Parkinson's: management on the take and on the wards
As the population ages, and Parkinson’s disease (PD) becomes more common, acute admissions of PD patients are likely to increase. These patients pose numerous challenges to the admitting physician. They are often on complicated drug regimes, and understanding them, and ensuring prompt administration, is vital to prevent iatrogenic deterioration (“get it on time”). Causes of acute decompensation such as constipation and infections should be recognised and treated. Situations where a patient is nil by mouth may require nasogastric or transdermal medication, with the latter being only a dopamine agonist which may exacerbate pre-existing neuropsychiatric symptoms.
- Appreciating the complex drug regimes.
- Alternatives where usual medication cannot be administered.
- What to look out for and what to avoid during admission