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pill-rolling tremor

A rhythmic tremor in which the thumb rubs back and forth against the fingers, as if rolling a small pill.

PIL-role-ing TREM-er noun

What it means

A slow, regular shaking of the hand that happens mostly when the hand is at rest. It usually gets smaller when the person reaches for something, goes away during sleep and gets worse with stress or tiredness. It is a classic early sign of Parkinson diseasePAR-kin-sun dih-ZEEZA slowly worsening brain disease in which the nerve cells that help control movement die off.Full entry , often starting on one side.

For the nurse

Note whether a tremor happens at rest or with movement, and which side. Offer adaptive utensils and cups with lids to support independence at meals.

At a glance

Also writtenpill rolling tremor

Related terms

Parkinson disease

A slowly worsening brain disease in which the nerve cells that help control movement die off.

tremor

Shaking of a part of the body, such as the hands, in small rhythmic movements that the person cannot control.

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