parkingson disease

parkingson disease

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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). It is
the NHS on caring written for people with Parkinson's disease but it may also be useful for
for people with their families or carers or for anyone with an interest in the condition.
specific conditions
The booklet aims to help you understand the care and treatment options
or diseases and the that should be available in the NHS. It does not describe Parkinson's
treatments they disease or the tests or treatments for it in detail. A member of your
should receive. healthcare team should discuss these with you. There are examples of
questions you could ask throughout this booklet to help you with this.
Some sources of further information and support are on page 16.
Information about NICE clinical guideline 35
Issue date: June 2006

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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 16
About NICE 16
The advice in the NICE guideline covers:
· the diagnosis of Parkinson's disease and checking the diagnosis regularly
· the way people with Parkinson's disease should receive information
· the medicines…read more

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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
is relevant to your circumstances. All healthcare professionals should treat
you with respect, sensitivity and understanding and explain Parkinson's
disease and the treatments for it simply and clearly.…read more

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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 dopamine,
which is involved in controlling muscles. Levels of dopamine are closely
linked with the levels of other chemicals in the brain, including one called
acetylcholine.…read more

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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
causes of the tremor.
Sometimes a test called structural MRI may be used if your specialist
suspects there could be another cause of your symptoms other than
Parkinson's disease.…read more

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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 a way that suits your individual needs at every stage of your care. If
your needs change because your symptoms change or get worse, the way
that you're given information should also change.…read more

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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.…read more

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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.…read more

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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 of each treatment. When deciding which one to
try, it's important to think about the things that are important to you in
your daily life, and your current symptoms and health.…read more

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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 depend on your symptoms and the
stage of your disease, and also your lifestyle and wishes.…read more

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