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Non-motor symptoms and co-morbidity in Parkinson’s disease 

Non-motor symptoms and co-morbidity in Parkinson’s disease
Chapter:
Non-motor symptoms and co-morbidity in Parkinson’s disease
Source:
Non-motor Symptoms of Parkinson's Disease (2 ed.)
Author(s):

Graeme J. A. Macphee

and Douglas G. MacMahon

DOI:
10.1093/med/9780199684243.003.0026

The importance of non-motor symptoms in Parkinson’s disease (PD) is now increasingly recognized, and monitoring such symptoms is becoming incorporated in best practice. However, non-motor symptoms declared in individual PD patients may reflect clinical manifestations of other unrelated co-morbid conditions as well as the underlying pathology of PD—the primary focus of this book. As both PD and common co-morbidities becomes more prevalent with advancing age, co-morbidities have an increasing impact as the disease progresses. As the patient ages, they almost become the norm. This chapter will review co-morbidity unrelated to the primary pathology of PD. Recognition and appropriate management of co-morbidity should be part of the remit of clinicians primarily responsible for PD patients. The implications for resource use, expenditure and opportunities for improvement in holistic management of PD for patients who may receive unscheduled episodes of care under non-specialist teams are also considered.

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