Personalized care management for persons with Parkinson's disease: A telenursing solution.
Health care delivery
Home care
Parkinsons disease
Telehealth
Telenursing
Journal
Clinical parkinsonism & related disorders
ISSN: 2590-1125
Titre abrégé: Clin Park Relat Disord
Pays: England
ID NLM: 101761473
Informations de publication
Date de publication:
2020
2020
Historique:
received:
07
04
2020
revised:
14
07
2020
accepted:
12
08
2020
pubmed:
28
8
2020
medline:
28
8
2020
entrez:
27
8
2020
Statut:
ppublish
Résumé
Poor recognition and inadequate treatment of motor and non-motor symptoms negatively impact on the quality of life of persons with Parkinson's Disease (PD). Furthermore, failure to incorporate timely detection and management of symptoms increases the risk of partially avoidable complications. A promising approach to overcome these pitfalls is telenursing, which entails proactive care delivery by a PD Nurse Specialist (PDNS) through telephone contacts. We hypothesized that adding telenursing to usual care could fill a gap in currently available services, including offering patients easy accessibility to a nurse with specific expertise in PD. We explored this hypothesis by prospectively assessing the effects of a telenursing intervention on motor and non-motor symptoms in a patient with PD. During a threemonth intervention period which comprised 13 telephone contacts, the patient reported a remarkable reduction in number of falls, from 99 falls per three months to 3 falls per three months; and a reduction in non-motor symptoms. The main working mechanism was presumably rather indirect and mediated via alleviation of anxiety, achieved by the individually tailored information and problem-solving strategies provided by the PDNS. Our observations should encourage large-scale evaluations to assess the long-term effectiveness and cost-effectiveness of telenursing interventions in persons with PD.
Identifiants
pubmed: 32844158
doi: 10.1016/j.prdoa.2020.100070
pii: S2590-1125(20)30038-4
pii: 100070
pmc: PMC7437514
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100070Informations de copyright
© 2020 The Authors.
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