Palliative care for advanced Parkinson disease: an interdisciplinary clinic and new scale, the ESAS-PD.
Identifieur interne : 000A09 ( PubMed/Curation ); précédent : 000A08; suivant : 000A10Palliative care for advanced Parkinson disease: an interdisciplinary clinic and new scale, the ESAS-PD.
Auteurs : Janis M. Miyasaki [Canada] ; J. Long ; D. Mancini ; E. Moro ; S H Fox ; A E Lang ; C. Marras ; R. Chen ; A. Strafella ; R. Arshinoff ; R. Ghoche ; J. HuiSource :
- Parkinsonism & related disorders [ 1873-5126 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Parkinson Disease.
- epidemiology : Parkinson Disease.
- methods : Palliative Care.
- therapy : Parkinson Disease.
- Aged, Aged, 80 and over, Ambulatory Care Facilities, Female, Humans, Male, Middle Aged, Patient Care Team, Severity of Illness Index.
Abstract
Palliative care provides a holistic approach to symptom relief using a multidisciplinary team approach to enhance quality of life throughout the entire course of a particular illness. The care team consists of movement disorders neurologist, a palliative care physician, a wound care nurse, a spiritual counselor and a care coordinator. Palliative care concepts were applied to a group of advanced Parkinson disease (PD) patients in a dedicated Palliative Care Clinic.
DOI: 10.1016/j.parkreldis.2012.06.013
PubMed: 22867994
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pubmed:22867994Le document en format XML
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<author><name sortKey="Miyasaki, Janis M" sort="Miyasaki, Janis M" uniqKey="Miyasaki J" first="Janis M" last="Miyasaki">Janis M. Miyasaki</name>
<affiliation wicri:level="1"><nlm:affiliation>The Palliative Program for Parkinson Disease and Related Disorders, The Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, University of Toronto, Canada. miyasaki@uhnresearch.ca</nlm:affiliation>
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<wicri:regionArea>The Palliative Program for Parkinson Disease and Related Disorders, The Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, University of Toronto</wicri:regionArea>
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<author><name sortKey="Long, J" sort="Long, J" uniqKey="Long J" first="J" last="Long">J. Long</name>
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<series><title level="j">Parkinsonism & related disorders</title>
<idno type="eISSN">1873-5126</idno>
<imprint><date when="2012" type="published">2012</date>
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<term>Ambulatory Care Facilities</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Palliative Care (methods)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Patient Care Team</term>
<term>Severity of Illness Index</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Ambulatory Care Facilities</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Palliative care provides a holistic approach to symptom relief using a multidisciplinary team approach to enhance quality of life throughout the entire course of a particular illness. The care team consists of movement disorders neurologist, a palliative care physician, a wound care nurse, a spiritual counselor and a care coordinator. Palliative care concepts were applied to a group of advanced Parkinson disease (PD) patients in a dedicated Palliative Care Clinic.</div>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22867994</PMID>
<DateCreated><Year>2012</Year>
<Month>12</Month>
<Day>04</Day>
</DateCreated>
<DateCompleted><Year>2013</Year>
<Month>09</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2012</Year>
<Month>12</Month>
<Day>04</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5126</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>18 Suppl 3</Volume>
<PubDate><Year>2012</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Parkinsonism & related disorders</Title>
<ISOAbbreviation>Parkinsonism Relat. Disord.</ISOAbbreviation>
</Journal>
<ArticleTitle>Palliative care for advanced Parkinson disease: an interdisciplinary clinic and new scale, the ESAS-PD.</ArticleTitle>
<Pagination><MedlinePgn>S6-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.parkreldis.2012.06.013</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S1353-8020(12)00251-9</ELocationID>
<Abstract><AbstractText Label="UNLABELLED">Palliative care provides a holistic approach to symptom relief using a multidisciplinary team approach to enhance quality of life throughout the entire course of a particular illness. The care team consists of movement disorders neurologist, a palliative care physician, a wound care nurse, a spiritual counselor and a care coordinator. Palliative care concepts were applied to a group of advanced Parkinson disease (PD) patients in a dedicated Palliative Care Clinic.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A modified Edmonton Symptom Assessment System Scale for PD (ESAS-PD) was developed and applied to 65 PD patients at their initial consultation and following recommended interventions. Scores were compared to those of metastatic cancer patients reported in the palliative care literature.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The ESAS-PD scores significantly improved after the interventions (56 and 40 respectively, p = 0.0001). The most improved items were constipation, dysphagia, anxiety, pain and drowsiness. ESAS-PD scores were not significantly different from metastatic cancer patients' ESAS scores.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">ESAS-PD is a quick, effective scale for assessment of late stage PD symptoms. Scores are sensitive to intervention, and therefore have potential clinical utility for physicians and other healthcare providers. Advanced PD patients have a similar degree of symptoms as metastatic cancer patients, respond to treatment in a similar way, and therefore should have access to palliative care services.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Miyasaki</LastName>
<ForeName>Janis M</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>The Palliative Program for Parkinson Disease and Related Disorders, The Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, University of Toronto, Canada. miyasaki@uhnresearch.ca</Affiliation>
</AffiliationInfo>
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