Northumbria Healthcare NHS Foundation Trust, UK.
Northumbria University, Newcastle upon Tyne, Tyne and Wear, UK.
Age Ageing. 2019 May 1;48(3):323-326. doi: 10.1093/ageing/afy158.
Parkinson's disease is a chronic multi-system disease that can cause motor and non-motor symptoms, cognitive changes and variably effective medications. Optimal management of the condition requires a multi-disciplinary team of healthcare professionals to work closely with the patient and their carers. The National Institute for Health and Care Excellence published updated guidelines on managing Parkinson's disease in adults in 2017. Here we discuss the implications of this guidance to current healthcare professionals involved in the care of people with Parkinson's disease. The guidance highlights the importance of clear communication with people with Parkinson's disease. We discuss examples of this, including providing a point of contact with specialist services for people with Parkinson's disease and ensuring information about the risks of impulse control disorders are given to people on dopaminergic therapy. The breadth of services required by people with Parkinson's disease is also described, including the need for access to physiotherapy, occupational therapy and speech and language therapy as well as treatment monitoring services for Clozapine. In addition, we emphasise the continued importance of ensuring people with Parkinson's disease receive their medications on time when in hospital or a care home.
帕金森病是一种慢性多系统疾病，可导致运动和非运动症状、认知改变和药物疗效不一。这种疾病的最佳管理需要一个多学科的医疗保健专业人员团队，与患者及其护理人员密切合作。国家卫生与保健卓越研究所于 2017 年发布了成人帕金森病管理的更新指南。在这里，我们讨论了这一指导对当前参与帕金森病患者护理的医疗保健专业人员的影响。该指南强调了与帕金森病患者进行清晰沟通的重要性。我们讨论了这方面的例子，包括为帕金森病患者提供与专科服务的联系点，并确保向接受多巴胺能治疗的人提供冲动控制障碍风险的信息。还描述了帕金森病患者所需的广泛服务，包括获得物理治疗、职业治疗和言语及语言治疗以及氯氮平治疗监测服务的需求。此外，我们强调继续确保帕金森病患者在住院或护理院按时服药的重要性。
