Which manifestation is considered the priority concern in the ABC framework for a client with Parkinson's disease?

• A. Dysphagia
• B. Tremor
• C. Constipation
• D. Urinary incontinence

Answer: (A)

In the ABC framework, protecting the airway comes first. Dysphagia in Parkinson's disease means swallowing safety is compromised, which raises the risk of aspiration and airway obstruction. This can lead to life-threatening problems like pneumonia, so it takes priority over other PD symptoms. Tremor, while common and troublesome, does not pose an immediate threat to breathing. Constipation and urinary incontinence are important quality-of-life issues but do not threaten airway or oxygenation in the moment. If swallowing safety is a concern, implement swallow precautions and involve speech therapy to reduce aspiration risk.