Parkinson's Disease in the Long-term Care Setting

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Source: American Medical Directors Association (AMDA). Parkinson's Disease in the Long-term Care Setting. Columbia (MD): American Medical Directors Association (AMDA); 2002. 34 p. Parkinson's Disease in the Long-term Care Setting Has Parkinson's disease already been diagnosed in this patient? Conduct a relevant history, physical examination, and mental status examination to determine whether the patient has Parkinson's disease or parkinsonism Is there evidence of Parkinson's disease? Monitor periodically for signs and symptoms that may suggest Parkinson's disease Assess the physical function of the patient with Parkinson's disease Assess the patient's mental, emotional, and cognitive status Assess the patient for signs of dysphagia and altered nutritional status Assess the patient's functional status Assess the patient's medication use Assess the patient's risk for developing comorbidities and complications and need for specialty consultation Summarize the patient's condition Develop an individualized care plan Implement appropriate nonpharmacologic interventions Implement appropriate pharmacologic interventions Implement nutritional interventions as necessary Manage complications and comorbidities associated with Parkinson's disease and obtain specialty consultation if appropriate Consider referring the patient to community resources or palliative care Monitor the patient's ability to communicate and carry out ADLs Monitor the patient's cognitive, mental, and emotional status Monitor the patient's nutritional status and ability to swallow Monitor the patient's medications for effectiveness, adverse effects, and complications Monitor the patient for the appearance or progression of comorbidities and complications Monitor the need for a change in the patient's level of care All copyrights are reserved by the American Medical Directors Association.