Palliative care: Caring for frail older adults with Parkinson's disease. Bunting-Perry, L. 2007.
abstract   bibtex   
(from the chapter) Depending on age of onset, symptom progression, and comorbid diseases, older adults with Parkinson's disease (PD) may be predisposed to poor health. The decline in health for many older adults with PD is a result of disease progression, acute illness, comorbid disease, or serious disease, such as cancer. The reduction of health status in older adults diminishes vitality and resilience, leading to dependence on assistive devices or family members to manage activities of daily life. The goal of this chapter is to focus on the clinical assessment of the frail older adult with PD and to present a model for palliative clinical care. The goal of care is to maintain the older adult with PD in the community and provide a treatment plan to facilitate transitions across the health care continuum. This chapter will focus on palliative care in PD and the physiology of aging related to the treatment of older adults. People living with PD in their 80s and 90s have different physiologic functioning as compared to 65-year-olds with PD and no comorbid diseases. Thus the complexity of care of the older adult with PD is emerging as a clinical concern. Moreover, care of the frail older adult with PD presents ethical issues. Thus nursing should be posed to provide treatment options to care providers, patients, and families across the continuum of care. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
@misc{bunting-perry_palliative_2007,
	type = {Health \& {Mental} {Health} {Services} [3370]},
	title = {Palliative care: {Caring} for frail older adults with {Parkinson}'s disease.},
	abstract = {(from the chapter) Depending on age of onset, symptom progression, and comorbid diseases, older adults with Parkinson's disease (PD) may be predisposed to poor health. The decline in health for many older adults with PD is a result of disease progression, acute illness, comorbid disease, or serious disease, such as cancer. The reduction of health status in older adults diminishes vitality and resilience, leading to dependence on assistive devices or family members to manage activities of daily life. The goal of this chapter is to focus on the clinical assessment of the frail older adult with PD and to present a model for palliative clinical care. The goal of care is to maintain the older adult with PD in the community and provide a treatment plan to facilitate transitions across the health care continuum. This chapter will focus on palliative care in PD and the physiology of aging related to the treatment of older adults. People living with PD in their 80s and 90s have different physiologic functioning as compared to 65-year-olds with PD and no comorbid diseases. Thus the complexity of care of the older adult with PD is emerging as a clinical concern. Moreover, care of the frail older adult with PD presents ethical issues. Thus nursing should be posed to provide treatment options to care providers, patients, and families across the continuum of care. (PsycINFO Database Record (c) 2012 APA, all rights reserved)},
	urldate = {2005-06-05},
	journal = {Comprehensive nursing care for Parkinson's disease.},
	author = {Bunting-Perry, Lisette},
	year = {2007},
	keywords = {*Palliative Care, *Parkinson's Disease, Aging, Clinical Practice, Health Impairments, Measurement},
}

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