Parkinson's disease treatment team
Parkinson’s disease (PD) has many aspects and, therefore, it is best managed in the context of a multidisciplinary team. The PD multidisciplinary team is led by the person with PD and their caregiver/family, and also includes one or more of the following professionals, depending on the specific needs of an individual.
Psychiatrist
Assists with the mental health problems such as depression and anxiety
Doctor
Specialist and/or general practitioner (GP). Performs diagnosis and discusses treatment options with the person with PD. The doctor keeps a regular check on the person’s condition over time and the response to treatment – advising on any therapy changes that may be helpful.
Specialist PD nurse
A doctor does not always have enough time available to discuss all the concerns of a person with PD and, consequently, the nursing team can provide a valuable bridge between the person with PD and their doctor. In addition, there is an increasing number of PD nurses who are specially trained to advise people on daily life with PD, and liaise with the doctor on their behalf in between one visit and the next.
Occupational therapist
Enables people with PD to adapt and develop life skills to help with their new or altered capabilities – thereby promoting independence. The occupational therapist can also suggest practical aids to help at home or in the workplace.
Dietician
Advises on healthy diet and any other specific dietary needs
Speech/language therapist
Encourages communication, suggesting tips to overcome any oral difficulties such as swallowing, and recommending exercises for the face, to keep muscles strong and to help improve speech
Pharmacist
Gives advice on prescribed medications
Social worker
In some countries, the social care system can help with recommending caregiver support and other available community and financial services
National / local PD organizations
Source of information and advice on all aspects of PD, including self-help groups
Psychologist / counselor
Can help with cognitive behavioral therapy and talking through any aspects of PD that is having emotional effects including depression, anxiety and communication.
Sex therapist
Provides advice and counseling on all areas of sexual health that are of concern to a person with PD and/or their partner
Physiotherapist
Has expertise in the management of mobility problems from the point of diagnosis to the later stages of the disease. A physiotherapy program consists of an exercise regime, movement strategies and consideration of the person’s specific needs.
Physiotherapy can also help to improve the effects of medication by reducing complications due to reduced mobility, and provide techniques for managing periods when medication offers poor control of movement.