Parkinson’s Disease & Psychosis in the Post-Acute and Long-Term Care Setting

Published: June 2021
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  • Key Points
  • Glossary
  • Recognition
    • Tables
      • Motor and Non-Motor Features of Parkinson’s Disease
      • Features Suggestive of Atypical Parkinsonism or an Alternate Diagnosis
      • Red Flags: Other Symptoms Not Consistent with the Diagnosis of PD
    • Figure
      • Differential Diagnosis – Parkinsonism
    • Diagnosis
  • Assessment
    • Symptoms and Signs
    • Comorbidities
    • Sudden Decline
  • Treatment
    • Physical, Occupational, and Speech Therapy
    • Table: Some Factors that Increase Risk of Falls in People with Parkinson’s Disease
    • Dietary Considerations
    • Additional Considerations
    • Drug Therapies
    • Approach to Pharmacotherapy
      • Chart: Optimal Levodopa Dosing and Blood Levels
    • Misconceptions and Common Questions from People with Parkinson’s
    • On-Demand Motor Pharmacotherapy Options
    • Dyskinesia Treatment
    • Side Effects
    • Surgical Options
    • Table: Motor Pharmacotherapy Options
  • Monitoring
    • Suggested Quality Measures with Proposed Frequency
    • Prognosis/Palliative Care/End-Of-Life Issues
    • Table: Medicare Hospice Eligibility Criteria
  • Parkinson's Disease Dementia and Psychosis
    • Table: Dementia with Lewy Bodies vs. Parkinson’s Disease with Dementia
    • Figures:
      • Differential Diagnosis of Parkinson’s Disease Psychosis
      • Stepwise Process for Treating Parkinson’s Disease Psychosis
      • Assessment
      • Psychosis in People with Parkinson’s Disease
      • Treatment
  • Appendices
    • The Long-Term Care Interval History: Parkinson's Disease
    • LTC Interval History: Parkinson’s Disease Check List
  • References
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The Society for Post-Acute and Long-Term Care Medicine is the only medical specialty society representing the community of over 50,000 medical directors, physicians, nurse practitioners, physician assistants, and other practitioners working in the various post-acute and long-term care (PA/LTC) settings.

Description

This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.

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