Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology & Neuroscience at King's College and King's College Hospital NHS Foundation Trust, London, UK.
Parkinson Foundation Centre of Excellence, King's College Hospital, London, UK.
Expert Rev Neurother. 2021 Jun;21(6):615-623. doi: 10.1080/14737175.2021.1923480. Epub 2021 May 19.
: Although in some countries, palliative care (PC) still remains poorly implemented, its importance throughout the course of Parkinson's disease (PD) is increasingly being acknowledged. With an emergence of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic, growing emphasis has been placed on the palliative needs of people with Parkinson's (PwP), particularly elderly, frail, and with comorbidities.: The ongoing COVID-19 pandemic poses an enormous challenge on aspects of daily living in PwP and might interact negatively with a range of motor and non-motor symptoms (NMS), both directly and indirectly - as a consequence of pandemic-related social and health care restrictions. Here, the authors outline some of the motor and NMS relevant to PC, and propose a pragmatic and rapidly deployable, consensus-based PC approach for PwP during the ongoing COVID-19 pandemic, potentially relevant also for future pandemics.: The ongoing COVID-19 pandemic poses a considerable impact on PwP and their caregivers, ranging from mental health issues to worsening of physical symptoms - both in the short- and long-term, (Long-COVID) and calls for specific, personalized PC strategies relevant in a lockdown setting globally. Validated assessment tools should be applied remotely to flag up particular motor or NMS that require special attention, both in short- and long-term.
尽管在一些国家,缓和医疗(PC)的实施仍然很差,但它在帕金森病(PD)病程中的重要性越来越被认识到。随着严重急性呼吸系统综合症冠状病毒 2 型(SARS-CoV-2)大流行的出现,人们越来越重视帕金森病患者(PwP)的缓和医疗需求,特别是老年人、体弱多病者和合并症患者。目前的 COVID-19 大流行给 PwP 的日常生活带来了巨大挑战,并可能直接或间接地对一系列运动和非运动症状(NMS)产生负面影响,这是由于大流行相关的社会和医疗保健限制所致。在这里,作者概述了一些与 PC 相关的运动和 NMS,并提出了一种实用的、快速部署的、基于共识的 PwP 在当前 COVID-19 大流行期间的 PC 方法,该方法可能也与未来的大流行有关。目前的 COVID-19 大流行对 PwP 和他们的照顾者造成了相当大的影响,从心理健康问题到身体症状的恶化——无论是短期还是长期的(Long-COVID),并呼吁在全球范围内采取特定的、个性化的 PC 策略。应在远程应用经过验证的评估工具,以发现需要特别关注的特定运动或 NMS,无论是短期还是长期的。