Infusion treatments and deep brain stimulation in Parkinson's Disease: The role of nursing.
Geriatr Nurs
; 37(6): 434-439, 2016.
Article
en En
| MEDLINE
| ID: mdl-27444659
ABSTRACT
Parkinson's Disease (PD) represents one of the most common neurodegenerative disorders in the elderly. PD is caused by a loss of dopaminergic cells in the substantia nigra pars compacta. The motor cardinal signs include a resting tremor, bradykinesia, rigidity and postural reflex impairment. Although levodopa represents the gold standard also in the advanced stage of the disease, over the years most patients develop disabling motor fluctuations, dyskinesias, and non-motor complications, which are difficult to manage. At this stage, more complex treatment approaches, such as infusion therapies (subcutaneous apomorphine and intraduodenal levodopa) and deep brain stimulation of the subthalamic nucleus or the globus pallidus internus should be considered. All three procedures require careful selection and good compliance of candidate patients. In particular, infusional therapies need adequate training both of caregivers and nursing staff in order to assist clinicians in the management of patients in the complicated stages of disease.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Terapia de Infusión a Domicilio
/
Rol de la Enfermera
/
Estimulación Encefálica Profunda
Límite:
Humans
Idioma:
En
Revista:
Geriatr Nurs
Año:
2016
Tipo del documento:
Article