e9quents dans la maladie de Parkinson. La toux pendant le repas peut \u00eatre le signe d'une fausse route, c'est-\u00e0-dire d'aliments qui passent du mauvais c\u00f4t\u00e9. Acc\u00e9l\u00e9rer le repas ou d\u00e9tourner l'attention de la personne au moment o\u00f9 elle avale augmente pr\u00e9cis\u00e9ment ce risque. Ce n'est pas un probl\u00e8me d'app\u00e9tit ni de bonne volont\u00e9.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Installez la personne bien droite, sans la presser.<\/strong> Une posture assise stable, le repas dans un environnement calme, sans t\u00e9l\u00e9vision ni conversation crois\u00e9e au-dessus de sa t\u00eate.<\/li>\n  <li><strong>Un temps pour avaler, une bouch\u00e9e \u00e0 la fois.<\/strong> On ne relance pas, on ne fait pas la conversation pendant qu'elle d\u00e9glutit. Le silence attentif est ici une aide, pas de l'indiff\u00e9rence.<\/li>\n  <li><strong>Observez et notez.<\/strong> Toux, voix \u00ab&nbsp;mouill\u00e9e&nbsp;\u00bb apr\u00e8s avoir bu, aliments qui restent en bouche&nbsp;: ce sont des observations \u00e0 transmettre, pas \u00e0 interpr\u00e9ter seul.<\/li>\n  <li><strong>Renvoyez au professionnel.<\/strong> L'adaptation des textures et des consignes de posture rel\u00e8ve de l'orthophoniste et du m\u00e9decin&nbsp;: appliquez leurs pr\u00e9conisations, ne les improvisez pas.<\/li>\n<\/ol>\n\n<p><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> faire manger vite, donner \u00e0 boire pendant une quinte de toux, modifier de sa propre initiative la texture des aliments, ou consid\u00e9rer que \u00ab&nbsp;elle fait des mani\u00e8res&nbsp;\u00bb. En cas d'\u00e9touffement avec impossibilit\u00e9 de respirer, on applique les gestes de premiers secours et on alerte imm\u00e9diatement les services d'urgence de votre pays.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s3\">3. Il n'arrive plus \u00e0 se lever du fauteuil<\/h2>\n\n<p><em>16 h, salon commun. M. B. veut rejoindre sa chambre. Il pose les mains sur les accoudoirs, se balance une fois, deux fois, retombe assis. Un soignant, press\u00e9, le saisit sous les aisselles et le hisse d'un coup. M. B. crie de douleur et se crispe.<\/em><\/p>\n\n<p>Ce qui se joue&nbsp;: l'initiation du mouvement est justement ce qui coince dans Parkinson. Le transfert assis-debout demande une s\u00e9quence (avancer les fesses, pencher le buste, pousser sur les jambes) que la maladie d\u00e9sorganise. Soulever la personne en force, sans qu'elle participe, la met en danger et ab\u00eeme le lien de confiance. Le geste doit rester le sien, avec vous en soutien.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>D\u00e9composez la s\u00e9quence \u00e0 voix haute.<\/strong> \u00ab&nbsp;On avance les fesses au bord\u2026 on met les pieds sous les genoux\u2026 on penche le nez vers l'avant\u2026 et on pousse.&nbsp;\u00bb<\/li>\n  <li><strong>Donnez le rythme, laissez l'\u00e9lan.<\/strong> Un d\u00e9compte \u00ab&nbsp;un, deux, trois&nbsp;\u00bb synchronise l'effort mieux qu'un ordre sec.<\/li>\n  <li><strong>S\u00e9curisez sans faire \u00e0 la place.<\/strong> Vous accompagnez le mouvement, vous ne le remplacez pas. La personne garde le contr\u00f4le de son corps.<\/li>\n  <li><strong>Appliquez les consignes de transfert de l'\u00e9tablissement.<\/strong> Techniques de manutention, aides techniques, hauteur d'assise&nbsp;: ce sont des points \u00e0 voir avec le kin\u00e9sith\u00e9rapeute et l'ergoth\u00e9rapeute.<\/li>\n<\/ol>\n\n<p><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> tirer sous les bras, presser, ou au contraire tout faire \u00e0 la place \u00ab&nbsp;parce que c'est plus rapide&nbsp;\u00bb. Chaque transfert autonome entretenu aujourd'hui est un transfert de moins \u00e0 assurer demain.<\/p>\n\n<p>Il vaut la peine d'observer aussi <em>quand<\/em> le transfert \u00e9choue. Souvent, il coince en d\u00e9but de matin\u00e9e ou juste avant la prise suivante du traitement, quand l'effet est au plus bas \u2014 et devient beaucoup plus fluide une heure plus tard. Programmer les levers importants sur les bons cr\u00e9neaux, plut\u00f4t que de lutter contre une phase de blocage, \u00e9pargne de la fatigue \u00e0 la personne comme \u00e0 l'\u00e9quipe. C'est le m\u00eame principe que pour les fluctuations d\u00e9crites plus loin&nbsp;: on adapte le moment \u00e0 la personne, on ne demande pas \u00e0 la personne de s'adapter \u00e0 un moment qui ne lui convient pas.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s4\">4. Le matin il est bloqu\u00e9, l'apr\u00e8s-midi il va bien<\/h2>\n\n<p><em>Le matin, Mme D. est raide, lente, presque incapable de tenir sa fourchette. En d\u00e9but d'apr\u00e8s-midi, la m\u00eame personne marche dans le couloir et plaisante. Un rempla\u00e7ant, surpris, l\u00e2che&nbsp;: \u00ab&nbsp;Ce matin vous exag\u00e9riez, non&nbsp;?&nbsp;\u00bb<\/em><\/p>\n\n<p>Ce qui se joue&nbsp;: ce sont les fluctuations motrices, l'effet dit \u00ab&nbsp;on-off&nbsp;\u00bb. Selon le moment de la journ\u00e9e et l'efficacit\u00e9 du traitement, la personne passe de phases o\u00f9 elle bouge correctement \u00e0 des phases de blocage. Ces variations sont une caract\u00e9ristique connue de la maladie de Parkinson \u00e9volu\u00e9e. La personne n'en exag\u00e8re aucune&nbsp;: elle subit les deux.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Calez les activit\u00e9s exigeantes sur les phases \u00ab&nbsp;on&nbsp;\u00bb.<\/strong> Toilette, marche, sorties, animation&nbsp;: dans les cr\u00e9neaux o\u00f9 la personne bouge le mieux.<\/li>\n  <li><strong>Respectez les horaires de traitement.<\/strong> Dans Parkinson, la r\u00e9gularit\u00e9 des prises est d\u00e9terminante. Un retard peut suffire \u00e0 faire basculer en phase \u00ab&nbsp;off&nbsp;\u00bb.<\/li>\n  <li><strong>Rep\u00e9rez le rythme propre \u00e0 chacun.<\/strong> Notez sur la journ\u00e9e les moments de blocage et de mieux-\u00eatre&nbsp;: cette carte du quotidien est pr\u00e9cieuse pour toute l'\u00e9quipe.<\/li>\n  <li><strong>Transmettez au m\u00e9decin.<\/strong> Des fluctuations qui s'aggravent ou changent de forme sont une information d'ajustement du suivi, pas une fatalit\u00e9 \u00e0 subir.<\/li>\n<\/ol>\n\n<p><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> juger la personne sur un seul moment de la journ\u00e9e, la soup\u00e7onner de \u00ab&nbsp;faire semblant&nbsp;\u00bb, ou d\u00e9caler les prises de traitement pour des raisons d'organisation du service.<\/p>\n\n<p>Ces fluctuations sont l'une des sources de malentendu les plus fr\u00e9quentes entre \u00e9quipes, entre \u00e9quipe de jour et \u00e9quipe de nuit, ou entre soignants et famille. Une personne vue seulement le matin peut \u00eatre per\u00e7ue comme \u00ab&nbsp;tr\u00e8s d\u00e9pendante&nbsp;\u00bb, tandis que la m\u00eame, observ\u00e9e l'apr\u00e8s-midi, semblera \u00ab&nbsp;autonome&nbsp;\u00bb. Les deux photographies sont vraies, aucune ne l'est \u00e0 elle seule. C'est pourquoi une transmission qui note les horaires des phases \u00ab&nbsp;on&nbsp;\u00bb et \u00ab&nbsp;off&nbsp;\u00bb vaut mieux qu'un jugement global&nbsp;: elle donne \u00e0 chacun la m\u00eame carte du quotidien et \u00e9vite que la personne ne soit accompagn\u00e9e diff\u00e9remment selon qui la croise.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n\n<div class=\"dyn-cta\">\n  <h3>These situations, decrypted and worked through step by step<\/h3>\n  <p>The DYNSEO training \u201c&nbsp;Parkinson in care facilities&nbsp;\u201d covers these everyday scenes&nbsp;: understanding the symptoms, adapting posture, securing transfers and meals, preserving autonomy. 32 lessons, 100&nbsp;% online, at your own pace, unlimited access \u2014 certified organization Qualiopi (N\u00b0&nbsp;11757351875), certificate of completion.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Discover the training \u2014 20&nbsp;\u20ac<\/a>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s5\">5. His voice has become inaudible<\/h2>\n\n<p><em>Mr. T. is trying to tell you something. His voice comes out in a thin, monotone stream, without breath. You make him repeat twice, then you turn to his daughter&nbsp;: \u201c&nbsp;What is he saying&nbsp;?&nbsp;\u201d He lowers his eyes and falls silent.<\/em><\/p>\n\n<p>What is happening&nbsp;: Parkinson's disease often weakens the voice (hypophonia) and makes the speech monotonous. The person does not always realize that they are speaking too softly&nbsp;: to them, they are speaking normally. Turning to a third party and speaking \u201c&nbsp;over&nbsp;\u201d them, as if they are not there, is one of the most frequently cited wounds by those affected.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Reduce noise above all.<\/strong> Turn off the television and radio, get closer&nbsp;: this is what most changes understanding.<\/li>\n  <li><strong>Position yourself facing them, at eye level.<\/strong> The face and context help to understand what the voice alone no longer conveys.<\/li>\n  <li><strong>Gently invite to \u201c&nbsp;speak louder&nbsp;\u201d.<\/strong> A simple \u201c&nbsp;please speak louder, I want to hear you&nbsp;\u201d helps, without reproach.<\/li>\n  <li><strong>Continue to address them.<\/strong> Even if you check later with the family, the speech remains directed at the person, not above them.<\/li>\n<\/ol>\n\n<p><strong>\u274c To avoid&nbsp;:<\/strong> speaking about them in the third person in front of them, finishing their sentences out of weariness, or raising your own voice \u2014 it\u2019s not a hearing issue. Voice rehabilitation falls under the speech therapist&nbsp;: report any worsening to guide the care.<\/p>\n\n<p>The weakened voice has a cascading effect that is underestimated&nbsp;: because it is hard to hear, it is used less&nbsp;; because it is used less, it weakens further. The person, for their part, sometimes ends up giving up speaking to avoid the effort and discomfort of having to repeat. This is how a motor symptom insidiously becomes a factor of isolation. Keeping the habit of soliciting speech, being patient, and valuing every exchange \u2014 even brief \u2014 is not a detail of comfort&nbsp;: it is a true lever for maintaining connection and quality of life.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s6\">6. Her face shows nothing, we think she is sulking<\/h2>\n\n<p><em>You propose an activity to Mrs. P., you joke, you smile at her. Her face remains completely still, expressionless, with a fixed gaze. You conclude that she is angry, or that she is bored, and you move on to someone else.<\/em><\/p>\n\n<p>What is happening&nbsp;: this is what is called amimia, or \u201c&nbsp;frozen face&nbsp;\u201d, characteristic of the disease. The facial muscles move little&nbsp;: the person may be delighted or touched without anything showing. Interpreting this neutral face as hostility or disinterest leads to reducing solicitations\u2026 and thus further isolating the person.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Do not rely on the face alone.<\/strong> Look for other signals&nbsp;: a gaze that follows, a word, a hand gesture, a posture that turns towards you.<\/li>\n  <li><strong>Ask the question directly.<\/strong> \u201c&nbsp;Would you like it&nbsp;?&nbsp;\u201d is better than guessing from a face that no longer provides information.<\/li>\n  <li><strong>Give time for the response.<\/strong> Slowness also affects expression&nbsp;: a smile may come delayed, several seconds later.<\/li>\n  <li><strong>Explain it to the family and colleagues.<\/strong> \u201c&nbsp;The face doesn\u2019t move, but she is fine with us&nbsp;\u201d&nbsp;: this phrase changes the perspective of the whole team.<\/li>\n<\/ol>\n\n<p><strong>\u274c To avoid&nbsp;:<\/strong> concluding \u201c&nbsp;she is sulking&nbsp;\u201d, reducing proposals because \u201c&nbsp;anyway it doesn\u2019t matter to her&nbsp;\u201d, or speaking about her as if she does not understand.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s7\">7. He sees things that do not exist, especially in the evening<\/h2>\n\n<p><em>7 PM, night falls. Mr. V. claims to see a child in the corner of his room. He is not terrified, but he insists. A caregiver responds&nbsp;: \u201c&nbsp;But no, there is no one, you are making things up.&nbsp;\u201d Mr. V. becomes agitated and refuses to stay alone.<\/em><\/p>\n\n<p>What is happening&nbsp;: hallucinations or confusion can occur in advanced Parkinson's disease, sometimes related to the disease itself, sometimes to treatments, sometimes to an added factor (fever, dehydration, infection, change of environment). They are often more frequent at the end of the day. Contradicting the person directly increases their anxiety&nbsp;: for them, at that moment, it is real.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Reassure without lying or denying brutally.<\/strong> \u201c&nbsp;I don\u2019t see it, but I am here, you are not at risk.&nbsp;\u201d Secure before correcting.<\/li>\n  <li><strong>Act on the environment.<\/strong> Turning on lights, reducing shadows and reflections, tidying up objects that may cause confusion often calms the episode.<\/li>\n  <li><strong>Gently redirect attention.<\/strong> Changing rooms, proposing a calm activity or a drink frequently interrupts the scene.<\/li>\n  <li><strong>Always report.<\/strong> Any new hallucination, or any recent confusion, should be communicated to the team and the doctor&nbsp;: it is a follow-up information, never something to manage alone.<\/li>\n<\/ol>\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f A sudden confusion is never trivial<\/strong>\n  <p>A sudden installation confusion, a new disorientation, unusual drowsiness, or agitation that is out of the ordinary may indicate an acute medical problem (infection, dehydration, medication effect). It is not \"just Parkinson's evolving.\" We observe, we note the time and circumstances, we alert the care team and the doctor without delay; in case of rapid deterioration of the general condition, we contact the emergency services in your country.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s8\">8. He no longer wants to participate in anything<\/h2>\n\n<p><em>Every activity proposal meets a \"no,\" or worse, an absence of reaction. Mrs. F. stays in her room. The team eventually leaves her alone: \"She doesn't want anything, we're not going to force her.\"<\/em><\/p>\n\n<p>What is at stake: apathy \u2014 a loss of momentum and initiative \u2014 is common in Parkinson's disease, and it should not be confused with laziness or reduced to a choice. It can also accompany depression, which is also common and treatable. The person often has \"no desire for anything\": they can no longer initiate action, even when the activity would please them.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Offer something concrete, not a desire.<\/strong> \"I need you to fold these napkins\" works better than \"Would you like to do something?\"<\/li>\n  <li><strong>Reduce the distance to be covered.<\/strong> Five minutes, one single step, a tiny and achievable goal: we start small, we extend if the momentum comes.<\/li>\n  <li><strong>Make the result visible.<\/strong> A <a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">session follow-up<\/a> or a progress marker shows the person what they have accomplished, which rekindles engagement.<\/li>\n  <li><strong>Distinguish apathy from depression.<\/strong> Lasting sadness, crying, negative remarks about oneself: this should be reported to the doctor. Apathy can be worked on; depression can be treated.<\/li>\n<\/ol>\n\n<p><strong>\u274c To avoid:<\/strong> interpreting withdrawal as a definitive choice, blaming the person (\"make an effort\"), or giving up all solicitation \u2014 this accelerates withdrawal. Adapted supports like the <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a> application allow for adjusting the level to avoid failure that discourages.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s9\">9. Restless nights and the risk of falling<\/h2>\n\n<p><em>3 a.m. Mr. G. got up alone to go to the bathroom. His room is dark, he is stiff, disoriented upon waking. He is found on the floor near the bed, without knowing how long he has been there.<\/em><\/p>\n\n<p>What is at stake: sleep disorders are common in Parkinson's disease, and the night accumulates risk factors for falls: stiffness upon waking, the treatment effect at its lowest, darkness, low blood pressure when getting up, disorientation. A fall is not clumsiness: it is the convergence of several vulnerabilities at the worst moment.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Secure the night path.<\/strong> Night light, automatic lighting, clear floor, appropriate footwear: the route from bed to toilet must be visible and obstacle-free.<\/li>\n  <li><strong>Never rush the nighttime rising.<\/strong> Sitting on the edge of the bed, waiting a few moments before standing limits discomfort when verticalizing.<\/li>\n  <li><strong>Anticipate the call.<\/strong> Bell within reach, clear markers: it's better to be called than to find someone on the floor.<\/li>\n  <li><strong>Analyze each fall as a team.<\/strong> Time, circumstances, environment: fall prevention is built with the occupational therapist, physiotherapist, and doctor.<\/li>\n<\/ol>\n\n<p><strong>\u274c To avoid:<\/strong> lifting a fallen person alone and forcefully without checking that they are not injured, trivializing a fall as \"without visible consequences,\" or resorting to restraint measures that are a medical decision, never a service initiative.<\/p>\n\n<p>A fall always deserves a time for cold analysis, beyond immediate care. What was the person doing? At what time? Were they wearing appropriate shoes? Was the floor slippery, was the light sufficient? Was there dizziness upon getting up? These questions, asked as a team, transform a suffered event into useful information. The fear of falling also needs to be taken into account: a person who has fallen once may restrict their movements out of apprehension, which accelerates the loss of mobility. Reassuring, securing the environment, and maintaining appropriate physical activity, on the advice of the physiotherapist, are part of prevention just like the night light.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 10 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-s10\">10. He becomes anxious when the treatment is delayed<\/h2>\n\n<p><em>The distribution cart is delayed. Mrs. S., usually calm, becomes anxious, demands, tenses up, says she \"can't take it anymore.\" A caregiver, overwhelmed, responds: \"It's okay, it's not a matter of minutes.\"<\/em><\/p>\n\n<p>What is at stake: in Parkinson's disease, the timing of doses is not indicative: it directly conditions the ability to move. When the treatment is delayed, the person feels the return of the blockage and the accompanying anxiety. It is neither a demand nor a performance: it is the very concrete fear of freezing. Minimizing the delay worsens anxiety.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Take the worry seriously.<\/strong> \"I understand, your treatment matters, I'm taking care of it\" calms faster than \"it's not a big deal.\"<\/li>\n  <li><strong>Protect the regularity of doses.<\/strong> The timing of Parkinson's treatment takes precedence over the organizational constraints of the service, within the framework of prescriptions.<\/li>\n  <li><strong>Accompany the wait.<\/strong> Staying present, speaking calmly, offering a support point: reducing anxiety also reduces motor blockage.<\/li>\n  <li><strong>Report recurring delays.<\/strong> A poorly timed medication circuit can be corrected at the organizational level and, if necessary, with the doctor and pharmacist.<\/li>\n<\/ol>\n\n<p><strong>\u274c To avoid:<\/strong> minimizing the delay, rescheduling doses to accommodate the schedule, or modifying a treatment on one's own initiative \u2014 even when \"everything has been fine for weeks.\"<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SUMMARY \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-recap\">Parkinson's in an institution, what to do: the summary table<\/h2>\n\n<p>To be displayed in the transmission room or slipped into the care binder: it is in the urgency of daily life that we forget what we had understood in calm. A response addressed to the symptom rather than to the person almost always defuses the situation before it escalates.<\/p>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Situation<\/th><th>\u2705 The reflex to have<\/th><th>\u274c To avoid<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Blockage in the corridor (freezing)<\/td><td>Stand next to them, give a ground reference, let them go<\/td><td>Pull on the arm, press, get annoyed<\/td><\/tr>\n    <tr><td>Long meals, false routes<\/td><td>Sit up straight, calm, one bite at a time, signal<\/td><td>Rush the eating, change the texture yourself<\/td><\/tr>\n    <tr><td>Unable to get up<\/td><td>Break down and rhythm the movement, assist<\/td><td>Lift forcefully under the arms<\/td><\/tr>\n    <tr><td>Fluctuations \"on-off\"<\/td><td>Activities during \"on\" phases, respect schedules<\/td><td>Judge based on a single moment, shift the intake<\/td><\/tr>\n    <tr><td>Inaudible voice<\/td><td>Reduce noise, get closer, address the person<\/td><td>Talk about them in the 3rd person, raise your voice<\/td><\/tr>\n    <tr><td>Frozen face (amimia)<\/td><td>Look for other signals, ask the question directly<\/td><td>Conclude \"she's sulking\", reduce solicitations<\/td><\/tr>\n    <tr><td>Hallucinations, confusion in the evening<\/td><td>Reassure, illuminate, divert attention, signal<\/td><td>Contradict harshly, trivialize a new confusion<\/td><\/tr>\n    <tr><td>No longer participating (apathy)<\/td><td>Offer something concrete, reduce walking, make it visible<\/td><td>Interpret as a choice, guilt-trip<\/td><\/tr>\n    <tr><td>Restless nights, falls<\/td><td>Secure the path, lift without rushing, analyze<\/td><td>Lift forcefully, trivialize a fall<\/td><\/tr>\n    <tr><td>Anxiety if treatment is delayed<\/td><td>Take seriously, protect the regularity of intakes<\/td><td>Minimize, shift for organization<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 The principle that applies to all ten<\/strong>\n  <p>Before reacting, ask yourself one question: <em>could this behavior be a symptom?<\/em> In the vast majority of cases, the answer is yes. Recognizing the symptom behind the scene, slowing your own pace, and referring to the right professional when necessary: this is where the support for Parkinson's disease in institutions is concretely played out.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SERIES \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2>To go further<\/h2>\n\n<div class=\"dyn-serie\">\n  <a href=\"#comprendre-la-maladie\"><span>In-depth Guide<\/span>Parkinson in institutions: the complete guide to understanding what is at stake<\/a>\n  <a href=\"#activites-supports\"><span>Toolbox<\/span>Activities, resources, and concrete arrangements to implement<\/a>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support is available, and how to sustain it over time<\/a>\n  <a href=\"#presentation-formation\"><span>Training<\/span>Program, content, and who the DYNSEO Parkinson training is for<\/a>\n<\/div>\n\n<p>Several free resources help to put the above into practice: the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-competences\/\">skills tracking table<\/a> and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">session tracking sheet<\/a> help objectify what daily life makes us forget, while the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">complete tools catalog<\/a> offers other support resources. For cognitive stimulation tailored to seniors and people with Parkinson's, the application <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a> adjusts the difficulty level to avoid repeated failure, and the <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">cognitive tests<\/a> provide an initial reference to share with the care team.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\">\n\n  <h3>How to know if a behavior is a symptom or a lack of will&nbsp;?<\/h3>\n  <p>A good indicator&nbsp;: does the behavior vary according to the times of the day and the treatment, and does the person seem to be affected by it&nbsp;? Sudden blockage in walking, slowness, expressionless face, withdrawal&nbsp;: these are classic neurological manifestations of Parkinson's disease, not choices. In case of doubt, describe the scene precisely \u2014 the time, the place, what happened before \u2014 to the care team and the doctor, rather than summarizing it as \u201c&nbsp;he is not making an effort&nbsp;\u201d. It is the concrete detail that allows distinguishing the symptom from the rest.<\/p>\n\n  <h3>What to do when a person freezes while walking&nbsp;?<\/h3>\n  <p>Stop pushing and pulling, stand next to them and calmly reassure them&nbsp;: the movement is blocked, not the will. Then suggest a cue that helps restart&nbsp;: stepping over a line on the ground or your foot, a rhythmic countdown \u201c&nbsp;one, two, three, let\u2019s go&nbsp;\u201d, or a command for big steps. Wait a few seconds&nbsp;: movement often returns on its own if one does not panic. Pulling on the arm destabilizes and increases the risk of falling. Report repeated blockage locations to the occupational therapist and physiotherapist.<\/p>\n\n  <h3>Should treatment times be respected to the minute&nbsp;?<\/h3>\n  <p>In Parkinson's disease, the regularity of doses is crucial&nbsp;: it directly affects the ability to move and the comfort of the person. A delay can be enough to trigger a blockage phase and cause anxiety. Prescribed times must therefore take precedence over organizational constraints of the service, in accordance with the prescription. One should never advance, delay, or modify a treatment on their own initiative. If the medication circuit generates repeated delays, it should be reported to correct it with the doctor and the pharmacist.<\/p>\n\n  <h3>How to react to hallucinations without worsening the situation&nbsp;?<\/h3>\n  <p>Do not contradict directly&nbsp;: for the person, at that moment, it is real, and denying it increases their anxiety. Reassure without lying&nbsp;: \u201c&nbsp;I don\u2019t see it, but I am here, you are not at risk.&nbsp;\u201d Act on the environment \u2014 turn on lights, reduce shadows and reflections \u2014 then gently divert attention. Above all, any new hallucination or recent confusion should be reported to the team and the doctor&nbsp;: it may be related to the disease, the treatment, or an added factor such as an infection or dehydration, which should be investigated and treated.<\/p>\n\n  <h3>Is DYNSEO training aimed at families or professionals&nbsp;?<\/h3>\n  <p>Both. The training \u201c&nbsp;Parkinson in care facilities&nbsp;: understanding the disease and adapting professional practice&nbsp;\u201d is designed for caregivers and companions in facilities, but it also enlightens relatives who want to understand what is happening. It includes 32 lessons, is 100&nbsp;% online, at one\u2019s own pace, with unlimited access. It is offered by a certified Qualiopi organization (N\u00b0&nbsp;11757351875) and results in a certificate of completion. It addresses concrete daily situations to transform the understanding of the disease into appropriate actions.<\/p>\n\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <p>This article provides general guidelines for daily life in a facility. It does not replace a diagnosis, medical advice, or rehabilitation. Each person living with Parkinson's disease is different: for any decisions regarding treatments, food textures, transfers, or fall prevention, refer to the caregiving team and the doctor who follows the person.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Know what to do in every situation<\/h3>\n  <p>You now know what to do, Parkinson's in a facility, in response to the ten most common daily scenarios. To go further and embed these reflexes into your practice, the DYNSEO training covers them one by one: 32 lessons, 100% online, unlimited access, at your own pace. Qualiopi certified (N\u00b0 11757351875), certificate of completion.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Discover the training \u2014 20 \u20ac<\/a>\n<\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[3582,2915],"tags":[],"class_list":["post-759553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice-from-our-coaches","category-les-conseils-des-coachs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Parkinson in Care Facilities: 10 Difficult Daily Situations and How to Respond - DYNSEO - Educational apps &amp; brain training apps for all<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dynseo.com\/en\/parkinson-in-care-facilities-10-difficult-daily-situations-and-how-to-respond\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Parkinson in Care Facilities: 10 Difficult Daily Situations and How to Respond - DYNSEO - Educational apps &amp; 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