TY - JOUR
T1 - Multidisciplinary care for people with Parkinson’s disease
T2 - the new kids on the block!
AU - Radder, Danique L.M.
AU - de Vries, Nienke M.
AU - Riksen, Niels P.
AU - Diamond, Sarah J.
AU - Gross, Ditza
AU - Gold, Daniel R.
AU - Heesakkers, John
AU - Henderson, Emily
AU - Hommel, Adrianus L.A.J.
AU - Lennaerts, Herma H.
AU - Busch, Jane
AU - Dorsey, Ray E.
AU - Andrejack, John
AU - Bloem, Bastiaan R.
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Introduction: Parkinson’s disease (PD) is a chronic multisystem disorder that causes a wide variety of motor and non-motor symptoms. Over time, the progressive nature of the disease increases the risk of complications such as falls and loss of independence, having a profound impact on quality of life. The complexity and heterogeneity of symptoms therefore warrant a holistic, multidisciplinary approach. Specific healthcare professionals, e.g. the movement disorders neurologist and the PD nurse specialist, are considered essential members of this multidisciplinary team. However, with our increasing knowledge about different aspects of the disease, other disciplines are also being recognized as important contributors to the healthcare team. Areas covered: The authors describe a selection of these relatively newly-recognized disciplines, including the specialist in vascular medicine, gastroenterologist, pulmonologist, neuro-ophthalmologist, urologist, geriatrician/elderly care physician, palliative care specialist and the dentist. Furthermore, they share the view of a person with PD on how patients and caregivers should be involved in the multidisciplinary team. Finally, they have included a perspective on the new role of the movement disorder neurologist, with care delivery via ‘tele-neurology’. Expert commentary: Increased awareness about the potential role of these ‘new’ professionals will further improve disease management and quality of life of PD patients.
AB - Introduction: Parkinson’s disease (PD) is a chronic multisystem disorder that causes a wide variety of motor and non-motor symptoms. Over time, the progressive nature of the disease increases the risk of complications such as falls and loss of independence, having a profound impact on quality of life. The complexity and heterogeneity of symptoms therefore warrant a holistic, multidisciplinary approach. Specific healthcare professionals, e.g. the movement disorders neurologist and the PD nurse specialist, are considered essential members of this multidisciplinary team. However, with our increasing knowledge about different aspects of the disease, other disciplines are also being recognized as important contributors to the healthcare team. Areas covered: The authors describe a selection of these relatively newly-recognized disciplines, including the specialist in vascular medicine, gastroenterologist, pulmonologist, neuro-ophthalmologist, urologist, geriatrician/elderly care physician, palliative care specialist and the dentist. Furthermore, they share the view of a person with PD on how patients and caregivers should be involved in the multidisciplinary team. Finally, they have included a perspective on the new role of the movement disorder neurologist, with care delivery via ‘tele-neurology’. Expert commentary: Increased awareness about the potential role of these ‘new’ professionals will further improve disease management and quality of life of PD patients.
KW - multidisciplinary care
KW - non-motor symptoms
KW - Parkinson’s disease
KW - professional disciplines
KW - self-management
KW - tele-neurology
KW - telemedicine
UR - http://www.scopus.com/inward/record.url?scp=85061259195&partnerID=8YFLogxK
U2 - 10.1080/14737175.2019.1561285
DO - 10.1080/14737175.2019.1561285
M3 - Review article (Academic Journal)
C2 - 30570362
AN - SCOPUS:85061259195
VL - 19
SP - 145
EP - 157
JO - Expert Review of Neurotherapeutics
JF - Expert Review of Neurotherapeutics
SN - 1473-7175
IS - 2
ER -