Parkinson’s Disease: A Multidisciplinary Guide to Management

Parkinson’s Disease: A Multidisciplinary Guide to Management

1st Edition - November 17, 2021

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  • Editors: Fiona Lindop, Rob Skelly
  • Paperback ISBN: 9780702082610
  • eBook ISBN: 9780702082627

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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.

Key Features

  • Clinician-led content provides perspectives of different members of the interdisciplinary team, including medics, nurses, physiotherapists, occupational therapists and psychologists
  • Includes practical advice and top tips enhance management of common problems
  • Includes best practice for Parkinson’s as well as Atypical Parkinsonian Syndromes - Progressive Supranuclear Palsy, Corticobasal Syndrome and Multiple System Atrophy
  • Includes management of falls and bone health, palliative care, management of inpatients
  • Provides practical advice on delivering services remotely by telephone or video

Table of Contents

  • 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

Product details

  • No. of pages: 368
  • Language: English
  • Copyright: © Elsevier 2021
  • Published: November 17, 2021
  • Imprint: Elsevier
  • Paperback ISBN: 9780702082610
  • eBook ISBN: 9780702082627

About the Editors

Fiona Lindop

Rob Skelly

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