Can apply information right away. The course also includes most recent research findings.
Maintenance[ 4 ] Aims to establish a care package and lines of communication, build support for the patient and look out for any complications. Ensure regular access to specialist care - for clinical monitoring and medication adjustments.
The diagnosis should be regularly reviewed, particularly if atypical symptoms or signs develop. NICE suggests review every months. Assess disability and cognition regularly, both by the patient self-reporting eg, time how long it takes the patient to walk 20 yards; whether the patient can dress alone; whether he or she can turn over in bed and by objectively rating motor symptoms as in the Unified Parkinson's Disease Rating Scale.
Don't focus solely on motor symptoms - consider other common problems such as sleep disturbance, depression, dementia and psychosis.
Multidisciplinary management is essential.
Ideally, all patients should have access to: Nurses with a special interest in Parkinson's disease who can monitor the clinical condition and adjust medication, as well as providing ongoing support for both patient and family and a reliable source of information about all aspects of care.Current Treatment Options for Motor Fluctuations and Dyskinesia Clinicians may try a variety of dosing strategies and alternative treatments as their patients’ PD progresses and motor fluctuations and dyskinesias develop.
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Patients benefit from accurate diagnosis and appropriate onward referral improving their journey during the process of assessment and treatment, and reducing the need for unnecessary investigations.
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