PD Patient Admitted

Why?

Is PD the main reason or just a contributing factor

Did you know that many patients with PD can supervise their own drugs when in hospital?
Why not discuss this with them upon admission

PD Related Reasons

  • falls due to:
    • postural instability
    • medication wearing off
    • postural hypotension
  • gradual decline in mobility
    • may respond to changes in treatment
    • do not change things without discussion
  • dementia
  • hallucinations/delusions
  • common in PD
  • can be triggered by
    • medications you prescribe
    • infections
    • trauma, but..... often just part of advanced PD itself

Don't Forget

  • infections are common
  • look for:
    • UTI
    • chest infection
  • constipation is a big problem
    • check the stool chart and treat accordingly
  • dysphagia and weight loss
    • low threshold for SALT and dietician referral click here
  • falls risk is very high
    • watch out for fractures
    • refer to physio and OT click here
  • cognitive impairment in over 50%
  • high risk of delirium
  • high mortality

Think


Act


Review Refer