Are non-demented patients with Parkinson's disease able to decide about their own treatment?

Eygelshoven, Sandra; Hout, Anja van den; Tucha, Lara; Fuermaier, Anselm B. M.; Bangma, Dorien F.; Thome, Johannes; Lobbestael, Jill; Tucha, Oliver; Koerts, Janneke

doi:10.1016/j.parkreldis.2017.02.021

Cited by 8 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Researchers should consider this association when interpreting reduced performances of these two cognitive domains. Finally, our result is different from that of Eygelshoven et al, 15 probably due to different cognitive phenotype of PD patients involved, mainly reporting an attention/psychomotor speed deficit. We recommend including everyday memory measures with high ecological validity in PD cognitive assessment by means of tasks that mimic ordinary challenges, given that PD routinely experience memory failures in day-to-day demands.…”

Section: Discussioncontrasting

confidence: 99%

See 1 more Smart Citation

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson’s disease

Cammisuli

Crowe

2018

NDT

View full text Add to dashboard Cite

ObjectivesPatients with Parkinson’s disease (PD) present with a wide range of cognitive deficits. Cognitive impairment is recognized as an independent nonmotor aspect of the disorder and has a critical role in functional outcome and conversion into PD dementia. To date, everyday memory impairment in elderly patients with PD is underinvestigated and its relationship with executive dysfunction was not clearly explained. Our study aims at clarifying the neuropsychological pattern of everyday memory and executive deterioration in elderly patients with PD.MethodsForty nondemented PD patients (mean age 71.2 years; M:F = 29:11) and 30 well-matched controls (mean age 70.7 years; M:F = 15:15) were assessed on everyday memory (Rivermead Behavioral Memory Test [RBMT]) and executive functioning (Frontal Assessment Battery [FAB]) measures. Mann–Whitney U-tests (Bonferroni corrected) were used to compare groups on these measures and Spearman’s rank correlations were performed to highlight their associations.ResultsPD patients performed worse than controls on recall for novel tasks and geographic recall (RMBT) as well as lexical fluency and mental flexibility (FAB). Particularly, spatial orientation depending on egocentric navigation seems to be altered in PD patients. The clinical group showed poorer performances than controls in mental flexibility, sensitivity to interference, and inhibitory control. Such measures were associated with immediate and delayed recall, picture recognition, prospective memory, and orientation tasks of everyday memory.ConclusionExecutive-type difficulties and memory-type difficulties have an impact on cognitive performances of elderly patients with PD. We recommend using the RBMT and the FAB as part of routinely neuropsychological battery for assessing PD patients.

show abstract

Section: Discussioncontrasting

confidence: 99%

“…Furthermore, performances on everyday memory testing were significantly associated with cognitive flexibility and verbal fluency. More recently, no alteration of immediate and delayed recall on novel subtests was found by Eygelshoven et al 15 in a larger sample of PD patients compared with normal subjects.…”

Section: Introductionmentioning

confidence: 78%

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson’s disease

Cammisuli

Crowe

2018

NDT

View full text Add to dashboard Cite

show abstract

“…Knowing and using techniques of self‐monitoring and ability to communicate self‐observations during clinical encounters provide a one way for PwPD and care partners to be actively involved in decisions about care and medical treatment. The wish of PwPD to be involved in decisions concerning their own care has been recognized in several studies (Eygelshoven et al, 2017; Grosset & Grosset, 2005; Weernink et al, 2016). Self‐monitoring as a cognitive tool has been used for many years in cognitive behavioral therapy to help people handle psychiatric disorders, leading to a better understanding of the self and of emotional reactions (Cohen, Edmunds, Brodman, Benjamin, & Kendall, 2013; King & Boswell, 2019) and has been helpful in managing other types of chronic physical diseases as well (Andersson & Oakinci, 2018).…”

Section: Discussionmentioning

confidence: 99%

Effects of self‐management education for persons with Parkinson's disease and their care partners: A qualitative observational study in clinical care

Hellqvist

Berterö

Hagell

et al. 2020

Nursing & Health Sciences

View full text Add to dashboard Cite

Persons with Parkinson's disease and their care partners want support from health care to develop the skills to handle everyday life with the long‐term condition. Earlier findings indicate that participants of the self‐management program Swedish National Parkinson School experience several benefits of the program. The purpose of this qualitative observational study was to explore if participants had implemented the strategies of self‐monitoring included in the program and use them to communicate health care status and needs in clinical encounters. Data were collected 3 to 15 months after participation in the program and analyzed using constant comparative analysis. Three categories were evident: “Self‐observation in everyday life,” “Self‐care activities to promote health,” and “Managing emotional impact of Parkinson's Disease.” Categories were linked together in a core category that highlight the use of self‐management strategies described by participants during clinical encounters. Results confirmed that persons with Parkinson's disease and care partners use the techniques of self‐observation in their everyday lives. Observations of effects in clinical care can be a valuable approach to evaluate the outcomes educational interventions and their benefits for individuals and health care.

show abstract

“…On the other side, a study on non-demented nor cognitive impaired PD patients showed no differences in decision capacity compared to healthy controls 12 .…”

Section: Decision-making Capacity In Pd Patients: An Obstacle For Sdmmentioning

confidence: 93%

Ethical implications of shared decision-making in Parkinson’s disease treatment

Estrada‐Bellmann¹,

Meléndez-Flores²

2020

RMN

View full text Add to dashboard Cite

Shared decision-making (SDM) involves an active participation of the patient in deciding treatment choice, based on his/her preferences, beliefs, and values. In the context of Parkinson's disease (PD), physicians encounter limitations in applying this model related to cognitive decline and other disease-related complications. Discussing the ethics of this approach on the context of these limitations the PD patient suffers is thus of great importance. This review intends to analyze ethical challenges of SDM in PD related to decision-making capacity, surrogates' role in patient's identity, and patients' and physicians' preferences. Although skepticism could arise when dealing with surrogates' decisions, a key for flourishing the patient's autonomy is acknowledging its relational context, as relatives' beliefs and values are imprinted in the patient's identity. To do so, empathy should be encouraged in physicians, recognizing the different value attribution that patients and their relatives have in the decision process.

show abstract

Are non-demented patients with Parkinson's disease able to decide about their own treatment?

Cited by 8 publications

References 24 publications

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson’s disease

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson’s disease

Effects of self‐management education for persons with Parkinson's disease and their care partners: A qualitative observational study in clinical care

Ethical implications of shared decision-making in Parkinson’s disease treatment

Contact Info

Product

Resources

About

Are non-demented patients with Parkinson's disease able to decide about their own treatment?

Cited by 8 publications

References 24 publications

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson&rsquo;s disease

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson&rsquo;s disease

Effects of self‐management education for persons with Parkinson's disease and their care partners: A qualitative observational study in clinical care

Ethical implications of shared decision-making in Parkinson’s disease treatment

Contact Info

Product

Resources

About

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson’s disease

Spatial disorientation and executive dysfunction in elderly nondemented patients with Parkinson’s disease