4 Duties 4 5 Key elements 4 6 Main Guideline a) Guidance for first 24 hrs 5 b) Risks of omitting Parkinson’s medication 5 c) Management of complications associated with Parkinson’s 5 d) Contra-indicated medications in Parkinson’s 6 e) Managing Parkinson’s medication 6 No swallowing difficulties NG or PEG 7 Parenteral 7 f) Advanced therapies: special considerations 7 g) Pharmacy supplies/stock location – 8 h) Patients undergoing Surgery Elective and Emergency 9 – 10 i) When it all goes well 7 Overall Responsibility for the Document 11 8 Consultation and ratification 11 9 Dissemination and Implementation 11 10 Monitoring Compliance and Effectiveness 11 11 References and Associated Documentation 12 Appendix 1 Dissemination Plan 13 Appendix 2 Review and Approval Checklist 14 Appendix 3 The First 24 hrs Print-off Checklist 15 – Appendix 4 Emergency Management Poster 16 Appendix 5 Pre-op Notification Proforma (Print-off) 17 Appendix 6 Pre-operative check list (Print-off) 18 Appendix 7 Rotigotine Patch placement documentation chart 19 – 1 Introduction Parkinson’s is a complex, chronic, incurable, fluctuating and disabling condition. It is a degenerative neurological condition affecting all aspects of daily living and has a major impact on
4 Duties 4 5 Key elements 4 6 Main Guideline a) Guidance for first 24 hrs b) Risks of omitting Parkinson’s medication c) Management of complications associated with Parkinson’s d) Contra-indicated medications in Parkinson’s e) Managing Parkinson’s medication No swallowing difficulties NG or PEG Parenteral f) Advanced therapies: special considerations g) Pharmacy – supplies/stock location h) Patients undergoing Surgery – Elective and Emergency i) When it all goes well 5 5 5 6 6 7 7 7 8 9 10 7 Overall Responsibility for the Document 11 8 Consultation and ratification 11 9 Dissemination and Implementation 11 10 Monitoring Compliance and Effectiveness 11 11 References and Associated Documentation 12 Appendix 1 Dissemination Plan 13 Appendix 2 Review and Approval Checklist 14 Appendix 3 The First 24 hrs – Print-off Checklist 15 Appendix 4 Emergency Management Poster 16 Appendix 5 Pre-op Notification Proforma (Print-off) 17 Appendix 6 Pre-operative check list (Print-off) 18 Appendix 7 Rotigotine Patch – placement documentation chart 19 1 Introduction Parkinson’s is a complex, chronic, incurable, fluctuating and disabling condition. It is a degenerative neurological condition affecting all aspects of daily living and has a major impact on
Parkinsons-In-patient-Guidelines-PenPEN-Sept-2016.docx