NBCOT Occupational Therapy Certification Practice Exam

The best adaptation for a person in late-stage Parkinson's disease to dress independently is the use of hook and loop closures on clothing. This type of closure is particularly advantageous because it allows for easier manipulation compared to traditional buttons or zippers. Individuals with late-stage Parkinson’s may experience significant tremors, rigidity, and reduced dexterity, making complex movements challenging.

Hook and loop closures offer a simple and straightforward operation; the user can press the two sides together without the need for precision or fine motor skills. This can greatly enhance the individual’s ability to dress independently, promoting autonomy and self-esteem. Furthermore, the adjustable nature of hook and loop fasteners allows for a customized fit, which can be particularly helpful if there are changes in body size or swelling that commonly occur with Parkinson's disease.

While options like large buttons or larger clothing without fasteners provide some benefits, they each still require a level of fine motor control that may not be attainable for all individuals at this stage of the disease. Stretchy fabric clothing with back closures may offer comfort and ease of wear, but back closures could present difficulties in reaching and fastening. Thus, using hook and loop closures is the most effective solution for maintaining independence in dressing for someone dealing with the motor challenges associated with advanced