PD patient admitted with hip fracture

PD Patients fear hospitals, so.... On arrival, Please take a moment to talk to the patient, or a family member about their Parkinsons

Did you know that many patients with PD can supervise their own drugs when in hospital?

Why not discuss this with them upon admission.

Key Points

  • it is dangerous to stop PD medications suddenly
    • please make sure they are given correctly
  • NBM for theatre?
    • there is a protacol for this
    • can use topical patches or dispersible preparations
    • call the movement disorder team for help
  • pain relief is important, but...
    • opiates can cause hallucinations - use with caution
  • drugs to avoid totally
    • metoclopramide
    • procholerperazine
    • cyclazine
    • haloperido

Do Not Forget

  • infections are common, Look For:
    • UTI
    • chest infection
  • constipation is a big problem
    • check the stool chart and treat accordingly
  • falls risk is very high
    • watch out for fractures
    • refer to physio and OT click here
  • cognitive impairment is over 50%
  • high risk of delirium
  • high mortality

Unable to swallow?
Follow "NBM" Protocol


Medication
- Right Drug?
- Right Dose?
- Right Time?


Contact the PD Team
01642-854319
Mon to Fri