La maladie de Parkinson au Canada (serveur d'exploration)

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Palliative care for advanced Parkinson disease: an interdisciplinary clinic and new scale, the ESAS-PD.

Identifieur interne : 000A09 ( PubMed/Curation ); précédent : 000A08; suivant : 000A10

Palliative 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. Hui

Source :

RBID : pubmed:22867994

English descriptors

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:22867994

Le document en format XML

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<title xml:lang="en">Palliative care for advanced Parkinson disease: an interdisciplinary clinic and new scale, the ESAS-PD.</title>
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<name sortKey="Miyasaki, Janis M" sort="Miyasaki, Janis M" uniqKey="Miyasaki J" first="Janis M" last="Miyasaki">Janis M. Miyasaki</name>
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<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>
<country xml:lang="fr">Canada</country>
<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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<name sortKey="Long, J" sort="Long, J" uniqKey="Long J" first="J" last="Long">J. Long</name>
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<name sortKey="Mancini, D" sort="Mancini, D" uniqKey="Mancini D" first="D" last="Mancini">D. Mancini</name>
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<name sortKey="Moro, E" sort="Moro, E" uniqKey="Moro E" first="E" last="Moro">E. Moro</name>
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<name sortKey="Fox, S H" sort="Fox, S H" uniqKey="Fox S" first="S H" last="Fox">S H Fox</name>
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<name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A E" last="Lang">A E Lang</name>
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<name sortKey="Marras, C" sort="Marras, C" uniqKey="Marras C" first="C" last="Marras">C. Marras</name>
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<name sortKey="Chen, R" sort="Chen, R" uniqKey="Chen R" first="R" last="Chen">R. Chen</name>
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<name sortKey="Strafella, A" sort="Strafella, A" uniqKey="Strafella A" first="A" last="Strafella">A. Strafella</name>
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<title level="j">Parkinsonism & related disorders</title>
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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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<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Parkinson Disease</term>
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<term>Palliative Care</term>
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<term>Parkinson Disease</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<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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<DateCreated>
<Year>2012</Year>
<Month>12</Month>
<Day>04</Day>
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<DateCompleted>
<Year>2013</Year>
<Month>09</Month>
<Day>18</Day>
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<Year>2012</Year>
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<Day>04</Day>
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<Volume>18 Suppl 3</Volume>
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<Title>Parkinsonism & related disorders</Title>
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<ArticleTitle>Palliative care for advanced Parkinson disease: an interdisciplinary clinic and new scale, the ESAS-PD.</ArticleTitle>
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<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>
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