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Understanding NICE guidance
Information for people who use NHS services


Parkinson's disease

NICE `clinical This booklet is about the care and treatment of people with Parkinson's
guidelines' advise disease in the NHS in England and Wales. It explains guidance (advice)
from NICE (the National Institute for Health and Clinical Excellence).…

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Contents
Your care 3
Parkinson's disease 4
Diagnosis 4
Discussing your condition and getting information 6
General care 7
Medical treatments 8
Trying to protect the brain cells 12
Surgery 12
Treating other symptoms 12
Planning care for the advanced stage of Parkinson's disease 15
More information about Parkinson's disease…

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Your care
Your treatment and care should take into account your personal needs
and preferences, and you have the right to be fully informed and to make
decisions in partnership with your healthcare team. To help with this, your
healthcare team should give you information you can understand and that…

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Parkinson's disease
Parkinson's disease is a disease of the brain that progresses over time. It
mainly affects older people, but it can also affect younger people.
It happens because of an imbalance in `messengers' in the brain. This is
caused by the loss of cells that produce a messenger called…

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You should not be given any treatment until you have seen the specialist.
If you have tremor and your specialist isn't sure whether it's happening
because you may have Parkinson's disease, you may be offered a brain scan
called a SPECT scan. The results can give more information about the…

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Discussing your condition and getting information
Communication between you and your healthcare team and the
information you are given should help you to take part in discussions about
your condition, and make choices about the treatment you have.
Healthcare professionals should give you written information and talk to
you in…

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General care
If you have Parkinson's disease, a healthcare professional should provide
you with help in the areas listed below. You should have someone who:
· regularly checks how your medicines are making you feel, and makes
changes if they are needed
· is a point of contact and support…

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Occupational therapy
Occupational therapy aims to help you to overcome the effects of your
symptoms in your day-to-day life. It could help you to:
· carry on with your usual activities at work and in your home for as
long as possible
· carry on with your hobbies and other…

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Early Parkinson's disease
There is no one particular medicine that is a suitable treatment for
everyone in the early stages of Parkinson's disease.
Your specialist should explain the differences between the types of
medicine, how each type might help you in the short and long term and
describe the drawbacks…

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Later stages of Parkinson's disease
All people in the later stages of Parkinson's disease will need to take
levodopa, even if they start off on a different medicine. Other medicines
may also be needed to help boost the effects of the levodopa. Which
type of medicine is most helpful will…

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