Parkinson's Disease and Falls: Specialist Team Support
Learn about the Parkinson's Disease Specialist Team in Gloucestershire, their role in individual assessments, medication management, and referrals. Discover why Parkinson's patients are at a higher risk of falls and how to prevent them. Understand the importance of mental health support for individuals with Parkinson's Disease.
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Presentation Transcript
PARKINSONS SPECIALIST TEAM DEBORAH THURMAN CHELTENHAM & SOUTH COTSWOLDS JACKIE BURNETT FOREST OF DEAN, DURSLEY ELLEN BENNETT GLOUCESTER, TEWKESBURY, NORTH COTSWOLDS , CHELTENHAM EMMA SODZI GLOUCESTER, STROUD DANIELLE HARRIS PARKINSON S TEAM SECRETARY ANDREA NELSON NEUROLOGY NURSE
THE ROLE OF PD SPECIALIST TEAM INDIVIDUAL ASSESSMENT - NEW / FOLLOW UP/ HOME VISITS FOR THOSE WHO ARE HOUSE BOUND. MEDICATION REVIEW/AMENDMENT COGNITIVE ASSESSMENT S PD SYMPTOM MANAGEMENT REFERRALS PD ADVICE LINE 9AM-4PM (0300 422 6610) NON URGENT ONLY, IF URGENT TO CALL 111
OTHER SPECIALIST OUTSIDE THE TRUST DUE TO TREATMENT PLAN, SOME PATIENTS ARE SOMETIMES UNDER OXFORD SOUTHMEAD(BRISTOL) BIRMINGHAM PATIENTS ARE REFERRED FOR ADVANCED THERAPIES; HOWEVER, WE ARE ABLE TO PROVIDE OUR SPECIALIST FOLLOW UP CARE WHEN WE RECEIVE COMMUNICATIONS AS LONG AS THE PATIENT S LIVE WITHIN GLOUCESTERSHIRE.
PD PATIENTS & FALLS PD PATIENTS HAVE AN INCREASED RISK OF FALLS AND FRACTURES THAN THE GENERAL POPULATION. WHY DO PD PATIENTS HAVE A HIGHER RISK OF FALLS? LOWER BONE MINERAL DENSITY DUE TO REDUCED PHYSICAL ACTIVITY. WEIGHT LOSS DUE TO A REDUCTION IN MUSCLE TONE. OTHER CAUSES OF FALLS ARE LOW BLOOD PRESSURE ESPECIALLY WHEN STANDING KNOWN AS POSTURAL HYPOTENSION.
HOW TO HELP PREVENT FALLS REGULAR EXERCISE CONCENTRATING ON CORE MUSCLES - BALANCE CLASSES AND PILATES ESPECIALLY GOOD UNDERSTANDING ABILITY TO ONLY DO SINGLE TASKS CLEAR PATHWAYS, LIMITING TIGHT SPACES AS MUCH AS POSSIBLE USING A WALKING AID IF YOU FEEL UNSTEADY REGULAR CHECKING OF BLOOD PRESSURE BOTH LYING DOWN AND STANDING
WHY WE ASK ABOUT MENTAL HEALTH . DUTY OF CARE TO ASSIST WITH BOTH PHYSICAL AND PSYCHOLOGICAL PROBLEMS . ABLE TO OFFER SUPPORT AND GUIDANCE . HIGHER INCIDENCE OF DEMENTIA WHEN HAVING A PD DIAGNOSIS . ACCESS TO OTHER SERVICES SWIFTLY
PARKINSONS DISEASE AFFECTS MENTAL HEALTH A RANGE OF MENTAL HEALTH IS ACCOMPANIED WITH PHYSICAL PARKINSON S SYMPTOMS: DEPRESSION/ANXIETY COGNITIVE IMPAIRMENT MEMORY PROBLEMS - DEMENTIA HALLUCINATIONS NOTE: ANXIETY AND DEPRESSION ARE 2 OF THE MOST COMMON MENTAL HEALTH SYMPTOMS AMONG PEOPLE WITH PD (50% OF PEOPLE LIVING WITH PD).
IMPORTANT DECISIONS TO CONSIDER DRIVING ADVICE - NOTIFY DVLA WITH DIAGNOSIS ARE YOU CONFIDENT WITH YOUR DRIVING? POWER OF ATTORNEY CARE AND SUPPORT SAFETY BEST INTEREST
NEWLY DIAGNOSED SESSIONS STARTING INFORMATION SESSIONS FOR NEWLY DIAGNOSED PATIENTS - DIAGNOSED IN THE LAST YEAR DESIGNED TO PROVIDE MORE INFORMATION SUPPORT WITH UNDERSTANDING EXERCISE AND TECHNIQUES INFORMATION REGARDING HOW TO GET INVOLVED IN TRIALS OUTSIDE OF THE TRUST ABILITY TO MEET OTHERS THAT HAVE JUST BEEN DIAGNOSED AND ASK QUESTIONS. ONE TIME SESSION. THIS IS A TRIAL AND WILL CHANGE AS TIME GOES ON
SUMMARY KEY THINGS TO REMEMBER: : . TAKE PARKINSON S MEDICATIONS ON TIME . INCLUDE REGULAR EXERCISE . EAT A BALANCED DIET . AVOID GETTING CONSTIPATED . GOOD SLEEP ROUTINE . TREAT INFECTIONS STRAIGHT AWAY . INFORM US OF MOOD AND MEMORY CHANGES. . ATTEND PLANNED FOLLOW UP APPOINTMENTS. KEEP MOVING!
