How We Help Clients with Parkinson's Disease

Parkinson's Disease Specialty Services

• Cognitive Stimulation

  Cognitive assistance therapy is at the core of our Parkinson’s disease care. Our caregivers help keep your mind active with challenging games such as chess, crosswords and puzzles, speech therapy exercises, and more.

• Healthy Diet Support

  Diet changes may be needed, and sticking to a new diet can be one of the hardest things to do. Our caregivers are skilled at preparing healthy meals and keeping track of supplements and medications, so you get all the nutrients, supplements and medications you need.

• Physical Health

  Daily therapeutic exercise is common when managing Parkinson’s disease, but it can quickly become exhausting. Our caregivers help you stay consistent, track your progress, and give you all the motivation and support you need.

• Assisted Living

  A safe environment and help with daily activities are very important. Our caregivers assist with everyday tasks such as getting around your home, bathing and dressing, and help keep you safe at home and wherever you go.

• Independence Support

  People living with Parkinson’s disease often lose the ability to take part in social events, enjoy old hobbies or spend time with loved ones. Our caregivers help you stay close to the people who matter most to you, with full emotional support and companionship.

• Supervision & 24/7 Communication

  Our caregivers provide all the supervision you need, help track your vital signs, and keep an open line of communication with your nurse and family.

• 5 out of 5 stars

  “Before Natalia Powell had her own agency, Royal Oaks Home Care, she had come to my attention because of her excellent reputation as an experienced caregiver among people in my mother’s community. She was universally recommended by many of my mother’s friends. Since Natalia is so busy running her own agency, she is less available in that capacity than she had been in the past. However, while I was looking for high quality help for my mother last year, she assisted me on numerous occasions, and it became clear to me why she is so highly regarded. Natalia is an exceptionally responsible, hard-working, compassionate person. She is constantly busy when she is working, and is not the type that would ever feel comfortable sitting around. I always felt that my mother was completely safe in Natalia’s competent hands. It has also become apparent to me that she expects the same high standards from the people she hires as caregivers in her agency. Natalia put me in touch with a caregiver, who has been working with my mom and is an extremely adept caregiver. I feel equally secure leaving my mom in her capable hands. Like Natalia, the caregiver is diligent, experienced, conscientious, and caring. I am deeply grateful to have had these two skilled, trustworthy people working with my beloved mother.”

• 5 out of 5 stars

  “Having your caregiver help my mom at her assisted living facility has been a blessing. I would highly recommend Natalia and Royal Oaks Home Care to anyone who needs help.”

• 5 out of 5 stars

  “I want to thank you for the time you spent with my aunt in the past three months. You were always courteous and understanding. There was never any questioning but always a genuine willingness to help. You were always punctual and concerned about her health and I appreciate everything you have done. Thank you from the bottom of my heart.”

• 5 out of 5 stars

  “Natalia from Royal Oaks provided care for my Dad’s significant other before she passed and is now providing care for my Dad. While many agencies can provide care, it’s Natalia’s caring about the people she works for that sets her apart. With my Dad in FL, and all his kids living in MA, it’s comforting to know Natalia is in my Dad’s life.”

The 5 Stages of Parkinson's

1. 1Stage One

   This is the mildest form of Parkinson’s. Symptoms are minimal and not severe enough to interfere with daily activities. In fact, they are often missed at this stage, though close relatives or friends may notice changes in gait, posture, facial expressions and walking. Medication is often prescribed to reduce symptoms.

   Common difficulties & symptoms

   • Tremor and other movement symptoms on one side of the body only
   • Changes in gait, walking, posture and facial expressions

2. 2Stage Two

   This stage is considered a moderate form of Parkinson’s disease. Symptoms become more noticeable and affect both sides of the body. Living independently is still possible, but daily activities are harder and take longer to complete.

   Common difficulties & symptoms

   • Tremor and other movement symptoms on both sides of the body
   • Rigidity
   • Noticeable difficulties with gait, walking, posture and facial expressions

3. 3Stage Three

   This is the middle stage, and for some people it is the turning point in the progression of the disease. Loss of balance and slowed movement are very common. Living independently is still possible, but because the symptoms are more severe, daily activities are much harder to perform and tasks such as walking are impaired.

   Common difficulties & symptoms

   • Tremors
   • Slowed movement (bradykinesia)
   • Loss of balance

4. 4Stage Four

   At this stage, symptoms are severe and interfere with most (if not all) daily activities, such as dressing, eating and walking. Although it’s possible to stand without help, walking may require a walker or a similar aid (e.g., a cane). Living alone at this stage can be dangerous because of how severe the symptoms are.

   Common difficulties & symptoms

   • Tremors
   • Rigidity
   • Loss of balance
   • Loss or decline of automatic movements

5. 5Stage Five

   This is the final and most advanced stage of Parkinson’s disease. Symptoms are at their most severe, and living independently can be dangerous or impossible. Living alone is NOT recommended at this stage. Some people need a wheelchair, and some become bedridden. Around-the-clock care is essential during this stage of Parkinson’s.

   Common difficulties & symptoms

   • Tremors
   • Rigidity
   • Loss of automatic movements
   • Changes in speech
   • Confusion, hallucinations or delusions