Idiopathic Parkinson’s disease (PD) is a neurodegenerative disorder in which treatment has traditionally focused predominantly on the motor disturbance. With increasing understanding of the pathological evolution of the condition, it has become apparent that its symptomatology is much more extensive and that its presence in the affected individual can last for as long as 50 years. The challenges facing health professionals and healthcare providers include ensuring evidence-based approaches to deal with this complexity and methodology to ensure that a continuum of care is provided to the individual and their families over the illness duration. In this context, multidisciplinary team care enables professionals to cater for the complexity of the clinical manifestations. In addition, it is important that a holistic approach to management is followed and that a process exists by which the team members function in a cohesive manner for service delivery. The continuum of care requires the establishment of numerous contact points wherein similar, or different, multidisciplinary teams cooperate across the continuum. Expertise and experience play important roles in providing efficient healthcare delivery by the multidisciplinary team members and an appropriate knowledge of the condition, its manifestations, treatment options, and an up-to-date understanding of research developments are imperative to ensure that appropriate and targeted interventions are maintained throughout the life of the individual. In this chapter we will outline a rehabilitative approach that is evidence-based and has been utilized for 20 years in the delivery of comprehensive services to people with PD and their families. This will be presented in the context of the complexity of PD and its care-need requirements. In addition, the capacity to provide multiple contact points in the care continuum has enabled the development of a medical care model which has been developed around the multidisciplinary team and inter-digitates with the rehabilitative component across all multidisciplinary teams in the continuum of care.
|Title of host publication||Rehabilitation in Movement Disorders|
|Publisher||Cambridge University Press|
|Number of pages||13|
|Publication status||Published - 1 Jan 2011|