Data gathering
- Red flags – mood, urine incontinence
- Others – stiffness, tremor, walking, handwriting, balance, speech
- Examine – inspection, rigidity, gait, handwriting, quick neuro (if appropriate)
Clinical management
- Explanation
- PD affects the way the body coordinates movements, main features are slow movement, tremor, stiffness
- Treatment
- Refer neurology – initial assessment and treatment
- Special services – physio, OT, speech therapy, specialist nurse, dietician
- Medications to help with symptoms (dopamine agonists or monoamine oxidase inhibitors)
- Surgery – deep brain stimulation
- Follow-up / Safety net
- DVLA