Parkinson's Disease in the Older Patient

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Overview

'Parkinson's Disease in the Older Patient' is a comprehensive guide to the holistic assessment and the management of older patients with Parkinson's disease. The book is based on current concepts in the management of this important disease and the caring strategies required in the four stages: diagnosis and assessment; maintenance therapy; management of complex clinical problems; and palliative care.

Patients with this disease pose serious managment challenges for a wide range of health care professionals. It is important to take an integrated approach to the care of these patients - a fact this book highlights.

Multi-disciplinary in approach, the book is essential reading for the clinician with responsibility for long-term care of the elderly with Parkinson's disease. Important clinical problems are addressed including cognitive losses, changes of mood, speech disorders, swallowing disorders, diet, urinary problems and quality of life.

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Editorial Reviews

Doody's Review Service
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is a multiauthored book on Parkinson's disease intended to be a comprehensive guide to the topic.
Purpose: The objective of this book is to bring together the views of varying health specialists in approaching those individuals with Parkinson's disease and their caregivers. This book succeeds in bringing together a holistic picture of persons with Parkinson's disease. The authors' objectives are well met here.
Audience: The book is written for anyone caring for patients with Parkinson's disease. Students, postgraduate physicians, and practitioners will benefit from this well-written book.
Features: The organization and pagination of this book are outstanding. After a history of the disease, the neurochemical mechanisms of Parkinson's disease are reviewed. Then come extensive clinical sections on diagnosis and assessment; maintenance therapy; management of complex clinical problems (e.g., cognitive changes, swallowing disorders); and palliative care. The discussion of treating psychosis in persons with Parkinson's disease is outstanding. The diagram suggesting how to withdraw medications in a stepwise fashion is brilliant.
Assessment: This is a brilliant monograph on an important disease. The clear lucid style of writing here is typical of the best of British medical writing. Nothing about the British point of view limits its usefulness to a North American audience. It would have been better to give the actual assessment tools to measure the severity of the disease, rather than bibliographic citations given together in one of the appendixes, but this is a minor point. Every physician treating persons with Parkinson's disease would benefit from reading this book.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780340759141
  • Publisher: Taylor & Francis
  • Publication date: 5/3/2001
  • Series: Arnold Publication
  • Pages: 384
  • Product dimensions: 6.10 (w) x 9.00 (h) x 1.10 (d)

Table of Contents

Part 1 Background
History of Parkinson's Disease
Pathology, aetiology and pathogenesis
Epidemiology of Parkinson's Disease
Part 2 Diagnosis and Assessment
Diagnosis and differential diagnosis of Parkinson's Disease
Assessment in Parkinson's Disease
Quality of life
Part 3 Specific Problems in Parkinson's Disease
Caring for the carers
The neuropsychiatry of Parkinson's Disease
Oral problems - communication and swallowing problems - diet
oral care
Autonomic problems
Motor problems
Safe mobility
Part 4 Therapy and Management of Parkinson's Disease
Organisation of services, concepts of management and health economics
Parkinson's Disease and the general practitioner
Rehabilitation and the inter-disciplinary team
Parkinson's Disease nurse specialist
Drug treatment of Parkinson's Disease
Neurosurgery for Parkinson's Disease
Complementary and alternative medicine in Parkinson's Disease
Part 5 Research in Parkinson's Disease
Rehabilitation and physiotherapy
Prospects for research in elderly patients with Parkinson's Disease
Appendix.
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