Multidisciplinary care for patients with Parkinson's disease

Physical therapy and occupational therapy in Parkinson's disease

“…As such, PT includes support for self-management and participation in movement related activities [48]. The occupational therapist focuses on enabling performance and engagement in meaningful activities and roles at home and in the community [7,[49][50][51]. These activities and roles can be classified in activities related to the home environment like self-care and functional mobility; work, either paid or unpaid; and leisure activities, for example shopping, visiting a restaurant or a theater [50].…”

“…These activities and roles can be classified in activities related to the home environment like self-care and functional mobility; work, either paid or unpaid; and leisure activities, for example shopping, visiting a restaurant or a theater [50]. Depending on the needs of the caregivers, the role of occupational therapist extends to enabling caregivers to support and supervise the patient in daily activities while considering their own well-being [7,50,52]. …”

“…In comprehensive client-centered care, attention to all factors included in the ICF is essential. Consequently, a wide variety of healthcare disciplines can be involved in PD care [6,7]. Physical therapy (PT) and occupational therapy (OT) are examples of commonly engaged allied health professions that are often part of the multidisciplinary treatment team, aiming to support PwP to deal better with the consequences of their disease in daily activities.…”

A cross-sectional study of clinical management, and provision of health services and their utilisation, by patients with Parkinson’s disease in urban and regional Victoria

“…6 A combination of specialised medical care, dopamine replacement medications and physical therapies is required to optimise management for all patients with PD. 4,[7][8][9] However, access to this range of health services can vary substantially between different populations 10,11 and is especially difficult in regional Australia. 2,11 Australian regional populations are typically spread across great distances and are often far from urban centres where medical specialist centres are concentrated.…”

Self-management for people with long-term neurological conditions

“…Clinical experience suggests that optimal management of such conditions requires a multidisciplinary approach, with multifactorial health plans tailored to the patient's individual needs. This is reinforced by NICE guidelines (National Institute for Health and Clinical Excellence 2006) which recommend that patients have regular access to a broad range of medical and allied health professionals (van der Marck et al 2009). Appropriate support for patients with LTNCs can therefore be initiated through self-care programmes led by a multi-disciplinary team teaching selfmanagement skills such as problem solving, decision making, resource utilisation, formation of patient/health care provider partnerships and action taking (Lorig and Holman 2003), in areas such as nutrition and exercise as well as medication management.…”