Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- 1 A glossary of terms
- 2 Diagnosis of parkinsonism in the elderly
- 3 Parkinson's disease and parkinsonism in the elderly
- 4 Drug-induced parkinsonism in the elderly
- 5 Essential tremor in the elderly
- 6 Gait apraxia and multi-infarct states
- 7 The epidemiology of Parkinson's disease and parkinsonism in elderly subjects
- 8 Health and social needs of people with Parkinson's disease and the worldwide organization of their care
- 9 The drug treatment of Parkinson's disease in elderly people
- 10 Rehabilitation in Parkinson's disease and parkinsonism
- 11 Rehabilitation, nursing and elderly patients with Parkinson's disease
- 12 Rehabilitation, physiotherapy and elderly patients with Parkinson's disease
- 13 Rehabilitation, occupational therapy and elderly patients with Parkinson's disease
- 14 Rehabilitation, speech and language therapy and elderly patients with Parkinson's disease
- Index
10 - Rehabilitation in Parkinson's disease and parkinsonism
Published online by Cambridge University Press: 24 November 2009
- Frontmatter
- Contents
- List of contributors
- Foreword
- 1 A glossary of terms
- 2 Diagnosis of parkinsonism in the elderly
- 3 Parkinson's disease and parkinsonism in the elderly
- 4 Drug-induced parkinsonism in the elderly
- 5 Essential tremor in the elderly
- 6 Gait apraxia and multi-infarct states
- 7 The epidemiology of Parkinson's disease and parkinsonism in elderly subjects
- 8 Health and social needs of people with Parkinson's disease and the worldwide organization of their care
- 9 The drug treatment of Parkinson's disease in elderly people
- 10 Rehabilitation in Parkinson's disease and parkinsonism
- 11 Rehabilitation, nursing and elderly patients with Parkinson's disease
- 12 Rehabilitation, physiotherapy and elderly patients with Parkinson's disease
- 13 Rehabilitation, occupational therapy and elderly patients with Parkinson's disease
- 14 Rehabilitation, speech and language therapy and elderly patients with Parkinson's disease
- Index
Summary
Introduction
This chapter presents an overview of rehabilitation in Parkinson's disease (PD) and in parkinsonism not due to PD, prior to a series of chapters reviewing specific types of nonmedical intervention. The first part of the chapter discusses conceptual issues relevant to progressive neurological conditions such as PD and parkinsonism. What counts as rehabilitation? How (if at all) can rehabilitation be distinguished from care and support? Is rehabilitation effective and cost effective? What are the general service requirements for people with PD and parkinsonism? The second part of the chapter considers how services can be designed to meet the needs of people with these syndromes. How specific are the needs? What resources are required? The chapter ends with an outline of rehabilitation interventions relevant to different stages of PD and to other syndromes resembling PD.
Rehabilitation concepts in PD/parkinsonism
What counts as rehabilitation?
If people with PD/parkinsonism (the two terms are used interchangeably in this section) are to benefit from health and social services their individual needs must always occupy centre stage: each medical and each nonmedical intervention must be relevant, in one way or another, to everyday life. All too often physicians forget this truism, for example in prescribing a drug to suppress a tremor that is unimportant to the patient or in mechanically continuing six-monthly outpatient appointments when neither the doctor nor the patient has clear objectives in mind. Unfocused, essentially aimless activities of this sort maintain a distinction that need hardly exist between medical management and rehabilitation.
- Type
- Chapter
- Information
- Parkinson's Disease and Parkinsonism in the Elderly , pp. 165 - 184Publisher: Cambridge University PressPrint publication year: 2000
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