TY - JOUR
T1 - Understanding the role of the Parkinson's disease nurse specialist in the delivery of apomorphine therpy
AU - Bhidayasiri, Roongroj
AU - Boonpang, Kamolwan
AU - Jitkritsadakul, Onanong
AU - Calne, Susan M
AU - Henriksen, Tove
AU - Trump, Sally
AU - Chaiwong, Suchapit
AU - Susang, Phenprapa
AU - Boonrod, Nonglak
AU - Sringean, Jirada
AU - van Laar, Teus
AU - Drent, Martje
AU - Chaudhuri, K Ray
N1 - Copyright © 2016 Elsevier Ltd. All rights reserved.
PY - 2016/12
Y1 - 2016/12
N2 - Optimal care of Parkinson's disease (PD) patients should involve a multidisciplinary team (MDT) of which a PD nurse specialist (PDNS) is a key member. The role of a PDNS is particularly prominent in the care of advanced PD patients suitable for apomorphine because, in addition to nursing skills, apomorphine treatment requires liaison, training, interaction and coordination with patients, caregivers and other members of the MDT as well as the interface with primary care physicians. The therapeutic success of apomorphine therapy depends not only upon the pharmacologic drug response, but also on how well the patient understands his/her disease and how to handle the therapy. In this respect, a PDNS is a vital member of the MDT who provides education and training, support, and is available for consultation when problems arise. In this article, we review the literature on the contribution of PDNSs in both continuous subcutaneous apomorphine infusion and intermittent subcutaneous apomorphine injection and highlight the various beneficial aspects of PDNS care, supported by scientific evidence when available. Despite a low level of published evidence, there is strong clinical evidence that the impact of PDNSs on the management of apomorphine therapy is vital and indispensable for the success of this treatment.
AB - Optimal care of Parkinson's disease (PD) patients should involve a multidisciplinary team (MDT) of which a PD nurse specialist (PDNS) is a key member. The role of a PDNS is particularly prominent in the care of advanced PD patients suitable for apomorphine because, in addition to nursing skills, apomorphine treatment requires liaison, training, interaction and coordination with patients, caregivers and other members of the MDT as well as the interface with primary care physicians. The therapeutic success of apomorphine therapy depends not only upon the pharmacologic drug response, but also on how well the patient understands his/her disease and how to handle the therapy. In this respect, a PDNS is a vital member of the MDT who provides education and training, support, and is available for consultation when problems arise. In this article, we review the literature on the contribution of PDNSs in both continuous subcutaneous apomorphine infusion and intermittent subcutaneous apomorphine injection and highlight the various beneficial aspects of PDNS care, supported by scientific evidence when available. Despite a low level of published evidence, there is strong clinical evidence that the impact of PDNSs on the management of apomorphine therapy is vital and indispensable for the success of this treatment.
KW - Antiparkinson Agents/therapeutic use
KW - Apomorphine/therapeutic use
KW - Humans
KW - Infusions, Subcutaneous/methods
KW - Nurse Specialists/education
KW - Parkinson Disease/drug therapy
U2 - 10.1016/j.parkreldis.2016.11.014
DO - 10.1016/j.parkreldis.2016.11.014
M3 - Review article
C2 - 27939324
SN - 1353-8020
VL - 33
SP - S49-S55
JO - Parkinsonism & Related Disorders
JF - Parkinsonism & Related Disorders
IS - Suppl 1
ER -