- palliative discussions generally occur too late in PD
- consider referring for the following:
- nursing home resident
- frailty in context of PD
- PD dementia syndrome
- dysphagia, aspiration and/or weight loss
- pain and advanced symtom management
- psychological support
The Patient Checklist
- assess capacity to make care decisions
- identify triggers for admission
- involve patient early in advance care planning
- lasting power of attorney in place?
The Pallative Care Checklist
- future care discussion
- identify triggers for admission
- holistic assessment
- detailed assessment of needs
- identification of key worker
- priority access to support
- diagnosis of dying www.goldstandardsframework.org.uk
- review existing medications
The Community Checklist
- GP
- add to palliative care register
- care/family support - dyingmatters.org
- care/family support - South Tees Support
- Parkinson's UK local advisor
- assess for continuing health care
- bereavement care
