During late-stage PD, the ability of patients to control their symptoms diminishes as their dopaminergic medication becomes less effective.1-3 This lack of symptom control can potentially cause severe mental and physical disability due to the array of motor and non-motor symptoms that develop during late-stage PD.1-3 These symptoms can be a source of emotional distress to both the patient and their caregivers.1-3

Although clinicians may be tempted to provide additional therapies to existing regimens in order to combat late-stage symptoms, one of the goals of treating advanced PD is actually to simplify overall treatment.1 The aim here is to reduce some of the adverse effects of drug therapies, such as drowsiness, confusion, agitation, and hallucinations.1

 

References:
1.Kulisevsky J, Luquin MR, Arbelo JM, et al. Advanced Parkinson’s disease: clinical characteristics and treatment. Part II. Neurologia 2013; 28 (9): 558–583.

2.Hussain J, Adams D, Campbell C. End-of-life care in neurodegenerative conditions: outcomes of a specialist palliative neurology service. Int J Palliat Nurs 2013; 19 (4): 162–169.

3.Boersma I, Miyasaki J, Kutner J, Kluger B. Palliative care and neurology: time for a paradigm shift. Neurology 2014; 83 (6): 561–567.

4.Miyasaki JM, Lim SY, Chaudhuri KR, et al. Palliative care to support the needs of adults with neurological disease. Mov Disord 2022; 37 (1): 182–189.