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Parkinsons - Neurodegenerative condition resulting in loss of dopamine…
Parkinsons - Neurodegenerative condition resulting in loss of dopamine containing cells
Diagnosis
Bradykinesia (Slowness in initiation of voluntary movement)
Hypokinesia (poverty of movement)
Slow shuffling gait
Rest tremor - usually unilateral
Stiffness or rigidity - predominantly unilateral
Balance problems and gait disorders
Various non motor problems
Depression, anxiety, fatigue
Cognitive impairement
Constipation
Management
Advanced care planning
Stop any drug associated with drug induced parkinsonism
Urgent referral to neurology
Differential diagnosis
Drug induced Parkinsonism
Antipsychotics - Usually present within 10 weeks
Antiemetics
Cerebrovascular diease
Essential tremor
Tremor only
Specialist referal
Speech and language
Physiotherapy
Occupational therapy
Mental health
Palliative care - when appropriate
Community nursing
Complications
Deteriorating motor functions
Dementia/cognitive impairment
Autonomic dysfunction
Constipation
Dysphasia/weight loss
Bladder issues
Other
Increased risk pressure sores
Increased risk aspiration pneumonia
Sleep disturbance