photo courtesy of: happy trails photography | aurora, co ... · additionally, a physical therapist...
TRANSCRIPT
Parkinson VoiceEnhancing Lives, Connecting Communities
The Importance of Exercise for Parkinson’s DiseaseBuilding the Most Effective Program for youBy Erica DeMarch, MSPT, South Valley Physical Therapy
Parkinson’s Awareness Month
Continued on page 2
2 3Exercise for Parkinson’sErica DeMarch, MSPT
Colorado Support Groups
11 Create Awareness
CarePartnerCasaJane Barton, MTS, MASM, CSA
7 A Life of MindfulnessDr. Monique Giroux
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Often people tell me they know exercise is important but do not know what type of exercise is the best for them. Others tell me they know it is important but do not have the motivation to exercise. Exercise should change what you are able to do each day. It provides more energy to do the things that are meaningful to you. Setting goals will increase your motivation
to exercise and may also result in changes such as faster walking speed and increased safety on stairs. Individual goals such as hiking, traveling and/or a better golf game will be enhanced by consistent exercise.
You may have read or heard certain types of exercise such as Tai Chi, yoga, tango, cycling or boxing are beneficial for people with Parkinson’s disease. Research shows they are beneficial for various reasons. For example:
Skiing: if you want to improve your turning while skiing, then you may need to find an exercise that incorporates weight shifting, such as Tai Chi or dance.
Walking: If you want to improve your walking, tango is one style of dance most similar
to walking. It challenges the balance systems with stepping in multiple directions, turning and being aware of your partner’s movements and other dancers on the dance floor. It also improves postural awareness and coordination.
Mobility: If you want to be loose, and stiffness limits your mobility, the stretching and reciprocal movements found in yoga and/or Tai Chi may benefit you. They both will make improvements in your posture and balance with various positions and weight shifting.
Aerobic: If you want to improve your aerobic capacity, boxing and/or cycling could help you. Boxing can also help with your speed of movement, reaction time and balance.
Photo Courtesy of: Happy Trails Photography | Aurora, CO
Spring 2014Volume 6, Issue 1
Did you know over one million Americans are living with Parkinson’s disease; 17,000 of them live in Colorado; and approximately 170 individuals in the U.S. are diagnosed daily?
Parkinson’s is diagnosed six times more often than MS and is one of the most common neurological diseases; second only to Alzheimer’s. Parkinson’s disease is a progressive and debilitating disease that has significant social and financial effects throughout Colorado and the U.S.
Did you also know that April is National Parkinson’s Awareness Month? The Parkinson Association of the Rockies is connecting with our community to raise significant awareness of Parkinson’s disease as well as funding for the Association’s programs and services which have meaningful impacts on the quality of life for those affected by Parkinson’s disease. Check out page 11 for more information.
Getting Started• It is beneficial to stretch every day
especially if you experience bradykinesia (slowing of movement) and rigidity (stiffness). This may help you feel loose and ease movement. After stretching, try to use these movements everyday to maintain your range of motion.
• Make sure you use cues or attend to your technique. With Parkinson’s disease you may not fully complete your movements. The smaller motion limits the strengthening of the muscles to their full capacity and range of motion. You may also use one side more than the other and may need to work the less used side harder to make the movements equal.
• Use of auditory cues such as music or metronomes combined with visual cues will immediately enhance the size and timing of your movements and therefore maximize your overall performance.
• Always remember to consult your doctor prior to starting any new program. Additionally, a physical therapist can help provide a comprehensive evaluation, assessment and exercise plan to help you reach your goals. Consultation with someone who is knowledgeable of all the options is time well spent.
• Join a class, meet new friends and get expert advice on your program.
Music and MetronomesThere is extensive research on the benefits of
music and movement. So put on your favorite tunes while exercising to help motivate and get you moving! One of the main movement problems due to basal ganglia disorder is the failure to automatically maintain an appropriate amplitude and timing of sequential movements. Cueing tackles this problem. The use of music or metronomes along with visual cues will increase performance outcomes. Cueing from a therapist, trainer or external cues will help you improve your quality of movement in both speed and size of movement.
The TestRegularly assess your exercise program. Are
you reaching your goals? Does it improve your posture, flexibility, strength, movement speed, walking, balance and/or coordination? Do you need a combination of different types of exercises to reach your goals?
What Neuroscience Tells UsYou may already be aware of the benefits
of exercise to improve your heart, strength, endurance and mood; but are you aware of the benefits it can make on the brain and your everyday function and quality of life? Exciting neuroscience research is showing that exercise can delay degeneration of the brain, reorganize your brain map and recover some of your lost function.
The neuroprotective effect preserves nerve cells that are at risk for damage by slowing degeneration. If there is damage in one area of the brain, neuroplasticity drives rewiring of pathways; increases use of other parts of the brain; and makes new connections to improve function. The neurotransmitter dopamine becomes more efficient by modifying the areas of the brain where the dopamine signals are received. High intensive aerobic exercise shows the most promise of neuroprotection. Higher intensity, higher duration and task specific paradigms that are continually challenging and complex may be required to accomplish the changes in the brain.
Write it down; goals work if you write them down. Create 3 goals today!
The Importance of Exercise for Parkinson’s Disease from page 1
Exercise as Medicine Mini-Series Want to get started on your fitness goals? Join Erica DeMarch as she leads the ParkinsonAssociation’s first High Intensity Exercise for Parkinson’s Disease mini-series. Erica will discuss ways you can improve your life through the use of exercise.
See page 4 for information on time and date.
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“Wow!” This was the most often heard comment at the recent Global Community Conference on Parkinson’s Disease hosted by the Parkinson Association on March 2nd-4th in Keystone, Colorado. We continue to receive emails and calls from conference attendees. The following is from Kirk Hall.
“Barbara Mendel (Conference Chair) and the entire Parkinson Association team did a magnificent job assembling and managing a wonderful program! I am always proud to be associated with the Association but especially so in this case. This is not meant to be a ‘play on words’, but the Association certainly elevated the ‘Rocky Mountain profile’ with this event!”
This Conference would not have been possible without the support of the Conference Committee: Barbara Mendel, John Dean, Warren Green, Maureen Leehey, MD & John McWilliams; and the dedication to detail from Natalie Bollinger, Contract Conference Coordinator.
Special thanks to our Global Community Conference sponsors and exhibitors: Teva (Premiere Sponsor); HealthONE: Sky Ridge Medical Center & Swedish Medical Center (Presenting Sponsor); AbbVie (Day Sponsor); Denver DBS Center, University of Colorado Hospital (Lunch & Reception Sponsors), Colorado Business Bank, Jackson, Littleton Adventist Hospital, Medtronic, US WorldMeds (Track & Breakfast Sponsors); Exempla Foothills Neurology Associates, Fairmount Cemetery & Mortuary, Mazor Robotics, MRI Interventions, NeuroLogica, ProtoKinetics (Exhibitors).
Going Beyond the Limits!
Support Groups For Care Partner specific Support Groups, please visit page 4.For Support Groups in Wyoming & Nebraska please visit www ParkinsonRockies.org.
ARVADA3rd Thursday • 1:00pm Community Recreation Center of Apex6842 Wadsworth Blvd.Host: Melinda Yeary (720) [email protected]
AURORA1st Wednesday • 10:00am H.G. Clubhouse, Mountain View Room2888 S. Heather Gardens Way 2nd FloorHost: Trudy Schneider (303) 755-2683
BASALT/EL JEBEL 3rd Tuesday of Odd Months • 4:30pm El Jebel Community Center0020 Eagle County Dr. Host: [email protected](970) 927-1141
BOULDER3rd Tuesday • 10:00amEast Boulder Senior Center5660 Sioux Dr. Host: Paul Browne (303) [email protected]
BRUSHQuarterly MeetingsContact Support Group LeaderEben Ezer Lutheran Care Center122 Hospital Rd. Host: Krystal Temple (970) 842-2861 x 251
BROOMFIELD1st Tuesday • 10:30amBroomfield Community Center280 Spader Way. Host: Ellie McKinley (303) [email protected]: Betty Calvin (303) 466-9166
CENTENNIALYoung Onset GroupContact Leaders for meeting timesHost: Tonia Cliff, [email protected]: Katie Strittmatter, [email protected]
COLORADO SPRINGS2nd Saturday • 10:00amFirst Presbyterian Church105 N. Weber St. Host: Ric Pfarrer (719) 495-1853www.co-parkinson.org
CORTEZ3rd Monday • 10:30amTrinity Lutheran Church208 N. Dolores RoadHost: Glen Baer (970) 565-9508Host: Ed Lord (970) [email protected]
DENVERRecently Diagnosed (1-3 years)3rd Tuesday • 11:30am Please RSVPChrist Episcopal Church, Barnes Hall2950 S. University Blvd.Host: Margaret Melander (303) [email protected]: Kitsi Atkinson (303) [email protected]
L.E.A.P. Support Group (3 - 5 years)2nd Wednesday • 11:30am Christ Episcopal Church, Barnes Hall2950 S. University Blvd.Host: Hugh Courtenay (303) 590-5881 [email protected]
Thursday Evening Support Group2nd Thursday • 6:30pmBethany Lutheran Church Room 3154500 E. Hampden Ave. Host: Courtney [email protected]
Deep Brain Stimulation 2nd Friday • 1:00pmBethany Lutheran Church, Great Hall4500 E. Hampden Ave. Host: Donna Miller (303) [email protected]: Kate Kelsall (303) [email protected]
Central Park Recreation Center4th Saturday • 9:30am 9651 E. Martin Luther King Jr. Blvd.Host: Regina Jones (720) [email protected]
DURANGO3rd Thursday • 1:00pmFirst United Methodist Church2917 Aspen Dr. Host: Pastor Roger Haney (970) [email protected]: Julie Klevia (970) [email protected]
EAGLE VALLEY4th Thursday • 5:00pmTrinity Church 90 Lariat LoopHost: John Bade (970) 328-8067Host: Carly Rietmann (970) 328-8896
ENGLEWOOD3rd Tuesday • 10:00amEnglewood Meridian 8th Floor3455 S. Corona St.Host: Parkinson Association (303) 830-1839
MSA/PSP/CBD Support Group2nd Friday • 10:00am Johnson Adult Day Center3444 S. Emerson St.Host: Helenn Franzgrote (303) 789-9900 [email protected]
ESTES PARK3rd Wednesday • 2:00pm US Bank Building, George Hix Room363 E. Elkhorn Ave.Host: Linda Hanak (970) [email protected]
EVERGREENContact Support Group Leader Host: Marilyn Kaussner (303) [email protected]
FORT COLLINS1st Wednesday • 10:30amFt. Collins Senior Center1200 Raintree Dr.Host: Jerry Manning (877) 426-3855
Early Onset Group2nd Monday • 7:00pm Ft. Collins Senior Center1200 Raintree Dr.Host: Jerry Manning (877) 426-3855
GRAND JUNCTION1st Wednesday • 3:30pm First Christian Church1326 N. 1st St.Host: Nancy Booz (970) 201-6952
GREELEY4th Thursday • 10:00amHope Pool & Physical Therapy Center2780 28th Ave.Host: Ann Rich (970) [email protected]
HIGHLANDS RANCH4th Tuesday • 10:00amHighlands Ranch Library9292 Ridgeline Blvd.Host: Barbara Coddington (303) [email protected]: Carol Johnson (303) [email protected]
Wind Crest Community 3rd Friday • 10:00am 3235 Mill Vista Rd. Host: Kelly Remington (303) 876-8245
LAFAYETTELast Thursday • 3:30pmExempla Good Samaritan Medical Center200 Exempla Cr., Conference Room DHost: Tenaya Pieper (303) 689-5253
LITTLETONLast Wednesday • 10:00amMorning Star Senior Living5344 S. Kipling Pkwy. Host: John Venema (303) [email protected]
LONGMONT2nd Wednesday • 10:00amLongs Peak United Methodist Church1421 Elmhurst Dr. Host: Thomas Hubner (303) [email protected]
1st Monday after 2nd Wednesday 6:30pmLongmont Senior Center910 Longs Peak Ave. Host: Thomas Hubner (303) [email protected]
LOUISVILLELast Tuesday • 2:00pmBalfour Retirement Community 1855 Plaza Dr., Singer RoomHost: Rachel Martinez-Troxel (303) [email protected]
LOVELANDMSA/PSP/CBD Support Group2nd Friday • 1:00pmNorthern Colorado Rehabilitation Hospital4401 Union St.Host: Ruth Fletcher-Carter (970) [email protected]
MONTROSELast Monday • 2:00pmMontrose Memorial HospitalAcute Rehab Unit, 800 S. Third Host: Leah Voorhis (970) 252-2996Host: Jeannie Morrison (970) 252-2996
STEAMBOAT SPRINGS2nd Monday • 4:30pmUnited Methodist Church8th & Oaks St. Host: Lindarose Berkley (970) 875-1088 [email protected]
WHEAT RIDGE3rd Wednesday • 10:00amApplewood Baptist Church11200 W. 32nd Ave.Host: Rosemary Vetos (303) 271-9628Host: Zee Gundy (303) [email protected]
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Care Partner Support GroupsBOULDER2nd Thursday • 2:00pmHomeWatch CareGivers of Boulder2945 Center Green Ct., Suite DHost: Sara Griswell (303) [email protected]
BROOMFIELD2nd Friday Every OTHER Month •10:30am Broomfield Community Center 280 Spader WayHost: Ellie McKinley (303) 466-0843 [email protected]
COLORADO SPRINGS East Side Caregivers3rd Thursday or Friday • 2:00pm www.co-parkinson.org
DENVER4th Wednesday • 6:30pmScheitler Recreation Center5031 W. 46th Ave.Host: Debbie Jones [email protected]
ENGLEWOODMSA/PSP Care Partner 4th Friday • 10:00amJohnson Adult Day Center3444 S. Emerson St.Host: Helenn Franzgrote (303) [email protected]
LONGMONT1st Tuesday EVEN month • 11:30am1st Wednesday ODD month • 11:30amPerkins Restaurant2051 Main St.Host: Karen Hubner (303) [email protected]
STEAMBOAT SPRINGS3rd Thursday • 4:00pmRollingstone Respite House940 Central Park Dr., Ste. 101Host: Pat Bemis (970) [email protected]: Sheri Steiner (970) [email protected]
Upcoming EventsFor more information or to register for any of the following events, please call (303) 830-1839 or email [email protected].
May 3 • 9:00am - 12:30pm Clinical Research Forum: Parkinson’s Research in ColoradoMile Hi Church, 9077 W. Alameda Ave., LakewoodSee below for more information.
May 10 • 10:00am - 2:00pm Chatwiththe(Parkinson’s)Pros•GrandJunction Common Health Issues & Parkinson’s, Benzi Klugar, MD Thriving with Parkinson’s, John Dean, MA CCC-SLP Goodwill Retail Center, 630 24 1/2 Rd., Grand Junction
May 14 • 2:00pm - 4:00pm HighIntensityExerciseforParkinson’sDisease•SessionILife Care Center of Aurora, 14101 E. Evans Ave., Aurora
May 17 • 10:00am - 2:00pm Chatwiththe(Parkinson’s)Pros•RoaringForkValley Common Health Issues & Parkinson’s, Seth Kareus, MD Exercise as Medicine, Dale Ulrich, OTR El Jebel Community Center, 0020 Eagle Country Dr., El Jebel
May 21 • 2:00pm - 4:00pm HighIntensityExerciseforParkinson’sDisease•SessionIILife Care Center of Aurora, 14101 E. Evans Ave., Aurora
June 1 • 9:00am - 11:00am 12th Annual Vitality Walk Washington Park, Denver | Sandstone Ranch, Longmont See back page for more information.
Clinical Research Forum: Parkinson’s Research in Colorado May 3rd • 9:00am – 12:30pm | Mile Hi Church, 9077 W. Alameda Ave., LakewoodTo register for this FREE forum please email [email protected] or call (303) 830-1839.
The Facts:• 90% of clinical studies in the U.S. are significantly delayed due to lack of participants.• Only 1% of those living with Parkinson’s disease participate in clinical trials.• Parkinson’s research and clinical trials are happening right here in Colorado.
By participating in a clinical trial, whether or not you have Parkinson’s disease, you can help expedite finding the cure for Parkinson’s as well as improving treatments. What does it mean and what does it take to become part of the solution? The Parkinson Association of the Rockies in collaboration with Colorado Neurological Institute, Davis Phinney Foundation and the University of Colorado invite you to explore these questions and discover the inroads being made in Colorado towards new treatments and therapies that may redefine care for Parkinson’s disease. By attending the Clinical Research Forum: Parkinson’s Research in Colorado, you will have the opportunity to learn more about clinical trials throughout Colorado for various modalities of treatment including medications, alternative therapies and surgical treatments. Learn how you can become involved in clinical trials and talk with the research coordinators one-on-one to learn more about the available opportunities to make a personal investment towards better treatments and the eventual cure for Parkinson’s disease.04 05
Parkinson Association Classes
Yoga for Parkinson’sMonday’s • 2:00 - 3:00pmUniversity of Colorado, Stapleton Clinic3055 Roslyn St., 1st Floor, DenverTuesday’s•10:00-11:00amLittleton YMCA11 W. Dry Creek Ct., LittletonTuesday’s•10:00-11:00amCherry Creek Retirement Village14555 E. Hampden Ave., Aurora Wednesday’s11:00 - 12:00pm12:30 - 1:30pmScheitler Recreation Center5031 W. 46th Ave., DenverThursday’s•1:00-2:00pm Valmont Community Church3262 61st St., Boulder
Rhythm and Grace: Dance for PD® Classes Monday’s • 12:00 - 1:15pmColorado Ballet1278 Lincoln St., DenverTuesday’s • 11:00 - 12:00pmStudio West - Loveland645 Denver Ave., Loveland (Next session starts April 22)Wednesday’s•10:30-11:30amAspen Santa Fe BalletThird St. Center 520 S. 3rd St., Carbondale(10 week sessions)Thursday’s•2:00-3:00pmDance Arts Studio555 Burbank St., #N, Broomfield
PAR for the Course Exercise Balance & Strength Classes Higher Intensity: for individuals early in the diagnosis of Parkinson’s disease Low Intensity: for individuals who need assistance with mobilityTuesday’s11:00 - 12:00pm, Higher Intensity 12:15 - 1:15pm, Low IntensitySchlessman YMCA3901 E. Yale Ave., Denver Wednesday’s •2:00-3:00pmSouthwest YMCA5181 W. Kenyon Ave., Denver
High Intensity Exercise Tuesday’s•4:00-5:00pm1290 Broadway St., Ste. 520, Denver
Thursday’s•4:00-5:00pm1290 Broadway St., Ste. 520, Denver
Tremble Clefs:Singing Classes Wednesday’s • 11:00 - 12:00pmValmont Community Church3262 61st St., Boulder
Not all classes meet every week. For class schedules or to register, please call (303) 830-1839 or email [email protected].
The Parkinson Association is pleased to offer the following exercise classes. A liability waiver from your doctor is required. There is a fee associated with each class.
Audrey Williams, MS CCC-SLP, Parkinson’s Team Leader, Life Care Center of Cheyenne People with Parkinson's who are coping with drooling don't actually have excess saliva, they are actually not swallowing as frequently as they did before they developed Parkinson's. Simply providing training to remember to "swallow more often" can reduce drooling and the need for keeping a handkerchief within reach. This small change has made a huge impact on quality of life and confidence for my patients who have difficulty managing their saliva.
John Dean, MA CCC-SLP, Parkinson’s Program Coordinator, Life Care Centers of AmericaAnother nice tip for drooling is to suck on ice chips, or hard candies or to chew gum. Although this may stimulate some additional saliva, it will also actively engage muscles of the mouth which will actually encourage more frequent swallowing and better saliva management. I often recommend this as a “quick fix” when heading out for brief public encounters such as going to the bank, doctor's office, grocery store, etc. However, it's important to avoid mint-flavored gum or candies. These flavorings tend to relax esophageal sphincters, “valves”, that open and shut when swallowing. These valves help prevent contents of your stomach from spilling back, or “refluxing” back, into the swallowing passageway and potentially the airway. Reflux is already a significant problem for people with Parkinson's disease so choose cinnamon flavored gum and hard candies instead.
Diane Roberts, MA CCC-SLP, Lead SLP at Life Care Center of LittletonMy patients with Parkinson's disease seem to experience a kind of “misfiring” that affects the timing between breathing and swallowing. One researcher actually identified a tendency among people with Parkinson's disease to inhale immediately after swallowing (Dietz-Gross et al, 2008) which significantly increases the risk of pneumonia caused by inhaling bits of food or liquid into the lungs. I like to spend time focusing on proper breathing techniques, not only for communication purposes, but also when eating.
Liz Cooley, MA CCC-SLP, Life Care Center of LongmontGood posture is extremely important for people with Parkinson's disease. Obviously, the stooped forward posture common among people with Parkinson's disease can have a significant impact on breath support but it also affects eye contact which is important for good communication. I see noticeable improvements in swallowing ability after helping my patients focus on posture.
Ask the ExpertsSpeech & Swallowing Tips and Tricks
James K. Adams Sigrid AdamsRosemarie Schuler
Hugh Allen Wesley & Karen Allen
Helen Axelson Michael & Marsha Braddy
Helen Bacheller Judge Ed Carelli
Bill Brent Kathryn McDermott
Sandy Bryant Bruce Bryant
Jerry Carr Barbara Carr
Anna V. Casey Bernard & Devera Thorn
Joyce Chandler Robert BennettJohn & Linda GilesLisa & Zion Lo
Maurice Chevalier Deborah Wagner
I.G. Cleaver Chuck & Debbie Turner
Marvin Clein Donna Rood
Larry Clements Jerry & Carol BowlesGlen & Mary McLaughlinGertrude Schneider
Robert Clifton Heather Clifton
Ben Cline Cynthia McRae
Melvin Cooper Cathy Cooper
Jackson Cravens Barbara Cravens
Aleen Cross Christopher Cross
Ina Day Anthea Blanas GraceySherrol LichteMarlene LinnArianthe C Stettner
Dennis Dick Ethel Dick
Warren Discher Mildred Discher
Helen Dunlap Sam & Margaret Cunningham
Clara Edmonds Rendel Edmonds
Sue Feingold Barbara & Steven Zimmerman
Jerry Feld Bernard & Devera Thorn
David Freedman Joann Freedman
Gordon Friednash Ken FriednashLeland Huttner
Dan Garner Joyce & Jack Dolocourt
Howard Gore Irene Gore
E.D. Gray Catherine G. Doyle
Mary Ann Griffin Carol Griffin
Paul Groth Charles Travis
Dolores Gudgeon Jessica Beck
Jerl E. Hamilton Sonya Hamilton
Jim Hinkle Claire Hinkle
Tom Holland Chip & Sande Novick
E. Earl Huffman Marie Huffman
Judy Kreutzberger Doug & Susan Aird
Arthur Gordon LaMunyon Lisa LaMunyon
Sol Landow Barbara & Steven Zimmerman
James Langwell Brian & Laura Gosnell
Donna Licht Howard & Susan Licht
David Liscio Rick Schwartz
Eurada Lockett Loretta Lockett
John Joseph Mahoney Gregory Mahoney
Donald T. Marshall Joann Marshall
Janis Martin Gary AndersonLinda, Bruce & Erica LiebMark & the KS Lieb’s Vicki & Joel LiebLinda LimbergKay OzanneMelissa Wood
Matt Mathison Gary P Amelon
Geraldine McDonald Lloyd & Joanne AgensDorothy Ebernardt Merlo
Robert McKean Kathleen McKean
Ken Miller Karen Bickett
Max E. Moravec Diane Morvaec Heidel
Martin Morrissey Bernard & Devera Thorn
Gary Orkin Robert and Esther Glickman
Roy Norman Peacock Alma Peacock
Warren Rempel Charlotte Wytias
Allen Rose Charles & Clarice Frederick
Sam Rosenblum Mary Anne BowerGene & Easter RosenblumSeerie SouthwickLia Woodall
Dr. Leonard Ruby David & Wendy Ruby
Virginia Russell Edi King
Walter P. Schultz Diana Hoppin
Sam Schuster Sharlene Baum
William Secor Mary Lou Secor
Gary Seidel Betty LeterneauPhil & Suzann Noll
Barbara Siefert Dr. Jack Siefert
Loren Skundberg Dea AragonLarry & Kendall BittsBrent & Barbara BucknerShawn CarlsonMark & Cindy CrowlMarilyn DobrowskiGary & Patricia HeislerForrest & Carolyn MooreRobert & Merilee RefvemLinda RiceBlaine & Liz RollinsTom & Ann Stark
William A. Slinkard Charles Chaves
Pearl Soderbloom Leroy E. Soderbloom
Nancy Sommer Anonymous
James H. Spencer Linda Spencer
Jack Spitzer Deborah Spitzer
Linda Sprague Charles Cunis
Mary Frances Thompson Elaine DeAngelo
Barbara Thorman Charles Thorman
Ed Turrou Phyllis Hall Turrou
Paul F. Vader Mary Ann Vader
Mark Veneklasen Mary Fick Monteith
Jim Waring Lois Waring
Victor Wise Ellen L Riley
Michael Zeleznak Henry & Mary Concha
DonationsMEMORIALS HONORS
Iva Arndt Kathleen Gaffney
Shelia Bellew Charles & Marjie Reece
Susie & Bill Berry Darrell & Donna Miller
Paul N. Browne Carol V. Sandy
Martin Buckley Scott & Kathryn Wisor
Don Chapman Charlotte Wytias
Ken Coddington Maureen Wells
Diane Cook Peggy Combs
Donna Cruz Fred Cruz
Cliff Cryer Mary Beth Leitzmann
Barbara M. Davis’ Special Birthday
Bernard & Devera ThornSteve Driggers
Penny DriggersDr. Charles Grosshans
Karen BickettStuart Gunckel’s Birthday
Stephanie GunckelIngrid Hackert
The Golden DinerLela Kathka
Christopher CrossAlex Kotch
Stanley BullHomeWatch CareGivers
The Kreider Family Joann & Kip Coates
Arly Kruse Kylie IngleeJack Kruse
Duane Lemburg Kandiss & Brad Forsyth
Charles & Gretchen Lobitz Oglesby & Pamela Young
John Lochhead Lesley Shiffrin
Richard Lurie Mari Lurie
Kari Lyche Gloria Roberts
The Martin Family Joann & Kip Coates
Lee Mendel John Sadwith
Daniel Michaud Anonymous
Garry Mick Mary L. Korch
Donna Miller David & Margaret Sheets
Gordon Onstot Mary Onstot
Sherry Pater Jeff & Laura Pater
Ronald Pearce Deborah Pearce
Robert Rector Jan Grohs
Jenna & Bradley Rice Wedding
Mark & Sharyn KirschKyle ReppertMeghan Willeke
Paul Schroder Marvin & Eliner Schroder
Rick Schwartz Kevin Paul & Melanie Lunsford
Mary Searson Patty Battles
Ray Shelmire AnonymousJimi P. Halstead
Cheryl Stickrath Nancy AndersonRobert Stickrath
Bob Tacoronte Lila Dennis
Dave Turney Lois Walton
Maria Venegas Wilson Venegas
Mr. Bill Vollbracht Margaret ReisherJohn C. Riley, MDMr. Wes SegelkeDavid & Leslie Sogge
Jim Wilkinson Kathleen Wilkinson
Brett Wilson Dwight & Shirley MottBilly M WeckwerthMeghan Willeke
Marilyn Wisler Harry W. Killa
Dr. Roy Wright & Staff Linda Fischer
Paul Zeiger Mr. & Mrs. Abraham Flexer
Your thoughtfulness helps the Parkinson Association continue to provide services & support. The following gifts were received between November 1, 2013 - January 31, 2014.
Welcome our newest Board Member, Daniel Starishevsky, who presented a generous grant on behalf of Jackson at the January meeting. 06
If you are like most people, change is challenging. Even beneficial and positive change generates stress. Change of any kind alters plans, expectations, and routines. This is problematic since most people are creatures of habit. We love our ruts and routines! We revel in knowing what is around the bend, don’t we? We take comfort in a well-conceived plan. We relish feeling normal, safe, and secure - in control! You might argue that a sense of control is merely an illusion. However, that doesn’t extinguish our desire for control. And when confronted by the changes posed by aging and progressive illness, we long to be in control. Perhaps that is why the journey of caregiving can be so incredibly daunting.
Caregiving is a continuous process of change. Consequently, we feel at risk, destabilized, uncertain, and afraid. Anything but normal and in control. For care partners and care receivers dealing with a progressive illness, the incremental changes prove to be fatiguing, frustrating, and frightening. How are we to deal with the endless and incessant changes prompted by the progression of illness? Well, we must first appreciate the process of change and thereby have realistic expectations of the journey. Since I think metaphorically, perhaps the best way to describe this approach is by way of an image.
“Imagine your life as a journey. The path is smooth and level, until something happens. Change! This change is represented by the entrance to a bridge. The bridge serves to
transport you over the rough waters stirred up by the change in your life. The bridge is narrow, allowing travel only in one direction. Once on the bridge, you realize you can’t go back. You start to panic! The other side of the bridge vanishes in a thick bank of fog. What is on the other side of this bridge? You want to know where you are going, but your efforts prove futile. You can’t see that far ahead. So there you stand. You can’t return to your former life. You have no idea what the future holds. And the bridge is the only option you have if you choose to continue your journey. Although frightening, the bridge offers the hope of a new beginning. Will you find the courage to walk into the unknown? Or will you allow fear to abbreviate your journey? The choice is yours.
Having described the bridge as a metaphor for change, it’s obvious that we don’t fear change as much as we fear the transitional period after change. Sometimes we aren’t even aware that change is about to happen. So there is no opportunity to fear the looming change. This is very important to recognize and appreciate if we are to manage change well. Change happens, and we find ourselves on the bridge before we know it. This is the time of uncertainty. The fog rolls in, clouding our perspective of life. Perhaps we’ve never been on this bridge before. Is it structurally sound? Are the boards strong or rotten? Can the bridge be trusted to carry us over the chasm of raging water? Good questions to ask. But don’t hold your breath waiting for reassuring answers! To move on with your life often requires a leap of faith. Choosing to walk across the transitional bridge requires courage, determination, hope, and faith. Not your typical walk in the park!” (Barton, 2013)
The question then becomes how we confront and overcome the destabilizing fear experienced at the entrance to the bridge. There isn’t a simple answer to this question my friends. Your approach depends on the nature of the change, your experience with change, and the meaning of the change for you and your family. However, there is a common need when faced with change and transition. Knowledge. It is our fear of the unknown that is disabling. Knowledge transforms our fear and frees us to embrace the journey. So, in order to move onto and across the transitional bridge, we need and want answers and information. We can’t always anticipate change in life; however, we need not be victims of change and transition. Accept the reality of the situation. Explore the possibilities. Identify the available resources. Ask questions. Listen well. Be proactive instead of reactive. By doing so, you will realize what is within your control and what is not. That realization will serve you well throughout the journey of caregiving.
Thanks so much for stopping by the CarePartner Casa today. In the next edition, we will explore the importance of preparing to care. The first step in preparing to give or to receive care is learning the recipe for tossing a healthy SALAD. Til then, take good care and blessings to you and yours....
Compassion Fatigue: When It Hurts to CareWith Jane Barton, MTS, MASM, CSAApril 30, 2014 | 10:00am - 12:00pmBethany Lutheran Church - Great Hall4500 E. Hampden Ave., Cherry HillsFor more information call (877) 926-8300 or visit http://aarp.cvent.com
CarePartner CasaBy Jane Barton, MTS, MASM, CSA
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NonMotor Symptoms in Parkinson’s Disease - Part IIBy Dr. Aaron Haug, BlueSky Neurology
This is the second article in a two-part series discussing nonmotor symptoms in Parkinson disease (PD). Although it is often a tremor that first brings PD to someone’s attention, the nonmotor symptoms of PD can cause a significant portion of the discomfort and disability for people with Parkinson’s (PWP). Not everyone will experience all of these symptoms, but it is important for PWP and their loved ones to be aware of these symptoms so that treatments can be considered.
Autonomic SymptomsThe autonomic nervous system regulates many
bodily functions that are normally automatic, such as blood pressure and function of the urinary, sexual and gastrointestinal systems.
Orthostatic hypotension (OH)OH is a drop in blood pressure that occurs when
standing, which can cause light-headedness or even fainting. Non-medicine options include increasing salt and fluid intake; drinking a full glass of water first thing in the morning before getting out of bed and wearing compression stockings. There are several medicine options as well. Fludrocortisone (Florinef) increases the body’s fluid and salt retention; it “fills the tank”. Midodrine helps blood vessels constrict; it “squeezes the tank”. Pyridostigmine (Mestinon) increases the chemical transmission involved in blood vessel constriction. Droxidopa is a medicine that has been used in trials for many years and may be available in the United States in early 2014. These treatment options need to be carefully weighed against the possibility of blood pressure being too high when lying down.
Overactive bladder (OAB)OAB refers to frequent and often sudden
urges to urinate. Pelvic muscle exercises, such as Kegel exercises, may be helpful. There are multiple medicines with a similar mechanism
(“anticholinergic”) that can be helpful by relaxing the smooth muscle of the bladder: oxybutynin (Ditropan), tolterodine (Detrol), trospium (Sanctura), solifenacin (Vesicare), darifenacin (Enablex) and fesoterodine (Toviaz). These medicines should be used with caution, especially in older patients, as side effects such as confusion can occur. A newly approved medicine called mirabegron (Myrbetriq) works differently (by stimulating beta-3 receptors in the bladder) and seems to have fewer side effects. Desmopressin (DDAVP) nasal spray at night can reduce nighttime urinary frequency.
Erectile dysfunction (ED)There are multiple prescription medicines that
can be effective for ED in PWP: sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra). A note of caution: because these medicines dilate blood vessels, they have the potential to worsen orthostatic hypotension and cause dizziness or fainting.
Gastrointestinal SymptomsConstipation
Constipation is experienced by many PWP. The first step in treatment is to increase fiber intake and ensure good hydration. High fiber cereal is a good way to increase fiber intake and other important options are fruits and vegetables; including prunes and prune juice. Docusate (Colace) is a stool softener that can make hard bowel movements easier to pass. Laxatives, such as Miralax, can be helpful but should be used only short-term if possible to prevent development of dependency. Pyridostigmine (also sometimes used for OH) can also increase gut motility and help in the treatment of constipation.
NauseaNausea can occur as a side effect of many PD
medicines and can also occur as a symptom of PD itself. If related to carbidopa-levodopa, taking
additional carbidopa (Lodosyn) can decrease the nausea. Ondansetron (Zofran) is an anti-nausea that can be used without worsening the symptoms of PD. Domperidone is another anti-nausea medicine that can be very effective, though in the United States it is obtainable only through specialty compounding pharmacies. Medicines such as metoclopramide (Reglan), prochlorperazine (Compazine) and promethazine (Phenergan) should be avoided as they block dopamine, which can make PD motor symptoms worse.
DroolingAlso known as sialorrhea, drooling is common
in PD because there is less spontaneous swallowing. A simple trick that can help is chewing gum, which helps increase swallowing frequency. Glycopyrrolate (Robinul) is a tablet that can help reduce saliva production. Another treatment that may be helpful is placing atropine eye drops under the tongue. Injections of botulinum toxin (such as Botox or Myobloc) can decrease saliva production and are often very helpful.
Other SymptomsSeborrhea
Seborrhea is a red, itchy rash with dry white scales that often affects the face and scalp of PWP. When it affects the scalp, it is called dandruff. Medicated shampoos can help, such as Selsun and Neutrogena T/Gel.
SweatingSweating and temperature dysregulation
can be bothersome symptoms for PWP. One treatment that can be useful is a handheld water-misting fan.
Again, although not everyone will experience these symptoms, it is important to be aware of them so that treatment options can be considered and discussed.
Please visit our website at www.ParkinsonRockies.org to read the first part of Dr. Haug’s article.
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Dr. Richard Salazar is a movement disorder specialist practicing with Parkview Medical Group in Pueblo, CO. Dr. Salazar’s practice is dedicated to Parkinson’s disease and other movement disorders, as well as, general neurology. He is trained in Deep Brain Stimulation Therapy (DBS) and does DBS programming in the Parkview Medical Group Neurology clinic. In addition, Dr. Salazar is trained in Botox Therapy and provides this type of therapy to Parkinson’s patients that suffer from dystonia and excessive drooling (sialorrhea).
Dr. Salazar is actively involved in Parkinson’s disease education in the Pueblo Community and provides education to patients and healthcare providers through lectures, grand rounds, residents teaching and general population seminars. Most recently he has presented a lecture to Parkinson’s patients at Parkview Medical Center’s monthly community event “Dessert with the Docs” and presented “Grand Rounds” to other physicians to raise awareness about novel therapies for Parkinson’s disease. Additionally, Dr. Salazar has given lectures to internal medicine residents to educate them on how to diagnose Parkinson’s disease and how to properly refer patients to a Parkinson’s specialist.
Dr. Salazar relocated to Pueblo in July of 2013 after completing a Movement Disorder Fellowship at the University of Maryland School of Medicine in Baltimore. He completed his Neurology Residency Program at Henry Ford Hospital at Wayne State University in Detroit, Michigan. Along with providing cutting edge treatment for Parkinson’s patients, Dr. Salazar served as Sub-Investigator on a number of research studies.
Dr. Salazar, his colleagues and staff are committed to providing southern Colorado with the most up-to-date and advanced neurological care. While Dr. Salazar’s clinical practice focuses on movement disorders, essential tremor, tic disorder and dystonia, his clinical interests also include stroke care, multiple sclerosis, and clinical neurophysiology. Dr. Salazar was recently appointed by the Board of Directors of the Parkinson’s Disease Foundation the honor of inclusion on their Physician Referral List. For more information, call (719) 595-7760 or visit 1619 N. Greenwood St., Ste. 402 in Pueblo.
Pueblo Welcomes a New Physician
I am a bioethicist. For many this is a new term and it certainly is a new field. Bioethics is a “field of study concerned with the ethics and philosophical implications of certain biological and medical procedures, technologies and treatments, such as organ transplants, genetic engineering and care of the terminally ill.” I am also a neurosurgeon and while this “hat I wear” is self-explanatory, I am often asked what the two have to do with one another. The answer is simple: in no field of medicine is there more opportunity to learn, grow and develop our knowledge and technologies than in disciplines pertaining to the brain. The brain is the last frontier. With that knowledge and technology come questions and ethical dilemmas surrounding the use and implementation of our discoveries as well as questions surrounding the ethical conduction of research. The two disciplines are intimately intertwined and my ability to “wear more than one hat”, affords me the opportunity to see both sides of the coin.
As a functional neurosurgeon, I place Deep Brain Stimulators in to the brains of patients with Parkinson’s disease, Essential Tremor and Dystonia. Concerning Deep Brain Stimulation (DBS) technology, there arise ethical dilemmas regarding who gets to have surgery, when truly informed consent exists and other difficult questions. With my experience working with Parkinson’s patients, I have spoken nationally on ethical issues for the Parkinson’s community; regarding questions surrounding access to the latest medical discoveries and treatments for Parkinson’s disease, exploring how patients and their families can maintain control over their lives while dealing with a progressive neurological disorder and the burdens of caregiver fatigue.
One example of an ethical issue surrounding Parkinson’s disease is that of access to health care. For many patients and families with Parkinson’s disease, there exists a nagging question regarding, “am I getting the best possible treatment?” This is never so prevalent as when a friend is offered a successful treatment such as DBS which may have never been mentioned by your own physician. At these times, a patient can feel betrayed, confused and/or discriminated against. It might even make you question the skill level or motives of your physician. In looking at this situation, you might ask, “how do I know whom or what to trust?” The answer lies in being your own advocate. You have the right to approach your healthcare team with questions about new treatments or studies or simply a change in medication. Your physician should be open to these inquiries; and if he or she does not know the answer, should do the work to find out. He or she may even learn something to pass on to the next patient. Remember, in advocating for yourself, you may not only be helping yourself but also countless individuals who are living with Parkinson’s disease.
Navigating these murky waters can be confusing for patients and their families. For those of you caught in these sticky situations availing yourselves of the resources within your communities, such as social workers, counselors and advocacy organizations, can be empowering and enlightening. I encourage you to add a bioethicist to that list of resources.
A Review on BioethicsBy Dr. Kara Beasley, Boulder Neurological and Spine Associates
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A Life of Mindfulness By Dr. Monique Giroux, Movement and Neuroperformance Center of Colorado
Mindfulness is a powerful technique of intentionally bringing awareness, without judgment, to the present moment. This state of awareness joins mind, emotions, senses and body together as a whole allowing you to be fully present and engaged in the ‘now.’ This coupled with the practice of non-judgment or the ability to simply notice – a symptom, a feeling, a sensation or an experience without attaching a label or reaction- brings awareness to the thoughts and ideas that can influence how you react and feel.
This technique is particularly powerful for people living with Parkinson’s; since you can influence how you feel and respond to any difficulties when they occur. For instance, you may have distressing thoughts about your tremor. The more you attach these thoughts to your tremor, the greater your negative reaction to tremor in the moment. Your thoughts spiral downward…more distress creates more tremors which creates more distress. Awareness without judgment allows you to choose an alternative response. For example, when tremors increases you now have one of two choices- to react or respond. These choices at first glance seem very similar but they are indeed very different in mindset and outcome.
• React. By reacting to a tremor you are giving control to the spontaneous thoughts and feelings that affect how you feel. Your spontaneous thoughts are unique to you but often include judgments such as, ‘this tremor is running my life. My disease is getting worse. I must fix this or stop this now. If only I didn’t have this tremor everything would be fine. What if someone sees my tremor?’ These automatic and reactive thoughts lead to a ‘snow ball effect’ further worsening stress and increasing tremor.
• Respond. By responding to your tremor you are no longer reacting but instead observing and choosing how to respond. ‘This problem will pass. I will sit for a few minutes to let this pass. I have experienced a tremor before and I will get through this. This is just a moment, it is not my future, tomorrow is another day. My tremor is in my hands but is not me.’ By choosing your response you gain a sense of control and change the very relationship you have to your disease or symptom.
This does not mean that you have given into your symptoms or enjoy the fact that you have Parkinson’s disease but it does reduce the downward spiral that can occur. There are many other ways that mindfulness can help a person or caregiver living with Parkinson’s disease:• By strengthening the connection
between mind and body you gain a better understanding to the integration of our thoughts, emotions, sensations and physical body and how each of these areas affects the other.
• Appreciate the simple moments. When we focus on simplicity we can enjoy the rich tapestry that is life. When was the last time you truly ‘felt’ the smile of a loved one, ‘saw’ the delicate nature of dew drops hanging on the leaves at dawn or the poetic beauty of the sunset. Parkinson’s disease does not ‘steal’ these moments of richness.
• Attention to the moment brings attention to the now. We are living now. Not in the regrets or losses of the past or fear of the future. We often spend so much time judging or morning the past, planning or worrying about the future that we are not present and fully appreciative of the present moment. Bringing awareness to the presence is a helpful way to manage change, future worries, uncertainty and feelings of lack of control after diagnosis.
• Living in the present can expand the power of possibility. As you choose how to respond to the problems in the present, you intentionally impact each step (moment) guiding you to the next.
• Reduce stress and the impact of stress. Stress causes illness. Stress increases Parkinson’s symptoms especially tremors, dyskinesia and freezing. Stress negatively affects your brain even at the cellular and genetic level. Mindfulness reduces the physiologic impact of stress on your body and mind; improving how you feel.
• Mindfulness ‘rewires’ the brain; a process called neuroplasticity. Mindfulness based meditation enhances frontal lobe activity in regions important for cognitive and emotional processing and reduces amygdala activity, a brain region that is driven by distress. Together these changes enhance emotional resiliency and constructive reasoning. These attributes are so important to living well with a chronic condition.
Mindfulness is free, portable and available to everyone. It can be an informal practice in which daily experiences are used as an opportunity to be present. The next time you awaken to a sunrise, walk in the park, hear the laughter of a child, are stuck in traffic or feel the shaking in your hand-you can practice mindfulness.
Mindfulness is also practiced as a formal exercise with meditation. One way to practice mindfulness meditation is to sit quietly and calmly but with attention and awareness. Concentrating on your breathing is one way to focus your attention. During this time you will simply observe your thoughts, feelings, sensations and perceptions and let them pass without judging them, labeling them or controlling them. Meditation is a practice and as such the benefits will improve with time and practice. Mindfulness meditation is not without risk. Individuals with psychotic disorders, significant depression or post- traumatic stress disorder should meditate under the care of a mental health professional.
Dr. Giroux leads Take Back your Nervous System, a mindfulness workshop on the first Saturday of every month 1:30 - 3:00pm at the Movement & Neuroperformance Center of Colorado. See www.centerformovent.org or call (303) 781-0511 for more information.
“The range of what we think and do is limited by what we fail to notice. And because we fail to notice there is little we can do to changeuntil we notice how failing to noticeshapes our thoughts and deeds.” -RD Laing
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I continually admire the tenacity and determination of our constituents living with Parkinson’s disease and their care partners. Today, I am asking you to harness these strengths and share your stories during April; Parkinson’s Awareness Month. Write a letter to the editor, write your congressman, help get a proclamation signed by your city mayor. Be sure to ask for a photo of the mayor signing the proclamation with you and your friends by your side. Ask Association staff to join in these photo opportunities. Your voice, the voice of experience and passion, will be the voice that is heard. Your face will let the community know this is a very real and very important issue that affects friends, neighbors and colleagues. Creating community awareness lies in the telling of personal stories that back up proclamations, bracelets, tulips and other symbols of Parkinson’s Awareness Month. Thank you for making a difference! You will find instructions and a sample proclamation at http://bit.ly/1nqjOLc.
Join Our Community to Create AwarenessMark your calendars and join us for any of the following events to generate awareness of Parkinson’s disease, unite our community to let others know they are not alone in their journey with Parkinson’s and spread an optimistic attitude. Your participation in these events will also raise funds which directly impact the lives of Coloradoans affected by Parkinson’s. Together we can provide the care that counts on the way to a cure!
April: Parkinson’s Awareness MonthPoker for Parkinson’s Sunday, April 13th • 6:00pm • Platte River Bar & Grill, 5995 S. Santa Fe Dr., LittletonA No Limit Hold ‘em Poker Tournament to raise funds for Dave & Cherrlyn’s team at the Vitality Walk. For More Information: (303) 594-4664 | [email protected]
Going Mongolian to Make a DifferenceWednesday, April 16th • 6:00-10:00pm• bd’s Mongolian Grill, 1620 Wazee St., Denver20% of all proceeds will be donated to benefit the Parkinson Association of the Rockies. For More Information: www.ParkinsonRockies.org
Night at the Rockies: Pitch-in for Parkinson’sMonday, April 21st • 6:40pm • Coors Field, 2001 Blake St., DenverCheer on the Colorado Rockies while raising awareness of Parkinson’s. Colorado Rockies vs. San Francisco Giants | Outfield Box, Section 117Purchase Tickets: www.ParkinsonRockies.org | $25.00/Ticket
2nd Annual Spaghetti Western DinnerWednesday, April 23rd • 5:00-7:00pm • Atria Inn at Lakewood, 555 S. Pierce St., LakewoodGrab your ten-gallon hat and come down for Spaghetti Western night. Enjoy a delicious dinner and a mess of fun all to benefit the Parkinson Association. Make a Reservation: (303) 742-4800 | [email protected]
Capitol Awareness with Pedaling for Parkinson’s Friday, April 25th • 10:00am-Noon • Colorado State Capitol, 200 E. Colfax Ave., DenverJoin us at the State Capitol where we’ll be circling the building with signs-in-hand and having a proclamation signed by the leaders of our cities and state. For More Information: www.ParkinsonRockies.org
Dancing Together to Make a DifferenceTBD • 10:00am-Noon • Shepherd of the Hills, 11500 W. 20th Ave., LakewoodListening to music and moving your body to the rhythm can be one of the most freeing things a person can do both physically and emotionally. But for some, that may not be a possibility anymore. Let’s get lost in the music and show these individuals how much we care!For More Information: www.ParkinsonRockies.org
May: Keep Creating AwarenessColfax MarathonMay 17th - 18th • Throughout Denver The Colfax Marathon is the largest charity partner event in Colorado and the Parkinson Association is proud to once again be a DaVita Charity Partner. Register Today: www.runcolfax.org
Create Awareness A Note from the Executive Director
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1325 S. Colorado Blvd., Suite 204B Denver, CO 80222(303) 830-1839
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Twitter.com/parockies
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MissionCommitted to enhancing lives and connecting communities.
The Parkinson Association of the Rockies supports, strengthens and empowers the Parkinson’s community in Colorado. We do this through educating, promoting research, creating awareness, serving as an advocate and providing support services for the Parkinson’s community.
WALK THE WALK THAT CONNECTS COMMUNITIES AND ENHANCES LIVES. WALK THE VITALITY WALK.Sunday,June1st2014•WashPark,Denver•SandstoneRanch,Longmont•ChoosetoSnooze8:00amRegistrationBegins•9:00amWalkStart•10:00amResourceFairRegistration$30/adult•$10/child(ages5-14)•FREE/child(ages0-4)For more information and to register visit www.ParkinsonRockies.org
TWO SITES, 2,000 STEPS AND ONE UNFORGETTABLE EXPERIENCE!On Sunday, June 1st the Parkinson Association of the Rockies will host the 12th annual Vitality Walk!
WALK THE WALK AND MAKE EVERY STEP COUNTEvery step taken by someone with Parkinson’s shows their determination to live well with this disease. Every step taken by friends, families, neighbors and co-workers supports those individuals and families who are affected by Parkinson’s disease. Walk the Vitality Walk to enhance lives with every step. Aim high to help us reach our goals of 1,500 walkers and over $100,000 to benefit programs and services of the Parkinson Association! We encourage you to join others in the challenge to create the largest team, raise the most funds, show-off your creativity and team spirit! All ages and dogs are welcome.
OUT OF TOWN OR LOVE TO SLEEP IN? THAT’S NO EXCUSE! Join the Vitality Walk as a Choose to Snooze participant - you’re support strengthens our community!
SPONSORSHIP OPPORTUNITIES AVAILABLE Formoreinformationpleasecontact:[email protected]•(303)830-1839
Vitality WalkEnhancing Lives With Every Step
2 Sites • 2,000 Steps1 Unforgettable Experience
Presented by:
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