Parkinson Disease

60

Course Overview
Parkinson disease (PD) is a neurodegenerative disorder that affects approximately 1% of those older than 60 years of age. Improved recognition of both non-motor and motor symptoms can promote early diagnosis and treatment of PD. Importantly, early intervention leads to better quality of life for the patient, and this may be facilitated by improved understanding of PD pathophysiology, signs and symptoms, differential diagnosis, and therapeutic options. As a chronic condition, patients with PD have ongoing contact with their primary care provider for PD and non-PD related concerns. Additional aspects related to PD are likely to be encountered, including issues with medications prescribed to control PD symptoms, comorbid conditions, and polypharmacy. This course will review all of the relevant aspects of PD diagnosis and treatment necessary for the optimal care of patients with the disease.

Learning Outcomes 
Upon the completion of this course, the learner should be able to:

  • Outline the history of Parkinson disease (PD) and scientific developments related to recognition of the disease.
  • Integrate epidemiologic considerations, risk factor assessment, and defining clinical features into a framework for evaluating a patient with suspected Parkinson disease.
  • Assess motor and non-motor symptoms and signs in relation to pathophysiology of PD.
  • Anticipate the time course of symptom development in patients with PD, and use this to assess clinical probability and to inform follow-up of a patient in whom the diagnosis is unclear.
  • Refine history and clinical examination skills in order to detect the early motor and non-motor signs and symptoms of PD.
  • Develop a strategy for the initial workup of patients with suspected PD that conforms with diagnostic and clinical staging criteria.
  • Compare and contrast syndromes that may mimic PD and their differential diagnosis.
  • Devise a treatment strategy and select an appropriate drug regimen for the management of PD.
  • Create an approach to the management of PD based on stage of the disease, severity of symptoms, and rate of progression.
  • Discuss the role of non-motor symptoms of PD and devise a strategy for treatment.
  • Outline a long-term plan for monitoring the course of illness, including patient and family education and safety precautions.

About the Author/Presenter 
Mark Rose, BS, MA, LP, is a licensed psychologist in the State of Minnesota with a private consulting practice and a medical research analyst with a biomedical communications firm. Earlier healthcare technology assessment work led to medical device and pharmaceutical sector experience in new product development involving cancer ablative devices and pain therapeutics. Along with substantial experience in addiction research, Mr. Rose has contributed to the authorship of numerous papers on CNS, oncology, and other medical disorders. He is the lead author of papers published in peer-reviewed addiction, psychiatry, and pain medicine journals and has written books on prescription opioids and alcoholism published by the Hazelden Foundation. He also serves as an Expert Advisor and Expert Witness to law firms that represent disability claimants or criminal defendants on cases related to chronic pain, psychiatric/substance use disorders, and acute pharmacologic/toxicologic effects. Mr. Rose is on the Board of Directors of the Minneapolis-based International Institute of Anti-Aging Medicine and is a member of several professional organizations.


Audience/Accreditations and Approvals 
TRC Healthcare/ NetCE 
In support of improving patient care, this activity has been planned and implemented by TRC Healthcare/ NetCE. TRC Healthcare/NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 
This course is designed for the following healthcare professions (select your profession for details): 
Counselor, Nursing, Pharmacy, Physician, Psychology, Social Work

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