MDT - BASIC

  • therapy services are important for people with PD
  • includes
    • physiotherapy
    • ocupational therapy
    • speech and language therapy (follow link)
    • dietician
    • psychological therapy

First Steps

  • does your patient require:
    • info on PD management?
    • local PD services?
    • self management options?
    • social and charitable support
    • Parkinson's UK information
  • consider referal to self management programme

PD Specific Issues

  • difficulties with transfers
  • freezing and festination
  • reduced bed mobility
  • impared posture and movement
  • reduced social, community and exercise engagement
  • struggling to maintain employment
    • refer to neuro physio
    • refer to neuro OT

Generalized Impairments

  • reduction in mobility
  • reduced independence in ADLs
  • difficulty with steps, stairs and access
  • multiple co-morbidities
    • refer for home ADL assessment
    • refer to Community Physio
    • refer to intermediate care team for short duration intervention

 

Falls?