Session Time: 1:45pm-3:15pm
Location: Exhibit Hall C
Objective: To undertake a review of acute Parkinson’s management across different sites in Wales, a country that is part of the United Kingdom with a population of over 3 million.
Investigate if guidelines for management of acute Parkinson’s are in place across multiple health boards in Wales
Explore future development of standardised guidelines across all health boards in Wales
Background: Acute in-hospital management of People with Parkinson’s (PwP) is challenging and often complicated by missed and delayed medication doses. Having standardised guidelines would help with overall management and help drive up the care of PwP admitted to Parkinson’s.
Methods: As a Parkinson’s Excellence Network project, the authors used an existing network of Geriatric Medicine registrars working in acute hospitals across Wales to collect information on acute management of Parkinson’s including nil by mouth guidelines, reasons for admissions, appropriate prescribing of Parkinson’s medications and missed doses across a 6 week period. We also explored the existence of guidelines for management of acute Parkinson’s disease across Welsh health boards.
Results: Data on 81 patients collected across Wales sampling every major region with an acute admitting unit.
81% of acutely admitted patients admitted under a Medical Specialty. 33% referred to Parkinson’s team as inpatient. 36% of admissions were directly related to Parkinson’s disease. Only 52% Parkinson’s medications prescribed accurately.
First dose of medication missed for 31%.
39% of patients missed 2 or more doses in first 24 hours. Over half of patients did not have timings of their Parkinson’s medication accurately documented.
Conclusions: The All-Wales survey showed considerable work needs to be undertaken to establish guidelines in some health boards and further improvements in adherence to guidelines where one is present. It is notable that a countrywide review of acute Parkinson’s management has been achieved utilising a pre-existing network of trainee physicians. This should provide a template for further works of research and service improvements.
To cite this abstract in AMA style:E. Peter, B. Mohamed, C. Thomas. Using the power of a Network to accomplish a Countrywide Review of Acute Parkinson’s Disease management [abstract]. Mov Disord. 2017; 32 (suppl 2). https://www.mdsabstracts.org/abstract/using-the-power-of-a-network-to-accomplish-a-countrywide-review-of-acute-parkinsons-disease-management/. Accessed December 3, 2023.
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