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J Palliat Med. 2018 Oct;21(10):1507-1517. doi: 10.1089/jpm.2018.0390. Epub 2018 Sep 11.

Top Ten Tips Palliative Care Clinicians Should Know About Parkinson's Disease and Related Disorders.

Author information

1
1 Department of Neurology, University of California , San Francisco, San Francisco, California.
2
2 Division of Palliative Medicine, Department of Medicine, University of California , San Francisco, San Francisco, California.
3
3 Departments of Neurology and Medicine, University of Colorado School of Medicine , Aurora, Colorado.
4
4 Department of Neurology, University of Alberta , Edmonton, Alberta, Canada .
5
5 Department of Medicine, University of Colorado School of Medicine , Aurora, Colorado.
6
6 Department of Medicine and Palliative and Advanced Illness Research Center, University of Pennsylvania , Philadelphia.

Abstract

Parkinson's disease (PD) affects 1%-2% of individuals older than 60 years and is the 14th leading cause of death in the United States. People with PD, across all stages of the disease, suffer from a significant symptom burden that includes many nonmotor symptoms (such as depression, fatigue, pain, and dementia), and most will ultimately die from complications of this degenerative and incurable illness. Even at diagnosis, a palliative care (PC) approach can help the patient adjust to his or her diagnosis and maintain an optimal quality of life. We brought together a team of PD and PC experts to assemble practical tips for the care of people with PD. The "Top 10" format emphasizes the most relevant issues to enable PC clinicians to provide optimal care for those suffering with this complex neurodegenerative disease.

KEYWORDS:

Parkinson's disease; neurodegenerative disorder; neurological disease; nonmotor symptoms; palliative care; symptom control

PMID:
30204543
DOI:
10.1089/jpm.2018.0390

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