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RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease

BACKGROUND: Parkinson’s disease (PD) is a progressive degenerative disease without curative treatment perspectives. Even when palliative care for people with PD seems to be beneficial, the need for palliative care is often not timely recognized. AIM: Our aim was to develop a tool that can help healt...

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Autores principales: Lennaerts-Kats, Herma, van der Steen, Jenny T., Vijftigschild, Zefanja, Steppe, Maxime, Meinders, Marjan J., Munneke, Marten, Bloem, Bastiaan R., Vissers, Kris C. P., Groot, Marieke M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173770/
https://www.ncbi.nlm.nih.gov/pubmed/32315302
http://dx.doi.org/10.1371/journal.pone.0230611
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author Lennaerts-Kats, Herma
van der Steen, Jenny T.
Vijftigschild, Zefanja
Steppe, Maxime
Meinders, Marjan J.
Munneke, Marten
Bloem, Bastiaan R.
Vissers, Kris C. P.
Groot, Marieke M.
author_facet Lennaerts-Kats, Herma
van der Steen, Jenny T.
Vijftigschild, Zefanja
Steppe, Maxime
Meinders, Marjan J.
Munneke, Marten
Bloem, Bastiaan R.
Vissers, Kris C. P.
Groot, Marieke M.
author_sort Lennaerts-Kats, Herma
collection PubMed
description BACKGROUND: Parkinson’s disease (PD) is a progressive degenerative disease without curative treatment perspectives. Even when palliative care for people with PD seems to be beneficial, the need for palliative care is often not timely recognized. AIM: Our aim was to develop a tool that can help healthcare professionals in timely identifying palliative care needs in people with PD. DESIGN: We used a mixed-methods design, including individual and focus group interviews and a three-round modified Delphi study with healthcare professionals from a multidisciplinary field. RESULTS: Data from the interviews suggested two distinct moments in the progressive PD trajectory: 1) an ultimate moment to initiate Advance Care Planning (ACP); and 2) the actual start of the palliative phase. During the Delphi process, six indicators for ACP were identified, such as presence of frequent falls and first unplanned hospital admission. The start of the palliative phase involved four indicators: 1) personal goals have started to focus on maximization of comfort; 2) care needs have changed; 3) PD drug treatment has become less effective or an increasingly complex regime of drug treatments is needed; and 4) specific PD-symptoms or complications have appeared, such as significant weight loss, recurrent infections, or progressive dysphagia. Indicators for both moments are included in the RADboud indicators for PAlliative Care Needs in Parkinson’s Disease (RADPAC-PD) tool. CONCLUSION: The RADPAC-PD may support healthcare professionals in timely initiating palliative care for persons with PD. Identification of one or more indicators can mark the need for ACP or the palliative phase. We expect that applying the RADPAC-PD, for example on an annual basis throughout the PD trajectory, can facilitate identification of the palliative phase in PD patients in daily practice. However, further prospective research is needed on the implementation of the RADPAC-PD.
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spelling pubmed-71737702020-04-27 RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease Lennaerts-Kats, Herma van der Steen, Jenny T. Vijftigschild, Zefanja Steppe, Maxime Meinders, Marjan J. Munneke, Marten Bloem, Bastiaan R. Vissers, Kris C. P. Groot, Marieke M. PLoS One Research Article BACKGROUND: Parkinson’s disease (PD) is a progressive degenerative disease without curative treatment perspectives. Even when palliative care for people with PD seems to be beneficial, the need for palliative care is often not timely recognized. AIM: Our aim was to develop a tool that can help healthcare professionals in timely identifying palliative care needs in people with PD. DESIGN: We used a mixed-methods design, including individual and focus group interviews and a three-round modified Delphi study with healthcare professionals from a multidisciplinary field. RESULTS: Data from the interviews suggested two distinct moments in the progressive PD trajectory: 1) an ultimate moment to initiate Advance Care Planning (ACP); and 2) the actual start of the palliative phase. During the Delphi process, six indicators for ACP were identified, such as presence of frequent falls and first unplanned hospital admission. The start of the palliative phase involved four indicators: 1) personal goals have started to focus on maximization of comfort; 2) care needs have changed; 3) PD drug treatment has become less effective or an increasingly complex regime of drug treatments is needed; and 4) specific PD-symptoms or complications have appeared, such as significant weight loss, recurrent infections, or progressive dysphagia. Indicators for both moments are included in the RADboud indicators for PAlliative Care Needs in Parkinson’s Disease (RADPAC-PD) tool. CONCLUSION: The RADPAC-PD may support healthcare professionals in timely initiating palliative care for persons with PD. Identification of one or more indicators can mark the need for ACP or the palliative phase. We expect that applying the RADPAC-PD, for example on an annual basis throughout the PD trajectory, can facilitate identification of the palliative phase in PD patients in daily practice. However, further prospective research is needed on the implementation of the RADPAC-PD. Public Library of Science 2020-04-21 /pmc/articles/PMC7173770/ /pubmed/32315302 http://dx.doi.org/10.1371/journal.pone.0230611 Text en © 2020 Lennaerts-Kats et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lennaerts-Kats, Herma
van der Steen, Jenny T.
Vijftigschild, Zefanja
Steppe, Maxime
Meinders, Marjan J.
Munneke, Marten
Bloem, Bastiaan R.
Vissers, Kris C. P.
Groot, Marieke M.
RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease
title RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease
title_full RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease
title_fullStr RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease
title_full_unstemmed RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease
title_short RADPAC-PD: A tool to support healthcare professionals in timely identifying palliative care needs of people with Parkinson’s disease
title_sort radpac-pd: a tool to support healthcare professionals in timely identifying palliative care needs of people with parkinson’s disease
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173770/
https://www.ncbi.nlm.nih.gov/pubmed/32315302
http://dx.doi.org/10.1371/journal.pone.0230611
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