Parkinsons Disease: An Interdisciplinary Guide to Management

INDICE: 1.Introduction Rob Skelly Fiona Lindop Other invited authors . Overview of the book including o Benefits of an MDT for patient care o Working together as an MDT ? During each stage of Parkinson's ? For patients with Atypical Parkinson's o What patients and carers should expect from an MDT Definition of an MDT and MDT models Brief introduction to : . Setting out of the structure so people can find things quickly . Chapter Summary 2. Parkinson's' Disease Dr Rob Skelly (Consultant Geriatrician) & another expert (not based in Derby) . Aetiology, . Epidemiology, . Stages of the condition (diagnosis, maintenance, complex and palliative) - to link into later chapters. Also describing Hohen & Yahr staging. This will include explanation of how staging of Parkinson's can provide helpful guidance in determining the specifics of the MDT . Making an accurate diagnosis . signs and symptoms (Motor and non-motor) -More detail will be in the diagnosis phase chapters . Medication . Basal Ganglia/ rationale for cues and strategies . Bone health . Surgical intervention 3. Multidisciplinary Team Working in Parkinson's Rob Skelly, Lisa Brown, Fiona Lindop and Derby team and other invited authors . Why is an MDT needed - evidence, Data from Parkinson's UK Audits . why does it work/why is it recommended Evidence/recommendations for MDT working, Core MDT disciplines and their roles (not interventions - these will be covered in the stages chapters): o Neurologist/Geriatrician: Role o Parkinson's Disease Nurse Specialist (PDNS) Role: Post-diagnostic counselling; clinics ... o Physiotherapy: Role (covering gait, falls and balance, transfers, physical capacity/activity, posture) o Occupational Therapy: Role (covering ... sleep, mood, ADL, driving, dexterity, anxiety, fatigue, employment) o Speech & Language Therapy: Role -speech and swallowing, 4. Other/Wider disciplines Derby team and other invited authors . Chapter covering wider disciplines than may be involved in MDT working (). Include a brief outline of each one's role, (core team and wider team?) and how they interact - diagram could be included o Nurse/ continence advisor o Dietitian o Psychologist o Psychiatrist 5. Living with Parkinson's Brian and Liz Greaves, person with Parkinson's and spouse . The impact of diagnosis . impact on vocation . impact on activity . Impact of having access to an MDT . Impact on the carer . importance of signposting to support e.g. charities and resources (e.g. Parkinson's UK) . Importance of access to MDT 6. Title can be Working together in the.... or MDT Intervention in the- Diagnosis Phase (Same format for each of the chapters covering these stages Derby Team and other invited authors . Receiving/giving the diagnosis (will refer to chapter on signs and symptoms as well as covering some of those here) . Referral after diagnosis to MDT . Signposting to support . MDT working/signposting . Assessment & Intervention specifics for this stage, including . Importance of Exercise & physical activity advice . Non- motor symptoms . Driving/ sleep/mood/anxiety o Education and self management o Post-diagnostic counselling . Psychological impact/adjustment/ COGNITIVE PROFILE . Living with Parkinson's o Employment issues o Promoting living well with PD . Further signposting - including to research opportunities 7. Working together as an MDT - Maintenance Phase Derby team and other invited authors Jess Marsh and others Lisa Brown . Signposting to support . Medication/ Side effects - complications . MDT - the team in action o Assessment & Intervention specifics for this stage ? Physiotherapy -. Also use of music for cueing ? OT - ? SALT - o Nurse - o Education and self management ongoing . Psychological impact/adjustment/ COGNITIVE PROFILE (issues around accepting the progression of the condition from diagnosis phase . Living with Parkinson's o Sex and intimate relationship issues o Cues and strategies 8. Working together as an MDT - Complex Phase Derby team and other invited authors . Signposting to support . Medication/side effects/ etc . MDT - the team in action o Assessment & Intervention ? Physiotherapy ? Occupational Therapy (OT) ? Speech therapist ? Nurse o Carer issues (carer strain) o Dementia management . Recommendations for Management of the hospitalsed patient with Parkinson's . Outreach/in-reach services to wards . Education 11. Lewy Body Dementia/ Dementia and PD Chris Taylor. Clare Johnson & Another invited expert . Definition of Lewy Body Dementia . Signs and Symptoms . Management . MDT Interventions 12. MDT approach to Atypical Parkinson's Fiona Lindop and other members of the authorship team Another invited expert . Multiple System Atrophy (MSA): aetiology, epidemiology etc. MDT Intervention . Progressive Supranuclear Palsy (PSP): as above . Corticobasal degeneration (CBD): as above . Table of red flags 13. The Importance of Exercise in PD Dr Bhanu Ramaswamy OBE (Physiotherapist, Sheffield), & Julie Jones ( - physiotherapist Aberdeen - both are authors of the Parkinson's UK Exercise Framework . Evidence for importance of exercise . Outline of WHO recommendations for exercise and evidence for poor uptake by people with Parkinson's . Specific types of exercise . Resources: Exercise framework . 14. Practical Tips for building an effective MDT Nuts and Bolts!! Members of the Author team . Steering group . Education for Patients/Carers . Offering symposiums for patients . Liaising with support e.g. resources . Commissioning 15. Conclusion

• ISBN: 978-0-7020-8261-0
• Editorial: Elsevier
• Encuadernacion: Rústica
• Páginas: 250
• Fecha Publicación: 01/10/2021
• Nº Volúmenes: 1
• Idioma: Inglés