Parkinson’s Disease: A Multidisciplinary Guide to Management

1st Edition - November 17, 2021
Editors: Fiona Lindop, Rob Skelly
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 2 6 1 - 0
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 2 6 2 - 7

Evidence shows that a multidisciplinary approach to Parkinson’s care provides better patient outcomes and is more cost effective. This new title provides a practical guide to th… Read more

Parkinson’s Disease: A Multidisciplinary Guide to Management

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Evidence shows that a multidisciplinary approach to Parkinson’s care provides better patient outcomes and is more cost effective. This new title provides a practical guide to this approach, with the perspective of the person living with Parkinson’s firmly at its core.

Written by experts in their field and firmly grounded in up-to-date evidence, Parkinson’s Disease: A Multidisciplinary Guide to Management addresses multidisciplinary intervention through the various stages of disease, rather than by discipline. It covers all aspects of care, from pharmacological management to non-drug interventions that are helpful for Parkinson’s symptoms.

This book is unique in its holistic approach to the patient and their family, and will help all members of the team to implement a biopsychosocial model of health that puts the person with Parkinson’s at the centre of care.

Cover
Title page
Contents
Copyright
List of Contributors
Foreword
Acknowledgments
Chapter 1: Introduction
Provision of best clinical care
A handbook
Multidisciplinary teams
Parkinson’s in four stages
Structure of the book
Chapter 2: Parkinson’s: Setting the Scene
Introduction
What is Parkinson’s?
Epidemiology
Environmental risk factors
Genetics
Pathology and etiology
Function of the basal ganglia
The heterogeneity of Parkinson’s
Conclusion
Chapter 3: The multidisciplinary team working with Parkinson’s patients
Introduction
Members of the multidisciplinary team
Competencies in Parkinson’s for professionals
Principles of the multidisciplinary team
Models of multidisciplinary teams
Home hospice/palliative care
Elective inpatient services
Commissioning and funding multidisciplinary teams
How to build a team
Telehealth
Conclusion
Chapter 4: Living with Parkinson’s
Introduction
Getting the diagnosis
Impact
Support from the multidisciplinary team
Challenges of living with Parkinson’s
The local branch of Parkinson’s UK
Working with the multidisciplinary team
Conclusion
Chapter 5: Diagnostic Stage of Parkinson’s
Introduction
Non-motor symptoms and signs
Prodromal Parkinson’s
Motor symptoms and signs
Imaging in Parkinson’s
Making an accurate diagnosis
Receiving and giving the diagnosis
Medication
Psychological impact and adjustment
Identification of non-motor symptoms
Driving
Employment
Intervention by the multidisciplinary team
Chapter 6: Multidisciplinary Work in the Maintenance Stage
Introduction
Motor symptoms in the maintenance stage
Non-motor symptoms
Psychological care and the multidisciplinary team’s stepped-care model
The multidisciplinary team’s intervention and roles
Chapter 7: The Complex Stage of Parkinson’s
Introduction
Parkinson’s symptoms in the complex stage
Motor symptoms in the complex stage
Advanced treatments
Non-motor symptoms in the complex stage
Intervention and support from the multidisciplinary team
Conclusion
A personal experience of the complex stage
Chapter 8: Palliative care in Parkinson’s
Introduction
The palliative stage - what is it and when does it begin?
Medication management in the late stages of Parkinson’s
Running a Parkinson’s palliative care service
Multidisciplinary team working in the palliative stage
Advance care planning
Terminal care for Parkinson’s
Conclusions
Chapter 9: Parkinson’s Disease Dementia and Dementia With Lewy Bodies
Introduction
Cognitive impairment in Parkinson’s
Parkinson’s with mild cognitive impairment
Parkinson’s disease dementia
Dementia with Lewy bodies
Comparison of Parkinson’s disease with dementia and dementia with Lewy bodies
Impact of Lewy body spectrum disorders
Assessment by the multidisciplinary team
Multidisciplinary interventions for Parkinson’s disease dementia and dementia with Lewy bodies
Conclusion
Chapter 10: Falls and Bone Health in Parkinson’s
Introduction
The epidemiology of falls
Factors that contribute to falls in Parkinson’s
The prediction of falls
Management
Chapter 11: Exercise in Parkinson’s
Introduction
Evidence for the benefits of exercise
Types of physical activity and exercise beneficial in Parkinson’s
Barriers and motivators to exercise
Prescribing exercise
Promoting exercise
Summary
Personal Perspectives
Chapter 12: Care of the Hospitalised Person With Parkinson’s
Introduction
Epidemiology of hospitalisation in people with Parkinson’s
Prescription and administration of dopaminergic medication
Dysphagia
Delirium
Surgical patients
Multidisciplinary care for people with Parkinson’s admitted to hospital
Guidelines
Staff education
Admission avoidance
Personal perspective: David’s story
Chapter 13: Atypical Parkinsonian Syndromes
Introduction
Progressive supranuclear palsy
Corticobasal syndrome
Multiple system atrophy
Chapter 14: Remote assessments for Parkinson’s
Introduction
Remote assessment: the options
How safe is video assessment?
General tips on providing remote assessments
Remote therapy
Challenges for the health professional’s activity levels
Access to devices and the internet
Sources of guidance and additional information on remote assessment
Index

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Parkinson’s Disease: A Multidisciplinary Guide to Management

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